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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

Sandra Simmons, PhD

Associate Director, Clinical

James Powers, MD

Associate Director, Education and Evaluation

Sumathi Misra, MD, MPH

Administrative Officer

Hayly Humphreys
martha.humphreys@va.gov

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
  • Delirium among patients presenting to the emergency room: diagnosis, treatment, and prognosis
  • Prostate cancer: diagnosis and treatment
  • Cardiovascular disease and diabetes mellitus prevention and treatment
  • Congestive heart failure diagnosis and management in older adults
  • Lung cancer prevention and screening
  • Prediction modeling and clinical decision support: acute kidney injury
  • Medication 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
  • Partnered with nursing to implement a new geriatric nurse practitioner residency program
  • 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
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
  • GRECC faculty are implementing Patient Priorities Care (PPC) into routine geriatrics care at TVHS in Home-Based Primary Care (HBPC)
  • 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
  • Shed-Meds is a program to identify and eliminate unnecessary medications among older Veterans to reduce medication associated effects
publications heading