GSV Levels of Participation

Geriatric Surgery Verification (Age-Friendly)

To achieve Geriatric Surgery Verification (GSV), hospitals must demonstrate that 6 GSV Program standards are in place across surgery for eligible surgical patients aged 65 years and older. This level aligns with the requirements of the new Centers for Medicare & Medicaid Services (CMS) structural measure, Age Friendly Hospital Measure, which will be mandatory to report for hospitals participating in the Hospital Inpatient Quality Reporting (IQR) Program. A 2-hour virtual site visit will confirm the hospital complies with the required structure, processes, and standards of care. This assessment must be positively completed before a hospital is awarded verification.

GSV Focused Excellence

Hospitals must demonstrate all 30 GSV Program standards are in place to provide optimal resources for the surgical care of older adult patients. To achieve GSV Focused Excellence status, the GSV Program standards are verified across one or more surgical specialties and must reach between 25 and 49 percent of the hospital’s total population of eligible surgical patients aged 75 years or older. A full-day site visit, conducted either on-site or virtually, will confirm the hospital complies with the required structure, processes, and standards of care. This comprehensive assessment must be positively completed before a hospital is awarded verification.

GSV Comprehensive Excellence

Hospitals must demonstrate all 30 GSV Program standards are in place to provide optimal resources for the surgical care of older adult patients. To achieve GSV Comprehensive Excellence status, the GSV Program standards are verified across one or more surgical specialties and must reach 50 percent or more of the hospital’s total population of eligible surgical patients aged 75 years or older. A site visit, conducted either on-site or virtually, will confirm the hospital complies with the required structure, processes, and standards of care. This comprehensive assessment must be positively completed before a hospital is awarded verification.