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Department of Medicine

Department of Medicine

  Division of Geriatric Medicine

Clinical


Ambulatory


Ambulatory

Overview
We focus on the prevention and management of complex medical, psychological, and social problems experienced by older adults. We conduct more than 17,000 ambulatory visits each year.

Interdisciplinary Team
We work closely with an onsite interdisciplinary team that includes geriatric pharmacists, psychiatrists, social workers, and therapists, as well as medical subspecialists in geriatric conditions.

Integrated Care
We follow our patients across every healthcare setting, whether in the office, hospital, rehabilitation, assisted living, nursing home, or at home. And in an effort to integrate this care, we transformed our office practice into a Geriatric Patient-Centered Medical Home (PCMH). To do this, we adapted the standard PCMH model to provide optimal care for older patients in two ways: 1) by ensuring that goals are more relevant to older adults, and, 2) by tailoring interventions to each individual's situation, including their comorbidity, functional status, life expectancy, and goals. Our effort has been recognized by the National Committee for Quality Assurance, which gave our model the highest level of certification.

Group Visits
Led by a physician, patients learn together about their common conditions, medications, and health practices such as diet and exercise. They also share their own insights and lessons learned. Many of our patients have found this innovative program to be extremely valuable.

Consultation
Consults are with our fellowship-trained geriatricians, many of whom are also trained in the following areas:cardiology, chronic pain, gait and mobility, sarcopenia, falls, osteo­porosis, sleep disorders, incontinence, rheumatology, depression, dementia, and palliative care. Bone densitometry is provided by a dually trained geriatric endocrinologist.

Quality Improvement
We strive to improve our care through a series of quality improvement initiatives. This has enabled us to optimize the approach to the detection and management of hypertension, osteoporosis, pain, depression, and anticoagulation, as well as the prevention of cancer and common infections such as influenza, shingles, and pneumonia. We also seek to ensure that we understand each patient's functional ability and goals of care.