Join NICHE
Is your hospital serious about improving care of hospitalized older adults?
Older adults comprise the largest consumers of hospital services. They and their families deserve and expect care that is specialized to their needs. Additionally, regulatory imperatives to ensure patient safety and continued emphasis on cost-effective care demand a systematic approach to the care of hospitalized older adults.
NICHE, the only national nursing program designed to improve the care of older adult patients, has been implemented by over 270 hospitals. Upon implementation of NICHE, hospitals report:
- Enhanced nursing and interdisciplinary knowledge and skills regarding treatment of common syndromes experienced by older adult patients
- Improved clinical outcomes, including those related to pressure ulcers, falls, infections, and other iatrogenic problems
- Greater patient and family satisfaction
- Improved organizational outcomes related to care of older adults, including decreased length of and reductions in Medicare costs
NICHE provides the following essential tools and resources:
- clinical protocols and organizational tools critical to embedding evidence-based practice
- staff development programs specific to the care of older adults
- guidelines and strategies necessary to implement the Geriatric Resource Nurse Model (GRN)and Acute Care for the Elderly(ACE) Model Click here
- tools to develop and evaluate the business case for a system-wide geriatric initiative
- performance improvement activities and measures
- access to the NICHE national listserv
Are you ready to implement NICHE?


