Tennessee Valley GRECC - Geriatric Research Education and Clinical Center (GRECC)
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Geriatric Research Education and Clinical Center (GRECC)

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Tennessee Valley GRECC

research foci heading
  • Cognitive impairment
  • Quality and safety of care
  • Chronic disease prevention and management
research heading
  • Critical illness 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
  • Delirium among patients presenting to the emergency room: diagnosis, treatment and prognosis
  • Catatonia and delirium in critical illness: epidemiology, prevention and treatment
  • Prostate cancer: diagnosis and treatment
  • Cardiovascular disease and diabetes mellitus prevention and treatment
  • Lung cancer prevention and screening
  • Cardiovascular complications of HIV
  • Prediction modeling and clinical decision support: acute kidney injury
  • Medication management in older adults
education heading
  • 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
  • Implementation science and quality improvement training programs, including AHRQ T32, AHRQ K12, NHLBI K12 and VA Quality Scholars Program
  • Geriatric psychiatry fellowship program
  • Geriatric medicine fellowship program
clinical heading
  • The Virtual Veteran-Centered Accelerated Palliative Care Clinic to accommodate Veterans with serious illness into same day appointments with specialty clinics
  • Implementing pre-op order sets across all surgical services and enabling a more efficient pharmacy workflow
  • Improving intra-operative antibiotic redosing
  • Diffusing an ICU care bundle to other hospitals across the country through collaboration with the Society of Critical Care Medicine
  • Working with Cerner and EPIC to incorporate the ICU care bundle into their electronic health record, including the new Cerner VA health record
  • Expanding our pioneering GeriPACT programs within the VA
publications heading

Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness New Engl J Med https://pubmed.ncbi.nlm.nih.gov/31042842/

Genome-wide association study of peripheral artery disease in the Million Veteran Program Nat Med https://pubmed.ncbi.nlm.nih.gov/31285632/

Caring for Critically Ill Patients with the ABCDEF Bundle: Results of the ICU Liberation Collaborative in Over 15,000 Adults Crit Care Med https://pubmed.ncbi.nlm.nih.gov/30339549/

Association of Treatment With Metformin vs Sulfonylurea With Major Adverse Cardiovascular Events Among Patients With Diabetes and Reduced Kidney Function JAMA https://pubmed.ncbi.nlm.nih.gov/31536102/

Projected Prevalence of Actionable Pharmacogenetic Variants and Level A Drugs Prescribed Among US Veterans Health Administration Pharmacy Users JAMA Netw Open https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6563578/

Tennessee Valley GRECC

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

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

Affiliations

Vanderbilt University
Meharry Medical College

GRECC Director

Robert S. Dittus, MD, MPH

Associate Director, Research

E. Wesley Ely, MD, MPH

Deputy Associate Director, Research

Sandra Simmons, PhD

Associate Director, Education and Evaluation

Sumathi Misra, MD, MPH

Associate Director, Clinical

James Powers, MD

Administrative Officer

Jeannie Helton
Jeannie.Helton@va.gov