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The January issue of the IU Geriatrics e-news is available online…

AAH Study

Read the 2008-2009 IU-CAR Annual Report on "Partnering in Community-Based Participatory Research."

Greg Sachs Advocates for Palliative Care in New England Journal of Medicine Editorial. Read IUSM news release…

 







Alexia Torke discusses "How Doctors Communicate with Patient Surrogates" on Dec 27, 2009 Sound Medicine. Listen…

Greg Sachs discusses how "Do Not Resuscitate" forms can help ensure patients' end-of-life wishes outside a hospital setting on Nov 1, 2009 Sound Medicine. Listen…

 

 

 

 

 





 

GRACE Care Management to be Deployed at Indianapolis VA

When Dr. Steve Counsell was named Geriatrics Section Chief at the Indianapolis VAMC in July of 2009, his re­sponsibilities included developing a strategic plan for innovative geriatrics clinical services, education, and research. Grant funding of $1.3 million over the next two years for “Dissemination of GRACE Care Management to At Risk Older Veterans” is the first step in rolling out this strategic plan. Dr. Counsell and the Indianapolis VA competed successfully for this grant funded out of the Veterans Health Administration Office of Geriatrics and Extended Care, Washington, DC under a call for proposals “To Develop/Disseminate Innovative Patient Centered Alternatives to Institutional Extended Care.” 

The Geriatric Resources for Assessment and Care of Elders, or GRACE, model includes home-based geriatric assessment and care management by a nurse practitioner and social worker who collaborate with the primary care physician and a geriatrics interdisciplinary team and are guided by 12 care protocols for common geriatric conditions. The GRACE care management model will be disseminated and evaluated in Veterans aged 65 or older who receive primary health care at the Indianapolis VA Medical Center and who are at risk for institutional extended care.

As a new service within the Geriatrics and Extended Care Service Line, an implementation team will be assembled representing the core disciplines needed for suc­cess of GRACE—geriatrics, primary care, nursing, social work, pharmacy, and mental health. Dr. Usha Subramanian, a VA geriatrician trained in the IU Geriatric Medicine Fellowship Program, will lead the GRACE Implementation Team and serve as Medical Director for the VA GRACE Program. Dr. Dawn Bravata, Clinical Coordinator of the VA HSR&D Stroke QUERI, will help with GRACE evaluation.

Dr. Counsell adds, “Our team looks forward to implementing GRACE at the VA to inform and strengthen long-term care delivery and promote the development of clinical programs that provide coordinated, comprehensive, and patient-centered care to our Veterans. I am especially excited about the potential for national dis­semination of the GRACE model throughout the VA healthcare system.”

March 2, 2010