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Geriatric Research Education and Clinical Center (GRECC)

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Tennessee Valley GRECC

Tennessee Valley GRECC

VA Tennessee Valley Healthcare System
1310 24th Avenue South
Nashville, TN 37212

Phone  615-873-6063
Fax      615-873-7981

GRECC Director

Robert S. Dittus, MD, MPH

Associate Director, Research

E. Wesley Ely, MD, MPH

Deputy Associate Director, Research

Amanda Mixon, MD, MPH

Associate Director, Clinical

James Powers, MD

Associate Director, Education and Evaluation

Sumathi Misra, MD, MPH

Administrative Officer

Hayly Humphreys

research foci heading
  • Cognitive impairment
  • Quality and safety of care
  • Chronic disease prevention and management
research heading
  • Critical illness, including COVID-19, associated cognitive impairment and long-term cognitive impairment: prevention, diagnosis, and treatment for patients and caregivers
  • Depression and cognitive impairment in older adults: mechanisms of disease, prevention and treatment
  • Quality and outcomes of emergency care for older adults
  • Surgical quality and outcomes in older adults
  • Hypertension, heart failure, cardiovascular disease and diabetes prevention and management
  • Congestive heart failure diagnosis and management in older adults
  • Lung cancer prevention and screening
  • Prediction modeling and clinical decision support
  • Medication risks, utilization, and management in older adults
education heading
  • GERI-A-FLOAT: Developed GERIAtrics Fellows Learning Online And Together (GERI-A-FLOAT), an educational series that uses virtual meetings to deepen knowledge of geriatric medicine and to convene fellows from across the country for networking and peer support
  • The Middle TN Geriatric Workforce Enhancement Program (GWEP) includes TVHS and 12 community and academic partners; addresses Tennessee’s health rankings and health profession shortfall by integrating geriatrics into primary care delivery systems while increasing the pool of quality geriatric providers
  • Geriatrics Grand Rounds, Annual Geriatrics Update Conference, Geriatrics Interprofessional Training Programs and Geriatric Medicine and Advanced Geriatrics Fellowship Programs
  • Palliative Scholars Program to enhance competencies of providers in the care of the elderly rural Veteran with life limiting advanced illnesses
  • Flipping the Acute Care for the Elderly Teaching Sessions (FACETS™): an innovative, competency-based curriculum for internal medicine residents
  • Geriatric Scholars Program quality improvement curriculum: to train interprofessional providers in quality improvement
  • Tool kits for clinicians to improve palliative care and management of COVID-19 within the hospital and long-term care settings
  • Host global website for critical illness and COVID-19 related cognitive impairment management for clinicians, patients and families
  • Health services research, implementation science and quality improvement training programs, including the VA Quality Scholars Program
clinical heading
  • Supported implementation of our GRECC developed ICU measurement instruments into VA clinical systems across VHA
  • Our ICU bundle has become the global standard of ICU care but following pandemic, global adherence slipped; we are planning re-implementation strategy
  • Demonstrated a substantial reduction in mortality with the use of baricitinib among critically ill patients with COVID-19, which has now become the global standard of care
  • Collaborating with the TN Department of Health to assess ongoing COVID-19 needs in 75 Middle Tennessee nursing homes to develop individualized staff coaching interventions
  • Reaching out to underserved and rural caregivers and Veterans with advanced serious illness utilizing video connect, video-telehealth visits and e-consults
  • Tele-PT for Falls Prevention, a new GRECC interprofessional program designed to combine falls consultation and telehealth to reduce falls for Veterans referred for falls risk
  • Embedding palliative care into oncology clinics
  • Shed-Meds is a program to identify and eliminate unnecessary medications among older Veterans to reduce medication associated effects
publications heading
  • Primary Occurrence of Cardiovascular Events After Adding Sodium-Glucose Cotransporter-2 Inhibitors or Glucagon-like Peptide-1 Receptor Agonists Compared With Dipeptidyl Peptidase-4 Inhibitors: A Cohort Study in Veterans With Diabetes  Ann Intern Med.
  • Deprescribing Medications Among Older Adults From End of Hospitalization Through Postacute Care: A Shed-MEDS Randomized Clinical Trial  JAMA Intern Med.
  • Association of Vitamin C, Thiamine, and Hydrocortisone Infusion With Long-term Cognitive, Psychological, and Functional Outcomes in Sepsis Survivors: A Secondary Analysis of the Vitamin C, Thiamine, and Steroids in Sepsis Randomized Clinical Trial. JAMA Netw Open
  • Cognitive, Disability, and Treatment Outcome Implications of Symptom-Based Phenotyping in Late-Life Depression  Am J Geriatr Psychiatry.