CGWEP PI/Program Director Jan Busby-Whitehead, MD welcomes the 2016 CGWEP Steering Committee

Executive Summary

Carolina Geriatric Workforce Enhancement Program Steering Committee Meeting

September 21, 2016

Integrating Geriatrics into Primary Care

Contact and

There are currently 3 active sites where providers have chosen a geriatrics topic for a quality improvement initiative in collaboration with UNC faculty and staff.

Advanced Directives: Southeast Area AHEC’s Internal Medicine Residency program is improving the documentation of Advanced Care Plans (ACP) in the electronic health record. To accomplish this, Residents are peer teaching how to have conversations with patients on ACPs. Simultaneously the New Hanover Regional Medical Center CEO has challenged all employees to complete their own ACPs by end of 2017.

Falls Risk Projects: Moncure Community Health Center, Piedmont Health Services, Inc. has revised the way they identify, assess and intervene in cases of falls risk. Front Desk and Medical Assistants (MA) have new roles in screening. They have trained MAs and front desk personnel and are planning for long term sustainability. Area L AHEC in partnership with Rural Health Group is building community capacity for falls risk interventions. Northampton County has limited resources available, but a strong interconnected social services network which shares information and case management responsibilities. Other partners including Wake AHEC are interested in developing sites. The CGWEP work in primary care is being showcased at the Gerontological Society of America meeting November 20, 2016.

Interprofessional Education (IPE) Geriatrics Preprofessional Group


Faculty across 10 health sciences disciplines (Dentistry, Dental Hygiene, Medicine, Nursing, Occupational Therapy, Pharmacy, Physical Therapy, Public Health-Nutrition, Social Work and Speech and Hearing Sciences) at UNC-CH are providing IPE experiences 3 times per year for up to 600 students. Most exciting, the program has expanded beyond health sciences to incorporate the arts. Through the arts, students improve their observational skills, knowledge of vulnerable populations and role of other disciplines. Our IPE work will be featured at the Association for Gerontology in Higher Education (AGHE) annual meeting and has been submitted for presentation at the 2017 Interprofessional Symposium at Virginia Commonwealth University. Even more exciting, UNC-CH Health Sciences Schools have established a Steering Committee on IPE initiatives.

IPE Geriatrics Fellowship


The CGWEP has successfully recruited and is training two fellowship cohorts with fellows in medicine, nursing and dentistry. The Year 1 cohort has completed a toolkit that is now used to assess older adults with unexplained weight loss. Cohort 1 Fellows have been invited to present at the Providing Patient-Centered Care for the Older Adult 2017 statewide geriatrics conference in Fayetteville, NC. In addition, they are in the process of publishing their toolkit on the MedEdPORTAL. The Year 2 cohort is in the process of selecting a topic which may center on oncology.


Community Outreach and Alzheimer’s and Related Dementias (ADRD)

Ellen Schneider

CGWEP leaders supported the completion of the North Carolina state plan to address ADRD. CGWEP has partnered with Orange County CARES, a grantee of the administration on Community Living to create dementia friendly communities. Through a partnership with the American Indian Health Board, Native American Indian authors and artists have completed the first story-based educational publication on ADRD entitled, Memory Loss and Alzheimer’s Disease in Native People. Six hundred copies will be published and distributed.


Continuing Education


AHEC partners delivered 48 continuing education courses during Year 1. These courses reached 5,500 healthcare providers and caregivers. For Year 2, 29 courses are already on the schedule.