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Quality Programs

Geriatric Surgery Verification Program Standards

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The GSV Program is pleased to present a new level of participation, the Geriatric Surgery Verification (Age-Friendly) Level, which consists of six program standards and aligns with the requirements of the new CMS Age Friendly Hospital Measure:

  1. Age-Friendly Care Leadership
  2. Treatment and Overall Health Goals
  3. Geriatric Vulnerability Screens
  4. Management Plan for Patients with Positive Geriatric Vulnerability Screens
  5. Age-Friendly Postoperative Protocol
  6. Data Review

The GSV (Age-Friendly) Level Standards are available to program participants beginning January 2025. If you are interested in applying for this level, please submit an application.

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The Geriatric Surgery Verification Program (GSV) standards manual, Optimal Resources for Geriatric Surgery, is available for download.

These standards detail the principles regarding resource standards, quality improvement and safety processes, data collection, and a verification process. The program evaluates the care, aligned to the standards and expected scope of practice at each institution. These standards apply to both the GSV Focused and Comprehensive Level.

Download Standards

Development of the GSV Standards

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The development of the GSV Standards was made possible in part by the generous support of The John A. Hartford Foundation (JAHF).

  • Literature
    • ACS Coalition for Quality in Geriatric Surgery (CQGS)
    • Extensive literature review: 308 preliminary standards on aspects of care important for older adults undergoing surgery
  • Expert Input
    • 50+ stakeholder organizations (representing patients & families, advocacy/regulatory groups, health professionals, medical/ surgical specialties)
    • Review of preliminary standards for validity and feasibility: 92 alpha standards
  • Iterative Testing
    • Alpha Pilot: Review by 15 hospitals to assess perceived difficulty and standards already widely practiced: 33 beta standards
    • Beta Pilot: Implementation pilot of beta standards (8 hospitals) to assess feasibility
    • GSV Standards: Iterative refinement: 30 required GSV standards

Learn more about the history of the GSV Program.

Additional Resources

Quick Reference Guide

Contact Us

Questions regarding the standards presented in Optimal Resources for Geriatric Surgery should be submitted to geriatricsurgery@facs.org.