Geriatric Research Education and Clinical Center (GRECC)

Cleveland GRECC

• Antibiotic resistance and its detection in the Community Living Center (CLC)
• Acute viral infections (Influenza & COVID-19) in the Elderly
• Chronic Viral Infections (HIV & HCV) in the elderly
• Antibiotic Stewardship and Tele-Stewardship
• Dementia
• Delirium (ICU, Acute Care, CLC and in Hospice)
• Implementation of geriatric evidence-based practice and quality improvement
• Collaborative projects with the VA Quality Scholars Program

• Molecular and metadata epidemiology of infections and clinical outcomes
• Immunology of aging including vaccines
• C. difficile infection, transmission, prevention and vaccination
• Antibiotic stewardship and telehealth stewardship in long term care and outpatient populations
• Infection, treatment, and prevention of HIV and HCV in aging Veterans
• COVID-19 and aging
• Dementia and delirium management and aging
• Antibiotic resistance in multiple areas
• Neuroprotective strategies for neurodegeneration in aging and PTSD
• Brain tumor epidemiology

• Infections in older adults, HIV, HCV and COVID-19 Influenza
• Immunology Series – “Community of Science” Seminars on COVID-19
• Geriatric training for ER staff (GERI-VET)
• We Honor Veterans Community Hospice Education (moral injury, PTSD, suicide)
• Innovative Education/Simulation
• Holistic Interventions (mindfulness, aromatherapy)
• Weekly “Topics Series” of Virtual Interprofessional training on Geriatric Syndromes (Falls, Confusion, CHF)
• OAA VA Quality Scholar Advanced Fellowship (VAQS) collaboration – implementation science and quality improvement career development

• Enhancing dementia care at Cleveland VAMC by developing a multidisciplinary group to: establish a consensus diagnosis, develop and maintain registry, establish care pathways and develop caregiver education programs
• Implementing a tele-dementia clinic to evaluate and provide consultative service to Veterans and caregivers
• Screening and detection of geriatric syndromes and multidisciplinary care coordination through GERI-VET, an accredited level 1 program that identifies at-risk older patients in the ED
• Establishing Transitional Care Model, which is a hospital-to-home program targeting older vulnerable adults at risk for poor outcomes
• Enhancing Hospice Care through “See Me, Hear Me, Comfort Me” using non-pharmacological interventions for end of life
• Participating in the VA sponsored Age-Friendly Health Systems initiative

• A comparison of the efficacy of multiple ultraviolet light room decontamination devices in a radiology procedure room Infect Control Hosp Epidemiol https://pubmed.ncbi.nlm.nih.gov/30698135/
• American Gastroenterological Association Institute Guideline on the Medical Management of Opioid-Induced Constipation Gastroenterology  https://pubmed.ncbi.nlm.nih.gov/30340754/
• Gaps in Preexposure Prophylaxis Uptake for HIV Prevention in the Veterans Health Administration Am J Public Health https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215372/
• A pilot study using telehealth to implement antimicrobial stewardship at two rural Veterans Affairs medical centers Infect Control Hosp Epidemiol https://pubmed.ncbi.nlm.nih.gov/30185238/
• Shedding of methicillin-resistant Staphylococcus aureus by colonized patients during procedures and patient care activities Infect Control Hosp Epidemiol https://pubmed.ncbi.nlm.nih.gov/30777587/

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