Geriatric Research Education and Clinical Center (GRECC)
Bronx/New York Harbor GRECC
The Bronx/New York Harbor GRECC has been serving older Veterans since 1999.
Research Focus Areas
Improving Palliative Care
Prevention of Functional Disability
Drug Discovery in Alzheimer's Disease
Improving Processes and Outcomes during Transitions Between Sites of Care including VA and Non-VA
Biological Mechanism of Geriatric Syndromes
Improving Care for Rural Older Veterans
The Veteran Integrated Service Network 2 GRECC research program addresses the need to evaluate and redesign elements of the healthcare delivery system to provide patient-centered care for older Veterans, who require coordinated, continuous care for chronic disease and disability, and specialized acute and end-of-life care. GRECC investigators contribute to several major contemporary movements in geriatrics health services research. First, the program is a leader in geriatrics and palliative care implementation and evaluation. Second, GRECC investigators conduct research on healthcare transitions across systems and sites of care, in order to reduce transitions’ negative impact on patient safety and healthcare efficiency. Third, GRECC investigators investigate patterns of disability and costs of care in older adults and cost-effective business models of geriatrics practice. Fourth, GRECC investigators are active in the forefront of health information technology (IT) development and implementation as they apply to geriatrics healthcare delivery. Lastly, GRECC basic science investigators engage in studies regarding drug discovery for Alzheimer’s disease using a mouse model, lead a center for the study of complementary and alternative treatments for Alzheimer’s disease, and conduct research regarding biology of frailty, stress and depression.
Education and Evaluation
The VISN 2 GRECC’s education mission is to advance the quality and quantity of education and training in geriatrics and gerontology, palliative care, rural health, and interdisciplinary teamwork throughout the VA healthcare system. The primary goal is to provide ample education and training opportunities to healthcare professionals along the workforce continuum starting from the trainee level through seasoned clinicians. This is accomplished by: (1) offering rich clinical and didactic experiences for training Interprofessional Palliative Care Fellows and GRECC Associated Health professions; (2) developing and disseminating high quality curricular materials; (3) addressing workforce strategies to recruit and retain geriatric specialists in both urban and rural areas; (4) developing VISN 2 GRECC faculty as leaders in geriatric education; (5) contributing to continuing education for VA and non-VA clinicians about geriatrics and palliative care; (6) disseminating information about palliative care throughout the VISN and national VA networks; (7) increasing the number of James J. Peters VA Medical Center and VISN clinical staff who are provided education and training by GRECC faculty; and (8) contributing to patient health education for older Veterans. The VISN 2 GRECC also hosts an Interprofessional Palliative Care Fellowship Program, currently in its fifteenth year, which is part of a national network of six Interprofessional Palliative Care Fellowship Programs that were created to transform the care of seriously ill Veterans.
The VISN 2 GRECC clinical demonstration programs include geriatric consultation provided by telehealth to rural community based outpatient clinics (CBOCs); care transition intervention program enhanced by the use of a community based Regional Health Information Organization (RHIO) to bridge care between non-VA hospitalization and VA primary care; and enhancements of prescribing practices for older adults in the Emergency Department through the use of clinical decision support and provider feedback. Clinicians from the GRECC also provide primary care in the Geriatric PACT clinic at the James J. Peters VA Medical Center. The GRECC also provides palliative care services in the host VA Medical Center, including consultation, coordinating services for Veterans with Amyotrophic Lateral Sclerosis (Lou Gehrig’s disease) and a supportive care unit providing inpatient care for terminally ill Veterans in the Community Living Center.