GRECC Clinical

The intended audience of this web page includes Veterans, GRECC Faculty, and Staff.

Clinical Demonstrations & Activities

• HBPC (Home Based Primary Care)

HBPC provides all-inclusive care for high-risk homebound patients. This program has won national recognition for its innovative approaches to care in the home setting.

• G-Help (Geriatric High-Risk Evaluation and Liaison to Primary Care)

G-Help is a clinical demonstration initiative focused on reducing hospital re-admissions for the elderly by targeting high-risk patients for more intensive interventions prior to discharge. G-Help is a program affiliated with HBPC that utilizes a nurse practitioner and social worker to target geriatric patients at high risk of re-hospitalization following acute hospitalization.

• Long Term Care & Structured Living

Eligible veterans receive care from non-VA sources via this program. Services provided include nursing home placement, home nursing arrangement, aid-and-attendance implementation, evaluation and monitoring of non-VA care agreements/contracts. This program has increased importance in Salt Lake City because we do not have a nursing home care unit as part of our clinical services.

• Geriatric Clinics

There are currently six Geriatric Primary Care Clinics. These clinics serve as the primary educational sites for Internal Medicine House staff and other health care professionals concerning Geriatric care. They are located in the primary care area to enhance the access to Geriatric clinicians for formal and informal consultations.

• Geriatric Medicine Consultation

Geriatric medicine inpatient consultations are provided by the GRECC. With the increased focus on reduction of bed days of care (BDOC) most geriatric consults occur in conjunction with hospital discharge planning and involve geriatric assessment following acute hospitalization in the outpatient setting. The G-Help and HBPC programs account for most of these consultations. In response to the need for further outpatient consultation the GRECC has established six geriatric consultation clinics per week.

• Geriatric Medicine/Psychiatry Clinics

are currently held every week in the primary patient care area. This clinic provides treatment for complex geriatric patients not eligible for any other psychiatric service at the host medical center. The Geriatric Medicine/Psychiatry clinic remains a critical site for gero-psychiatric training for the Geriatric Medicine Fellowship, psychiatry residents and medical house-staff.

• Telemedicine Home Monitoring

We are using the several web based technologies to monitor patient's symptoms in their comfort of their homes. Our Care Coordination Program monitors the patient in a holistic fashion rather than from a disease management perspective. Patient symptoms are monitored daily via interactive dialogues which ask for responses to various questions. These custom dialogues automatically risk stratify patient responses and assign a priority for clinical response. Individualized interventions are triggered and implemented to optimize patient outcomes, satisfaction and resource utilization.

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