Geriatric Research Education and Clinical Center (GRECC)
Ann Arbor GRECCThe Ann Arbor GRECC has been serving older Veterans since 1989.
Research Focus Areas
Development of neurodegenerative diseases
Infectious diseases in Long Term Care
Gait and balance in the elderly
The Ann Arbor GRECC research continues to maintain its breadth in its research agenda to include basic, clinical, rehabilitation and heath services research. GRECC faculty also provide leadership to a number of NIH funded University of Michigan (UM) Centers relevant to these foci including the Older American Independence Center (OAIC), Udall Center for Parkinson's Research, the Alzheimre's Disease Core Center and Michigan Institute for Clinical and Health Research (UM CTSI). A weekly research conference series brings together GRECC and UM faculty to foster collaboration.
Education and Evaluation
The educational mission of the Ann Arbor GRECC is to develop and disseminate geriatric educational and evaluation innovations in the care of older Veterans. The evaluation and assessment efforts focus on geriatric and palliative educational programs but also include evaluation of clinical demonstration projects, fellowship programs, and VISN-wide educational needs assessments. Educational efforts are rooted in partnerships and collaborations with other geriatric organizations and resources such as through UM and the UM OAIC in particular. A major long standing partnership with Michigan State University, now via their Michigan Aging Education Collaborative, has facilitated VISN-wide training in the assessment and treatment of dementia in the primary care setting. A key collaboration continues with the Louis Stokes Cleveland VA Medical Center GRECC, involving a regular weekly conference series as well as an annual conference.
GRECC faculty provide geriatric and palliative medicine care across the VA Ann Arbor Healthcare System in a number of environments, including inpatient, outpatient (Geriatric and Palliative Medicine clinics), and post-acute Community Living Center (CLC) settings. Through these clinical sites, GRECC faculty are leaders in teaching trainees, including physicians in accredited fellowships in geriatric medicine and in hospice and palliative medicine. The GRECC provides regular meetings and clinical conferences for multiple disciplines, highlighting those trainees with GRECC support, further including occupational and physical therapy, psychology, audiology, and nursing. Key clinical demonstration programs have been developed and implemented through external funding in the care of medically complex older adults. These projects have established a GeriPACT clinic, expanded geriatric specialty outreach via telehealth to rural older Veterans and leveraged expertise in exercise, rehabilitation and infection control (the latter leading to national initiatives for catheter-associated urinary tract infectional control).