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Volume 4, Issue 5
June 17, 2008

In This Issue

  1. Hartford Trustees Approve Grant to Enhance the Quality of Medical Home Services
  2. Three Hartford Foundation Grantees Recognized for Care Delivery Innovation
  3. Geriatrics Education for Specialty Residents Program Expanded
  4. 2008 BAGNC Scholars and Fellows Chosen
  5. 2008 Social Work Faculty Scholars and Doctoral Fellows Selected
  6. Geriatric Nursing Leadership Academy Selects First Cohort
  7. Upcoming Hartford Program Funding Deadlines
  8. Communications Tip: New Photos Available on BandwidthOnline.org

1. Hartford Trustees Approve Grant to Enhance the Quality of Medical Home Services

At their meeting in June, the John A. Hartford Foundation trustees granted $1.7 million to Johns Hopkins Medical Center to develop and distribute educational resources and technical assistance based on its Guided Care model to primary care practices participating in a new $400 million Medicare Medical Home Demonstration project. The demonstration, set to begin next year, will test whether reimbursement for improved primary care management of elderly patients with multiple chronic conditions will lead to improved health and reduced healthcare costs.

Funding for the project will be used to develop and disseminate technical assistance and Web-based resources built on the Guided Care model and tailored to primary care physicians and nurses participating in the Medicare Medical Home Demonstration project. The technical assistance will be provided in partnership with major primary care physician organizations, including the American College of Physicians and the American Academy of Family Physicians.

The Medicare Medical Home Demonstration project, which was authorized by Congress in 2006, will provide incentive payments to primary care practices in up to eight states for chronic condition care management that is comprehensive, evidence-based, and uses health information technology while supporting patients’ management of their own conditions. Guided Care is a model that practices can use to implement a Medical Home in their clinics.

Since 2005, the John A. Hartford Foundation, in partnership with the National Institute on Aging and the Agency for Healthcare Research and Quality, has supported Guided Care’s development as part of its strategy to improve and integrate healthcare services for the rapidly increasing population of older adults. For more information, please see: www.guidedcare.org.

For more information on the Medicare Medical Home Demonstration project, please visit: www.cms.hhs.gov/DemoProjectsEvalRpts/MD.

Johns Hopkins Medical Center, Baltimore, MD
Charles E. Boult, MD, MPH, MBA
Grant amount: $1,729,690 over three years


2. Three Hartford Foundation Grantees Recognized for Care Delivery Innovation

Three Hartford Foundation grantees were selected, through a national competition, to be showcased on the recently launched Innovative Care Delivery Models Web site: www.innovativecaremodels.com. The featured grantees are:

Health Workforce Solutions, LLC (HWS), under a grant from the Robert Wood Johnson Foundation (RWJF), launched the Innovative Care Delivery Models Web site to showcase 24 innovative models of healthcare delivery that are cost effective, sustainable, and most importantly, replicable in a wide array of healthcare settings. The models were chosen from an original field of 171, based on measures such as a demonstrated measurable improvement in quality, safety, cost, and/or satisfaction, as well as an ability to decrease long-term demand for acute care nursing by leveraging nurses more effectively.


3. Geriatrics Education for Specialty Residents Program Expanded

The American Geriatrics Society (AGS) recently awarded 20 medical school and hospital residency programs two-year Geriatrics Education for Specialty Residents (GSR) grants aimed at better preparing surgical and related medical specialty residents to care for the nation’s rapidly increasing population of older adults. The Society also awarded four medical schools and residency programs its inaugural GSR Dissemination Grants to enable these schools to disseminate further the training tools and materials they developed under the GSR program.

The GSR program, which has been supported by the John A. Hartford Foundation since 2001, supports collaborations between surgical and related medical specialty faculty and geriatrics faculty at medical schools and hospitals in ten targeted specialties. Working as a team, the faculty members develop, initiate, and evaluate model initiatives that integrate geriatrics into surgical and related specialty residency training. Each two-year GSR grant of $40,000 supports curricular innovations at each team’s home institution. Dissemination grants range up to $25,000 each.

2008–2010 GSR award recipients, their specialties, their home institutions, and the geriatrics faculty members with whom they will collaborate are:

Anesthesiology
Program: Boston University School of Medicine, Boston, MA
Program Director: Reuben J. Azocar, MD
Geriatrician: Serena Cho, MD, MPH

Program: Maimonides Medical Center, Brooklyn, NY
Program Director: Kaplana Tyagaraj, MD/Dennis Feierman, MD, PhD
Geriatrician: Jennifer Breznay, MD, MPH

Emergency Medicine
Program: Boonshoft School of Medicine, Wright State University, Kettering, OH
Program Director: John Michael Ballester, MD
Geriatrician: Gordana Gataric, MD

Program: CHRISTUS Spohn Memorial Hospital, Corpus Christi, TX
Program Director: Thomas McLaughlin, DO
Geriatrician: Kathleen Soch, MD

Program: SUNY Downstate Medical Center, Brooklyn, NY
Program Director: Jessica Stetz, MD, MS
Geriatrician: Joel R. Gernsheimer, MD

Program: Indiana University, Indianapolis, IN
Program Director: Lee Wilbur, MD
Geriatrician: Glenda Westmorland, MD

General Surgery
Program: Duke University, Durham, NC
Program Director: Sandhya Lagoo-Deenadayalan, MD, PhD
Geriatrician: Mitchell T. Heflin, MD

Program: University of Nevada School of Medicine, Reno, NV
Program Director: Patricia May, MD
Geriatrician: Diane Chau, MD

Program: MD Anderson Cancer Center, Houston, TX
Program Director: Nancy D. Perrier, MD
Geriatrician: Holly M. Holmes, MD

Program: University of Texas Medical Branch, Galveston, TX
Program Director: Taylor S. Riall, MD, PhD
Geriatrician: Anita C. Mercado, MD

Program: Johns Hopkins University School of Medicine, Baltimore, MD
Program Director: Dorry Segev, MD
Geriatrician: Grace Cordts, MD, MPH

Gynecology
Program: University of Massachusetts Medical School, Worcester, MA
Program Director: Harrison G. Ball, MD
Geriatrician: Sarah McGee, MD, MPH

Ophthalmology
Program: Summa Health System, Akron, OH
Program Director: Nancy E. Awender, MD
Geriatrician: Kyle R. Allen, DO

Program: Yale University School of Medicine, New Haven, CT
Program Director: C. Robert Bernardino, MD
Geriatrician: Leo M. Cooney, MD

Program: MetroHealth Medical Center, Cleveland, OH
Program Director: Kimberly Cingle, MD
Geriatrician: Hans Geho, MD

Orthopaedic Surgery
Program: University of Iowa, Iowa City, IA
Program Director: Neil Segal, MD
Geriatrician: Paul Mulhausen, MD

Otolaryngology
Program: University of Arkansas for Medical Sciences, Little Rock, AK
Program Director: Paul M. Spring, MD
Geriatrician: Vinay Kutagula, MD

Physical Medicine & Rehabilitation
Program: Emory University, Atlanta, GA
Program Director: Dale C. Strasser, MD
Geriatrician: Thomas Price, MD

Urology
Program: The University of Texas Health Science Center at San Antonio, San Antonio, TX
Program Director: Joseph Basler, MD
Geriatrician: Elizabeth Glazier, MD

Program: University of Florida, Gainesville, FL
Program Director: Philipp Dahm, MD, MHSc
Geriatrician: Ron Shorr, MD, MS

For more information about the GSR program, visit: www.americangeriatrics.org/specialists/gsr/default.asp.

The GSR-DG program offers support to past recipients of GSR grants in order to disseminate their work to their colleagues in residency programs in other institutions, in other disciplines within their own institutions, or both. In so doing, successful GSR Dissemination Grant awardees will serve as leaders in their specialties, utilizing their experiences in program development and implementation to disseminate workable educational models to other specialty training programs.

The GSR-DG grant recipients are:

Emergency Medicine
Program: North Shore University Hospital, Manhasset, NY
Program Director: Michael Cassara, DO

General Surgery
Program: MetroHealth Medical Center, Cleveland, OH
Program Director: Joel R. Peerless, MD

Program: Yale University School of Medicine, New Haven, CT
Program Director: Melissa Perkal, MD

Gynecology
Program: University of Alabama at Birmingham, Birmingham, AL
Program Director: Holly Richter, PhD, MD

For more information about the GSR-DG, please contact Rachael Edberg Silverman at redberg@americangeriatrics.org.

4. 2008 BAGNC Scholars and Fellows Chosen

The American Academy of Nursing has selected the latest cohort of fellows and scholars in academic geriatric nursing.

Ten Claire M. Fagin postdoctoral Fellows will each receive $60,000 per year for two years to support advanced research training, mentorship, leadership, and career development. Fifteen predoctoral Scholars will receive a scholarship covering tuition and fees of up to $50,000 per year for two years to support their doctoral training and launch careers in academic geriatric nursing.

This year’s awards come on the heels of a new report from the Institute of Medicine, Retooling for an Aging America: Building the Health Care Work Force (www.iom.edu/CMS/3809/40113/53452.aspx). The report argues that the healthcare workforce lacks both the size and the skill to care for the growing older population and its unique needs. There are not enough geriatric specialists, and generalists do not have enough training and experience to properly treat older patients. For more information on the Hartford Foundation’s response to the report, visit: www.jhartfound.org/v4i4_special.htm.

The 2009–2011 Claire M. Fagin Fellows and their areas of study are:

Lyda Arevalo, PhD, MSN, RN, University of Texas Health Science Center at San Antonio
Factors Influencing Latino/Hispanic Caregivers’ Perception of the Experience of Caring for a Relative with Alzheimer’s Disease

Eric Collier, PhD, RN, MS, University of California, San Francisco
Quality of Care in Nursing Homes: A Longitudinal Analysis

Cheryl Dennison, PhD, RN, ANP, Johns Hopkins University
Nurse-led Heart Failure Care Transition Intervention

Leanne Lefler, PhD, APN, CCRN, University of Arkansas for Medical Sciences
Older Black & White Women’s Self-Perceived Risk for Acute Coronary Syndrome

LuAnn Nowak, MSN, RN, (PhD to be completed in August) University of Michigan, Ann Arbor
An Examination of Sleep-Wake Patterns in Early-Onset and Late-Onset Alzheimer’s Disease

Lorraine Phillips, PhD, APRN, BC, FNP, University of Missouri, Columbia
A Pilot Study of TimeSlips in Nursing Home Residents with Dementia

Karen Rose, PhD, RN, University of Virginia
The Resident’s Experience of Home over Time in Three Long-term Care Environments

Tara Sharpp, PhD, RN, Oregon Health & Science University
How Staff Monitor and Provide Health Care to Residents with Dementia in Assisted Living Facilities

Kristine Talley, PhD, MS, RN, APRN-BC, University of Minnesota
Restorative Care’s Effect on Disability in Older Long-stay Nursing Home Residents

Hye A. Yeom, PhD, RN, Arizona State University
The Effects of a Multi-model Physical Activity Training (MPAT) Intervention on Mobility in Sedentary Older Korean Americans

The 2009–2011 Predoctoral Scholars and their areas of study are:

Brianne Black,* University of Iowa
Pain Assessment and Management in Minority Elders

Heide Bursch, University of Iowa
Circles of Communication

Grace Campbell, University of Pittsburgh
Predicting Fall Risk of Older Adults in Post-Stroke Rehabilitation

Mary Dierich, University of Minnesota
Potential Misadventures and Nasty Outcomes in Managing Medication Complexity for Elders Aging in Place

Victoria Foster, Georgia State University
The Impact of an HIV Educational Intervention on the Risk Behaviors of Older Adults

Haesook Kim, University of California, Los Angeles
Agitated Behavior of Korean American Elders with Dementia

Melanie Krause, University of Wisconsin, Madison
The Impact of Stability of Care Staff on Hospitalizations of Nursing Home Residents

Kari Lane, University of Iowa
Enhancing Adaption to Hearing Aids in an Elder Population

Jeongok Park, University of North Carolina, Chapel Hill
Lower Urinary Tract Symptoms in Older Adults with Type 2 Diabetes

Jimmy Reyes, University of Iowa
Culturally Congruent Management and Treatment of Diabetes Mellitus Type II in Community-dwelling Hispanic Elders

Carol Rogers, Arizona State University
Sign Chi Do Exercise for Adaptation to Aging

Krista Sifford, University of Arkansas for Medical Sciences
Resident-to-Resident Violence Prediction and Prevention in Long-Term Care

Allison Terwilliger, Oregon Health & Science University
Management of Diabetes and Advanced Heart Failure

Mark Toles, Duke University
Effective Team Interactions in the Care of Dependent Elders in Long Term Care

Yi Yan, Oregon Health & Science University
Interdisciplinary Collaboration and Its Impact on End-of-Life Care for Older Adults in ICU

* Mayday Fund recipient


5. 2008 Social Work Faculty Scholars and Doctoral Fellows Selected

The John A. Hartford Foundation and the Gerontological Society of America recently announced 10 geriatric social work faculty members for the Hartford Faculty Scholars Program and four students for the Hartford Doctoral Fellowship program.

The Hartford Faculty Scholars are provided with opportunities for professional development and $100,000 in funding over two years. Now in its ninth year, the award aims to enhance the effectiveness of faculty scholars as academic leaders, role models, and mentors for future generations of social workers providing care to older Americans and their caregivers. Hartford Doctoral Fellows receive a $50,000 dissertation grant plus $20,000 in matching support from their home institutions, which enables recipients to more fully concentrate on their dissertation research projects over the next two years. Fellows also receive supplemental academic career guidance and mentoring.

The 2008 Doctoral Fellows and their dissertation topics are:

Maria Brown, Syracuse University
Factors Affecting Cognitive Function in Later Life

Kristen Gustavson, University of California-Berkeley
Late Life Depressed Mood: Experience, Knowledge & Understanding

Emily Joy Nicklett, University of Michigan
Diabetes Health Trajectories: Racial/Ethnic, Class, and Gender Disparities

Paul Sacco, Washington University, St. Louis
Taking the Edge Off: Testing a Stress-Coping Model of Alcohol Use Among Older Adults

The 2008 Faculty Scholars and their areas of research are:

Richard Beaulaurier, PhD, Florida International University
Older Latinos and HIV: Provider Perspectives

Banghwa Lee Casado, PhD, University of Maryland
An Examination of the Caregiving Experience and Home and Community-Based Services Needs among Caregivers of Older Korean Americans

Rita Chou, PhD, University of South Carolina
Job Satisfaction and Productive Aging: A Longitudinal Study of Older Workers Based on a Nationally Representative Sample

Kim Stansbury, PhD, Eastern Washington University
Attitudes and Knowledge of Older Adults toward Casinos and Disordered Gambling

Angela Curl, PhD, University of Missouri
The Impact of Retirement on Heart Problems: A Multilevel Dyadic Analysis of Longitudinal Secondary Data

Victoria Rizzo, PhD, Columbia University
A Social Work Care Coordination Program for Osteoarthritis: A Pilot Study

Louise Quijano, PhD, Colorado State University
Vida Tranquila II: A Skills-Based Therapeutic Intervention for Older Latino Primary Care Patients with Generalized Anxiety Disorder

Sudershan Pasupuleti, PhD, University of Toledo
Impact of Computer-Based Brain Fitness Program on Cognitive Functioning and Quality of Life of Older Adults in Public Dwellings

Marilyn Luptak, PhD, University of Utah
Caring for Older Adults with Depression: A Family Perspective

Scott Wilks, PhD, Louisiana State University
Examining an Appraisal Model of Burden, Coping, and Resilience: Differences among African American and Caucasian Alzheimer’s Caregivers


6. Geriatric Nursing Leadership Academy Selects First Cohort

Sigma Theta Tau International and the John A. Hartford Foundation have selected the first cohort of nurses for the Geriatric Nursing Leadership Academy. The purpose of the Academy is to develop the leadership skills of nurses in positions of influence in a variety of healthcare settings. The program will enable nurses to lead interprofessional teams to improve the quality of healthcare for older adults and their families and was developed by Sigma Theta Tau International, through a grant awarded by the John A. Hartford Foundation to Sigma Theta Tau International Foundation for Nursing, and with supplemental funding from the Northwest Health Foundation.

The first cohort participants and their project topics are:

Kimberly M. Bergen-Jackson, BSN, RN, University of Iowa
Nurse Leadership and Gerontological Knowledge: Key to Quality Nursing Home Care

Linda C. Bifano, RN, Rose Schnitzer Manor Assisted Living Community, Portland, OR
Alternatives to Personal Alarm Systems in LTC

Shirley Conway, RN, MSN, MBA, Addison Gilbert Hospital, Gloucester, MA
Northeast Hospitals’ Inpatient Geriatric Initiative

Amy E. Cotton, MSN, APRN-BC, Rosscare, Bangor, ME
The Long Term Care Zero Defect Project: Improving Geriatric Health Care Outcomes Utilizing Gap Analysis

Linda Sue Davis, RN, MSN, APRN, B, Pulaski Adult Day Service and Fall Prevention Center, Pulaski, VA
Pulaski Adult Day Service and Fall Prevention Center

Gena Edmiston, RN, BSN, Denali Long Term Care Center, Fairbanks, AK
Achieving Resident Centered Care Goals through Strengthened Bedside Leadership

Susan J. Gordon, MSN, ACNP, Massachusetts General Hospital, Boston, MA
The G.R.E.A.T. Project: Geriatric Rounds to Evaluate, Assess, and Teach (GREAT): A Collaborative Approach to Improving Care

Linda J. Hassler, RN, MS, CNS-BC, Meridian Health Ann May Center for Nursing, Neptune, NJ
Integrating Geriatric Excellence into the Emergency Department (ED)

Katherine Korby Hostvedt, RN, MSN, University of Pennsylvania, School of Nursing, Philadelphia, PA
Enhancing Professional Relationships among Registered Nurses, Licensed Practical Nurses and Certified Nursing Assistants in Nursing Homes

Cynthia Diane Johnson, MSN, GNP-BC, San Francisco General Hospital Trauma Center, Acute Care for Elders (ACE) Unit, San Francisco, CA
Enhancing Geriatric Nursing Knowledge to Improve Relationships between Acute Care and Long Term Care Nurses

Cynthia McDaniel, RN, MSN,* Oregon Health & Science University and ElderWise, Portland, OR
A Voice for Older Adults–Promoting the Role of the Nurse in Assisted Living

Jeanne St. Pierre, MN, RN, CNS-BC, Ball Memorial Hospital, Muncie, IN
Geriatric Resource Nurse Model

Lynn Colleen Szender, BSN,* Mary’s Woods at Marylhurst, Lake Oswego, OR
Household Model of Care: Developing Leadership in Self-Directed Work Teams

Cecilia A. Vinson, MSN, RN, Division of Medical Services, Office of Long Term Care, Little Rock, AR
Using the Ominibus Budget Reconciliation Act (OBRA) Long Term Care Survey Process to Support a Professional Practice Model for Arkansas Nursing Homes

Kathy Denise Wright, MSN, APRN, BC, Summa Health Services Research and Education Institute, Akron, OH
Transitional Care Across the Continuum: Empowering the Older Adult to Change

* Northwest Health Foundation recipient

Applications for the second cohort in 2009 will be available in late 2008. For more information about the Geriatric Nursing Leadership Academy, visit the Sigma Theta Tau Web site.


7. Upcoming Hartford Program Funding Deadlines

August 1, 2008
Hartford Doctoral Fellows in Geriatric Social Work
www.gswi.org/programs/hdf.html

February 2, 2009
Hartford Faculty Scholars in Geriatric Social Work
www.gswi.org/programs/hfs.html

Hartford Doctoral Fellows in Geriatric Social Work
www.gswi.org/programs/hdf.html

May 1, 2009
Hartford Pre-Dissertation Awards in Geriatric Social Work
www.gswi.org/programs/predissertation.html


8. Communications Tip: New Photos Available on BandwidthOnline.org

Twenty original photographs of older adults in clinical settings have recently been added to www.BandwidthOnline.org. These images were taken by photographer Annie Levy exclusively for www.BandwidthOnline.org users and reflect older patients in a more positive light than is generally found in stock photo collections. Special thanks to Hartford grantees Patty Ursomanno, Nate Goldstein, and Dan Gardner for participating in the photo shoot with our models from Lincoln Square Neighborhood Center in NYC.

Check out these new images and others and learn about using visual images more effectively in your communications materials at: www.bandwidthonline.org/images.asp.

Important Note: You should have received an email from Bandwidthonline.org with your password for the site. If you did not, please contact Chris Gherst at cgherst@aboutscp.com.