Clinical Innovations Disseminated - Geriatric Research Education and Clinical Center (GRECC)
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Geriatric Research Education and Clinical Center (GRECC)

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Clinical Innovations Disseminated

Gerofit

two elderly men exercisingParticipants in this exercise program that promotes health and wellness for Veterans have demonstrated improved health, mental, physical function and well-being. Veterans Health Administration, Office of Geriatrics and Extended Care (GEC) funded this program in FY2014 to disseminate it to 4 sites: Baltimore MD, Canandaigua NY, Greater Los Angeles CA, and Miami FL. Given the widespread success of the program, the VHA Offices of GEC and Rural Health (ORH) have continued to support dissemination. Two more sites were added in 2015 (Pacific Islands and Salem MA) with each site additionally developing programs for rural patient outreach. New sites implemented under these mechanisms include Little Rock AR, Cincinnati OH, Pittsburgh PA, Rocky Mountain Healthcare System, Ann Arbor MI, and Puget Sound. Gerofit was selected and highlighted in the June 2017, VA publication Best Care Everywhere as one of the innovative and transformative programs within VA and as a Gold Status program in 2018. Two more sites (Boston MA and Nashville TN) were selected for dissemination for next fiscal year. Collectively this work includes collaborations across 11 VISNS and 10 GRECCs. To learn more: https://www.va.gov/geriatrics/pages/gerofit_Home.asp

GRECC Connect

Virtual Geriatrics HUB

The goal of this program is to provide clinical support through consultation at a distance where geriatric consultation is difficult to obtain or not available and education in geriatrics for frontline rural teams and older Veterans. The program is a multisite project with the Bronx GRECC as the coordinating center (collaborating with multiple GRECCs across the nation) using telemedicine modalities. To learn more: https://www.ruralhealth.va.gov/docs/promise/2017_02_01_Promising%20Practice_GRECC_Issue%20Brief.pdf

EQUiPPED

Birmingham/Atlanta GRECC is the lead for this 12-site VA collaborative program, including 6 GRECC Sites. The goal is to reduce potentially inappropriate medications prescribed to older Veterans discharged from the Emergency Department. It involves 3 interventions: provider education, provider feedback, and Computerized Patient Record System (CPRS) order sets. To learn more: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070380/

Advanced Care Planning-Group Visits (ACP-GV)

This program has been recognized as a gold status practice by VA Central Office through the Diffusion of Excellence Initiative. It was selected for national roll-out in 2016. In addition, ORH selected ACP-GV for a Pathway to Partnership, which has subsequently led to Enterprise Wide Initiative (EWI) funding. The goal of the program is to engage Veterans and their trusted others efficiently and effectively in advance care planning. To learn more: https://www.va.gov/geriatrics/pages/advance_care_planning_group_visits.asp

C-TraC (Care Transitions)

Initially funded by a VA T21 grant (2010-2012), this program is now supported by the host VA. It is a nurse-led, low-resource program that employs standardized protocols to improve care transitions in settings with a wide geographic dispersion of patients. Over the last 6 years, this unique program has demonstrated success on several outcomes, including 30-day rehospitalizations, emergency room visits, institutionalizations, and medication errors/adverse events. To learn more: https://www.ruralhealth.va.gov/docs/promise/2017_02_01_Promising%20Practice_CTraC_One%20Pager.pdf

GeriPACT

female provider examining elder VeteranDeveloped as a patient centered medical home care model for frail elderly with enhanced quality of care and patient safety. This program tracks quality measures and developed the Geri-PACT dashboard in collaboration with the Geriatrics and Extended Care Data Assessment Center. To learn more: https://www.va.gov/Geriatrics/pages/geriatric_evaluation.asp