As the general population ages, the elderly represent a high-risk subset of emergency department (ED) patients; the multiple medical comorbidities and physical deconditioning associated with aging often complicate an inpatient admission following an acute injury. The University of California San Diego (UCSD) Health Center debuted a senior emergency care unit (SECU) in January, 2017 with a multi-disciplinary team to identify candidates for and coordinate out-of-hospital treatment plans and dispositions. We expect that SECU teams reduce admissions and increase use of skilled nursing facilities (SNF) or home health services for geriatric patients. We selected patients ≥65 years of age who visited the SECU from January, 2017 to April, 2018 as well as the observation unit (prior to the SECU) from January, 2016 to December, 2016 at the UCSD La Jolla ED. We compared the frequency of dispositions as recorded in the electronic medical record using chi-square analyses. During the 1-year period prior to the SECU opening, the dispositions among a total of 659 geriatric observation patients were: 163 admitted (24.7%), 463 discharged home (70.3%), 5 transferred to SNF (0.76%), and 9 discharged with home health/home hospice (1.4%). Since opening the SECU, the dispositions among a total of 881 SECU patients were: 233 admitted (26.5%), 582 discharged home (66.1%), 21 transferred to SNF (2.4%), and 24 discharged with home health/home hospice (2.7%). The proportion of visits during the SECU period with dispositions of admission, discharge or home health/hospice discharge were not statistically different from visits prior to the SECU (p-values = 0.447, 0.081, and 0.069, respectively). However, the proportion of visits transferred to a SNF was significantly higher after opening the SECU (p-value = 0.014). Since opening SECU and utilizing multi-disciplinary treatment teams, there has been a modest increase in utilization of SNFs and home health and a decrease in the number of standard discharges home. This may suggest that SECU teams are screening and better identifying patients who are at higher risk for poor outcomes if sent home without appropriate support. As SECU providers gain more experience, we hope to further optimize the utilization of out-of-hospital care for our geriatric patients. We also hope to direct future research into the impact of SECU on ED workflow and on patient outcomes.