Eastern colorado geriatric - clinical | veterans affairs

Eastern Colorado GRECC is a hub of clinical innovation committed to creating systems of support for Veterans as they age and across the continuum of care, regardless of geography. The

Eastern Colorado GRECC participates in national clinical dissemination projects, including GRECC Connect and Gerofit. Clinical demonstration projects provide opportunities to integrate

research, education and clinical services. Current Clinical Demonstration Projects include: GRECC CONNECT Older Veterans living in rural areas often have limited access to geriatric care and

rural providers and staff often lack opportunities to learn about best practices for management of Veterans with geriatrics syndromes. The Eastern Colorado GRECC links geriatrics

specialists (geriatricians, palliative care physicians, geropsychologist, social workers, pharmacists, audiologists and trainees), located at Rocky Mountain Regional VAMC with six outlying

community-based outreach clinics (CBOCs) and Veterans in their homes. * ACTIVITIES: Current modalities include clinical video telehealth, electronic consultation, and educational

teleconferences. Consultation is provided in tele-geriatrics, tele-palliative care, and tele-geropsychology. All visits are transdisciplinary with at least physician, social worker, and

pharmacist input. Many veterans and caregivers are also seen by the geropsychologist, especially related to dementia and caregiver support needs. Through this project, we aim to equip rural

providers and staff with the knowledge and skills to care for older adults, and to support staff at rural clinics by providing geriatrics consultation. TARGETED AUDIOLOGIC TRAINING AND

SUPPORT Audiology Clinical Demonstration Project trains Associated Health Trainees, Geriatric Medicine Fellows and GRECC clinical faculty on audiology best practices while supporting patient

referral for hearing health screening. Tinnitus and hearing loss are the two most prevalent disabilities reported among Veterans receiving VA benefits. Hearing loss causes, contributes to,

or exacerbates: communication challenges, social isolation, anger, frustration, fatigue and cognitive decline. The director of the audiology department at the Rocky Mountain Regional VA

Medical Facility and two successive cohorts of GRECC-supported audiology externs have carried out a clinical demonstration project that focuses on providing training in audiology best

practices to other Associated Health trainees, Geriatric Medicine Fellows and GRECC clinical faculty. Our needs assessment identified that health care providers receive little to no

education in audiology best practices, despite the high percentage of older Veterans with significant hearing loss. The audiology supervisor and trainees address this gap through a variety

of approaches described in detailed in the clinical demonstration project section of this report. Return to Top CLINICAL RESOURCES Home-Based Primary Care VA Tele-health (CVT) (geriatrics,

dementia, palliative care) Geriatric Evaluation and Management (inpatient and outpatient clinic) Patient-aligned care teams (PACT) in geriatrics and palliative care Palliative Care inpatient

and outpatient consultation program Medical Foster Home Contract Nursing Home Program: this program pays for housing of Veterans in local nursing homes Colorado Veterans Community Living

Centers Advance Care Planning Group Medical Visits Program using The Conversation Project tool