Geriatric Research Education and Clinical Center (GRECC)

Tennessee Valley GRECC

• Cognitive impairment
• Quality and safety of care
• Chronic disease prevention and management

• 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

• 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

• 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

• 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/

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