Geriatric Research Education and Clinical Center (GRECC)

Cleveland GRECC

• Antibiotic resistance and its detection in the Community Living Center (CLC)
• Acute viral infections (Influenza & COVID-19) in the Elderly
• Chronic Viral Infections (HIV & HCV) in the elderly
• Antibiotic Stewardship and Tele-Stewardship
• Dementia
• Delirium (ICU, Acute Care, CLC and in Hospice)
• Implementation of geriatric evidence-based practice and quality improvement
• Collaborative projects with the VA Quality Scholars Program

• Molecular and metadata epidemiology of infections and clinical outcomes
• Immunology of aging including vaccines
• C. difficile infection, transmission, prevention and vaccination
• Antibiotic stewardship and telehealth stewardship in long term care and outpatient populations
• Infection, treatment, and prevention of HIV and HCV in aging Veterans
• COVID-19 and aging
• Dementia and delirium management and aging
• Antibiotic resistance in multiple areas
• Neuroprotective strategies for neurodegeneration in aging and PTSD
• Advanced heart failure in the elderly
• Sleep apnea diagnosis and therapeutics

• Infections in older adults, HIV, HCV, COVID-19, and Influenza
• Immunology Series – “Community of Science” Seminars on COVID-19
• Geriatric training for ER staff (GERI-VET)
• We Honor Veterans Community Hospice Education (moral injury, PTSD, suicide)
• Innovative Education/Simulation
• Holistic Interventions (mindfulness, aromatherapy)
• Weekly “Topics Series” of Virtual Interprofessional training on Geriatric Syndromes (Falls, Confusion, CHF)
• OAA VA Quality Scholar Advanced Fellowship (VAQS) collaboration – implementation science and quality improvement career development
• Geriatric nurse practitioner residency program

• Enhancing dementia care at Cleveland VAMC by developing a multidisciplinary group to: establish a consensus diagnosis, develop and maintain registry, establish care pathways and develop caregiver education programs
• Implementing a tele-dementia clinic to evaluate and provide consultative service to Veterans and caregivers
• Screening and detection of geriatric syndromes and multidisciplinary care coordination through GERI-VET, an accredited level 1 program that identifies at-risk older patients in the ED
• Establishing Transitional Care Model, which is a hospital-to-home program targeting older vulnerable adults at risk for poor outcomes
• Enhancing Hospice Care through “See Me, Hear Me, Comfort Me” using non-pharmacological interventions for end of life
• Participating in the VA sponsored Age-Friendly Health Systems initiative

• Tamma PD, Aitken SL, Bonomo RA, Mathers AJ, van Duin D, Clancy CJ. Infectious Diseases Society of America 2023 Guidance on the Treatment of Antimicrobial Resistant Gram-Negative Infections. Clin Infect Dis. 2023 Jul 18:ciad428. doi: 10.1093/cid/ciad428. Epub ahead of print. PMID: 37463564.
• Canaday DH, Oyebanji OA, White EM, Bosch J, Nugent C, Vishnepolskiy I, Abul Y, Didion EM, Paxitzis A, Sundheimer N, Ragavapuram V, Wilk D, Keresztesy D, Cao Y, St Denis K, McConeghy KW, McDonald LC, Jernigan JA, Mylonakis E, Wilson BM, King CL, Balazs AB, Gravenstein S. SARS-CoV-2 Antibody Responses to the Ancestral SARS-CoV-2 Strain and Omicron BA.1 and BA.4/BA.5 Variants in Nursing Home Residents After Receipt of Bivalent COVID-19 Vaccine - Ohio and Rhode Island, September-November 2022.  MMWR Morb Mortal Wkly Rep. 2023 Jan 27;72(4):100-106. doi: 10.15585/mmwr.mm7204a4. PMID: 36701254.
• Shin MK, Vázquez-Rosa E, Koh Y, Dhar M, Chaubey K, Cintrón-Pérez CJ, Barker S, Miller E, Franke K, Noterman MF, Seth D, Allen RS, Motz CT, Rao SR, Skelton RA, Pardue MT, Fliesler SJ, Wang C, Tracy TE, Gan L, Liebl DJ, Savarraj JPJ, Torres GL, Ahnstedt H, McCullough LD, Kitagawa RS, Choi HA, Zhang P, Hou Y, Chiang CW, Li L, Ortiz F, Kilgore JA, Williams NS, Whitehair VC, Gefen T, Flanagan ME, Stamler JS, Jain MK, Kraus A, Cheng F, Reynolds JD, and Pieper AA. (2021). Reducing acetylated-tau is neuroprotective in brain injury. Cell, 184, 2715-2732. PMID: 33852912.
• Iyer SS, Ngo V, Humber MB, Chen P, Pallaki M, Dolinar T, Brodrick MB, Gould CE, Trivedi RB. Caregiver Experience of Tele-dementia Care for Older Veterans. J Gen Intern Med. 2023 Oct;38(13):2960-2969. doi: 10.1007/s11606-023-08188-2. Epub 2023 May 2. PMID: 37131102; PMCID: PMC10153773. Caregiver Experience of Tele-dementia Care for Older Veterans - PubMed (nih.gov) Publication Link
• Musoke L, Bosworth HB, Dickson C, Gentry P, Strawbridge E, Subramaniam S, Gierisch J, Smith V, Woolson S, Pura J, Amutuhaire W, Naggie S, Schexnayder J, Hall K, Longenecker CT, Harris NM, Rogers C, Van Epps P; A telehealth-delivered intervention to extend the veteran HIV treatment cascade for cardiovascular disease prevention: V-EXTRA-CVD study protocol for a randomized controlled trial.  for V-EXTRA-CVD Group.  HIV Res Clin Pract. 2023 Dec;24(1):2261747. Epub 2023 Oct 6.

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