Geriatrics and Extended Care
Geriatrics and Extended Care Data and Analysis Center
Orna Intrator, Director of the Geriatrics and Extended Care Data and Analysis Center
Dr. Intrator is a long-term care researcher at the Canandaigua VA Medical Center and the University of Rochester. Trained in statistics and applied mathematics, one of the foci of Dr. Intrator’s VA research is Veteran’s use of nursing homes across health care systems and the quality of care delivered, with particular attention to the implications for health policies and organizational management. Dr. Intrator and her team developed the VA Residential History File (RHF) which pulls together claims and assessment data from VA, Medicare and Medicaid enrollment, claims, utilization and assessments, as well as other data sets. These data sets are then standardized and organized along a timeline to facilitate analyses. Dr. Intrator is currently examining the system-wide impact of provision of geriatrics and extended care services.
Bruce Kinosian, MD, Associate Director of Geriatrics and Extended Care Data and Analysis Center
Dr. Kinosian is a general internist and geriatrician practicing at the VA Medical Center in Philadelphia where he works in the Home Based Primary Care (HBPC) and the Hospital In Home (HIH) programs. Dr. Kinosian also practices medicine in the Division of Geriatrics at The University of Pennsylvania’s Perelman School of Medicine and is a Senior Fellow at the Leonard Davis Institute of Health Economics. He's part of the Independence at Home Learning Collaborative leadership, which has worked collaboratively with CMS to develop the IAH model for extending HBPC into Medicare. His research interests include program evaluation, risk adjustment, metric development, and prognostic models.
Ciaran S. Phibbs, PhD, Associate Director of Geriatrics and Extended Care Data and Analysis Center
Dr. Phibbs is a research economist whose primary research interests include the interaction of hospital competition with costs, demand and outcomes; and perinatal and neonatal care. These interests have led him to study how hospitals and patient characteristics affect the demand for hospital services, and define hospital markets, hospital scale economies and capacity utilization; how Neonatal Intensive Care Units care effects neonatal mortality, the effects of nurse staffing on patient outcomes; the effectiveness of clinical interventions; and the demand for VA services and Veterans’ choice between VA and non-VA services. Dr. Phibbs is also a professor in the Department of Pediatrics – Neonatal and Developmental Medicine at Stanford University.
Steering Committee Members
Richard M. Allman, MD, Chief Consultant, Geriatrics and Extended Care Service (10P4G)
Before becoming Chief Consultant in January 2014, Dr. Allman was the founding director of the Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center (GRECC) and was the Parrish Endowed Professor of Medicine and Director of the Division of Gerontology, Geriatrics, and Palliative Care and the Comprehensive Center for Healthy Aging at the University of Alabama at Birmingham (UAB). Dr. Allman also served as the principal investigator on a number of studies including, the NIA-funded UAB Study of Aging, the UAB component of the Hartford Foundation-funded Southeast Center of Excellence in Geriatric Medicine (SCEGM), and the Deep South Resource Center for Minority Aging Research (RCMAR). His research interests include mobility, cardiovascular disease, and health disparities among older adults.
Thomas E. Edes, MD, MS, Executive Director, Geriatrics and Extended Care Operations (10NC4)
Prior to taking his current position, Dr. Edes was Chief of Geriatrics and Extended Care at the Harry S Truman Memorial VA Medical Center and Associate Professor of Medicine at the University of Missouri in Columbia, where he was actively involved in developing Geriatric Evaluation and Management inpatient and outpatient programs, Subacute Care and Hospice units, a Geriatric Fellowship program, and the Advanced Disease Planning initiative. Dr. Edes also served as Medical Director of the VA Nursing Home Care Unit and the Home Based Primary Care program, Associate Director of the 1995 White House Conference on Aging Office, was past president of the American Academy of Home Care Medicine, and served for the Secretary on the Policy Committee for the 2005 White House Conference on Aging. His research interests included clinical nutrition, enhancing outcomes in home care, end of life care, cancer detection and prevention, and improving care for persons with chronic disabling disease.
Kenneth Shay, DDS, MS: Director of Geriatrics Programs, Geriatrics and Extended Care Services (10P4G)
Appointed Director of Geriatric Programs in 2005, Dr. Shay has been responsible for the VA’s 19 Geriatric Research, Education, and Clinical Centers (GRECCs), and national programs in geriatric evaluation, geriatric primary care, and delirium. In 2008, Dr. Shay also co-chaired the Steering Committee responsible for developing a Geriatrics and Extended Care strategic plan that was officially approved in September 2009 and is currently being implemented nationally. Dr. Shay is the author of seven editions of the oral health section of the AGS Geriatric Board Review syllabus and has published over 60 peer-reviewed papers and multiple book chapters and abstracts in geriatric topics, such as geriatric education and the role of oral pathogens in systemic disease.
James Rudolph, MD, Director, Center of Innovation on Long-Term Services and Supports (LTSS COIN) (Providence VAMC)
Prior to serving as Director of LTSS COIN, Dr. Rudolph served as the Boston Site Director of the New England GRECC, the acting VABHS Chief of Geriatrics and Palliative Care, and the Director of the Delirium Patient Safety Center of Inquiry. Dr. Rudolph’s research interests focused on improving the care of older patients, especially identifying high-risk patients at a vulnerable time in their lives. Dr. Rudolph’s research, teaching, program innovation, and clinical work has all been directed towards developing innovative clinical tools, resulting in measurable improvements in the care of older patients at the local, regional, and national levels.
John Parkhurst, Administrative Officer (Providence VAMC)
John is responsible for facilitating and coordinating GECDAC operations, including finances, personnel, equipment and security. In addition, John is developing a strategic plan to grow GECDAC.
Sarah Wesgate, Health Research Specialist (Canandaigua VAMC)
Sarah is responsible for creating efficiencies in program operation, creating and maintaining databases to track program tasks and activities, managing the GECDAC bimonthly seminar series, and creating and maintaining data use agreements, among other tasks as needed. If you would like additional information about GECDAC programs or databases, please contact Sarah at email@example.com
Shubing Cai, PhD
Dr. Cai is an Assistant Professor of Public Health Sciences at the University of Rochester Medical Center. Dr. Cai’s research is mainly focused on quality of care and impact of regulations and financial incentives on quality of care received among older adults in the long term care settings.
Susan Miller, PhD
Dr. Miller is a Professor of Health Services, Practice and Policy at the Center for Gerontology and Health Care Research, Brown University School of Public Health. Dr. Miller’s primary research interests include nursing home palliative and end-of-life care, culture change in nursing homes, and long-term care quality and utilization.
Peter Veazie, PhD
Dr. Veazie is an Associate Professor in the Department of Public Health at the University of Rochester. Dr. Veazie's research interests include decision behavior of health care providers and patient, health outcomes, the influence of social and organizational systems on such behavior and outcomes, and statistical methods.
Darryl Wieland, PhD, MPH
Dr. Wieland is a Senior Research Scientist at the Center for Population Health and Aging at Duke Population Research Institute. The career interests of Dr. Wieland include geriatrics and gerontology, with a specific focus on health and social services for older people. As a part-time analyst at the Geriatrics and Extended Care Data and Analysis Center through the Durham VAMC, Dr. Wieland's work focuses on VA non-institutional care programs. Dr. Wieland is also a Senior Fellow at the Duke Center for Aging and Human Development, and Senior Research Scientist in the Center for Population Health and Aging, conducting further PACE research, and evaluating new federal initiatives on geriatric workforce development.
Sharon Dally, MS
Sharon is a Research Associate for the VA Health Economics Resource Center (HERC). Ms. Dally's research interests include efficient coding techniques for management and analysis of administrative health care data.
Rajesh Makineni, MSc
Rajesh is a Senior Programmer and Statistical Analyst for the Center for Gerontology and Healthcare Research at Brown University.
Winifred Scott, MPH, BS
Winifred is a programmer at the Health Economics Resource Center (HERC) located on the VA Palo Alto Health Care System’s Menlo Park, CA, campus. Winifred’s research interests include measuring health care quality, hospital acquired infections, and the impact of the Veterans Choice Program on health care utilization.