Geriatric trauma is changing. The number of older adults requiring trauma care is increasing, but more importantly, trauma programs are developing a better understanding of the complexity of caring for these patients. Geriatric PI should evolve with that understanding.

As the trauma population ages, trauma centers will need to evolve from a model focused primarily on treating injuries to one that also accounts for frailty, function, cognition, comorbidities, goals of care, and the patient's ability to return to their previous life.

Trauma leaders should track admitted volume, contribution margin, reimbursement rate, payer mix, and cost recovery rate to assess financial performance, improve sustainability, and support strategic decisions.