Digital CGA: Innovation, Implementation, and Audit-Driven Evaluation

Introduction
The Comprehensive Geriatric Assessment (CGA) is the gold standard for managing frailty in older adults, with strong support in the literature. However, gaps remain in the evaluation of electronic CGA's (eCGA's) and standardised implementation. The Frailty Intervention Team at Sandwell and West Birmingham delivers multidisciplinary care via CGA, but prior to intervention, assessments were often incomplete, with baseline compliance at just 23%. This was largely due to the absence of a user-friendly, embedded electronic solution.

Method
A root cause analysis identified key barriers to CGA completion. A three-month baseline audit established a 23% completion rate. In response, an electronic CGA (eCGA) was developed with key stakeholders, including the electronic patient record (EPR) provider. The eCGA launched on 1st March 2024 alongside structured team training. CGA ‘champions’ supported its adoption throughout the team. A target compliance level of 80% was set.

Results
Post-implementation (Phase 2) audit data show a 76%* completion rate, an increase of 53% from baseline. The number of CGAs reviewed in both baseline and follow-up audits remained consistent to ensure data reliability. Early findings indicate successful uptake and improved compliance with CGA delivery.

Conclusion
The introduction of a digital CGA significantly improved compliance and standardised practice within the frailty team. The eCGA is now embedded into routine care. Phase 3, a follow-up audit planned 12–18 months post-implementation, will assess sustainability. Additional benefits include improved usability, digital integration, and future potential for dashboard-based compliance tracking.

*Final audit figures to be confirmed prior to BGS Autumn Meeting.