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Geriatric Research Education and Clinical Center (GRECC)

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Ann Arbor GRECC

VA Ann Arbor

Healthcare System
2215 Fuller Road
Ann Arbor, MI 48105

Phone  734-845-3072
Fax      734-845-3298

GRECC Director

Neil Alexander, MD

Associate Director, Research

Roger Albin, MD

Associate Director, Clinical

Christine Cigolle, MD

Associate Director, Education and Evaluation

Caroline Vitale, MD

Administrative Officer

Ashley Guastella

research foci heading
  • Mobility and physical activity in older Veterans
  • Infections in long term care facilities
  • Parkinson disease and related disorders
  • Health care utilization and optimization of home telehealth in comorbid older Veterans
research heading
  • Interventions to improve mobility and physical activity and reduce fall risk in older Veterans.
  • Treatment of refractory gait and balance disorders in Parkinson’s disease
  • Cognitive impairment in Parkinson’s disease and dementia with Lewy bodies
  • Infection spread and risk factors in long term care facilities
  • Pain mechanisms and pain control in older Veterans, especially those with cancer
  • Influence of cognitive function on health outcomes
  • Improving diabetes management in older Veterans
  • Optimizing medications to reduce negative outcomes
education heading
  • Sponsor and facilitate a rich learning environment of resources and mentors to Geriatric, Hospice and Palliative Medicine, and VA Advanced Fellows
  • Sponsor our “Clinical Issues in the Care of Older Adults” continuing education conference annually, which seeks to prepare our providers to better meet the needs of older adult Veterans
  • Facilitate the Interprofessional Clinical Conference (ICC) to explore geriatric-based cases and employ interprofessional learning principles and perspectives
  • Host the Aging, Dementia, and Diversity lecture series that explores practical considerations for interprofessional team members in the care of older adults
clinical heading
  • Multidisciplinary geriatrics primary care, geriatrics consultation clinics and palliative care consultation clinics that provide care at VA Ann Arbor and CBOCs
  • Comprehensive medication review and deprescribing programs to optimize safe medication use in older adults, both clinic and home-based, using telemedicine
  • Physical activity programs and projects to optimize mobility and exercise in older Veterans, both on-site (Gerofit) and home-based, using telemedicine
  • Innovative telehealth interventions for clinical care, medication management, and mobility and physical activity
  • Rehabilitation and related care in the CLC, with intervention projects targeting falls and cognitive decline
publications heading
  • Cholinergic system changes in Parkinson's disease: emerging therapeutic approaches. Publication Link
  • Prescription characteristics associated with fall-related injury risk among older adults prescribed benzodiazepines: a cohort study. Publication Link
  • Environmental contamination with SARS-CoV-2 in nursing homes. Publication Link
  • Lecanemab: Looking Before We Leap. Publication Link
  • Medicare's Hospital Readmission Reduction Program reduced fall-related health care use: An unexpected benefit?" Publication Link