Geriatric Research Education and Clinical Center (GRECC)

New England GRECC

• Innovative support and care coordination for aging Veterans
• Risk Identification across the lifespan
• Novel treatments to optimize well-being and independence

• Bedford VA
• Alzheimer disease, including identification for biomarkers for drug development
• Use of telehealth and technology in geriatrics
• CLC quality and quality improvement
• Improving multidisciplinary care for aging Veterans with complex needs
• Boston VA
• Preventive rehabilitation that enhances therapeutic success and improves mobility
• Frailty in cardiology clinics and kidney function
• Developing approaches to assessing “What Matters Most” to improve age-friendly health care
• Translational research for TBI and Stress Disorder: Lifespan analysis of the neurobiological effects of deployment trauma
• Pharmacy driven medication reconciliation to identify cognitive impairment
• Links between cancer and neurodegenerative diseases

• Bedford and Boston VA
• Annual Conference for Interprofessional Trainees interested in Aging and Geriatric Medicine Fellows
• Alternating weekly seminars on implementation, dissemination, and evaluation; function and frailty
• Bedford VA
• Annual half-day dementia strategies symposia via national webinar
• Training in video telehealth for multi-disciplinary health care trainees
• Boston VA
• Harvard medical student education, including a longitudinal geriatrics OSCE
• Developing educational resources such as videos, podcasts and handouts for late life PTSD funded by the VA Office of Rural Health
• Developing a dementia caregiver education resource library and survival guide

• Bedford VA
• Family and Caregiver Telemedicine Clinic: video-into-home dementia management clinic with synchronous participation of multiple family members
• Tele-Neuropsychology Clinic: geriatric neuropsychological evaluation services to rural VA medical centers and community-based outpatient clinics
• Boston VA
• Implementation of the Age-Friendly Health Systems initiative
• Transitions of Care Programs: Coordinated Transitional Care (C-TraC), Hospital-in-Home, Discharge Medication Reconciliation and “Meds to Beds”
• Enhancing quality of provider prescribing for older adults in the emergency department (EQUIPPED)
• Geriatric Renal, Cardiology, Oncology and Capacity Clinic evaluate novel approaches to geriatric-informed care
• Live Long, Walk Strong and Gerofit provide physical therapy and supervised fitness activities focused on secondary preventative care
• Innovative clinic informed by geriatric principles to design care for aging Veterans with PTSD, brain injury and psychosocial complexity

• Posttraumatic stress disorder in older adults: a conceptual review Clin Gerontol https://pubmed.ncbi.nlm.nih.gov/30422749/
• Clinically significant cognitive dysfunction in OEF/OIF/OND veterans: Prevalence and clinical associations Neuropsychology https://pubmed.ncbi.nlm.nih.gov/30945914/
• Proteomic Analysis and Biochemical Correlates of Mitochondrial Dysfunction after Low-Intensity Primary Blast Exposure J Neurotrauma https://pubmed.ncbi.nlm.nih.gov/30484371/
• Gait speed, grip strength, and clinical outcomes in older patients with hematologic malignancies Blood https://pubmed.ncbi.nlm.nih.gov/31167800/
• Close-Range Blast Exposure Is Associated with Altered White Matter Integrity in Apolipoprotein ɛ4 Carriers J Neurotrauma https://pubmed.ncbi.nlm.nih.gov/31232163/

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