Division of

Geriatric Medicine

Long-Term Care

Overview
The Division of Geriatrics oversees the care of 600 patients at 13 facilities, making 7,000 visits annually. Home visits are also a component of long-term care plans for seniors. Faculty, including the VA-affiliated geriatricians,  perform 1,000 home visits each year.

Long-Term Care Programs

  • Staying at home
    The Division has developed innovative programs to enable seniors with extended care needs to remain at home as long as possible.  This program has prevented institutionalization of seniors, improved clinical outcomes, and achieved cost savings.
  • Optimizing Nursing Home and Assisted Living Care
    For some seniors, long term care becomes necessary. The Division’s faculty members care for about 600 such residents. The faculty also provide training and medical leadership to more than a dozen facilities seeking to improve care and to reduce unnecessary admissions. Along with his colleagues, David Nace MD MPH has developed several proactive approaches to address some of the most common challenges found in nursing home care.
    • Antimicrobial Stewardship Initiatives:
      • Under Dr. Nace’s leadership, the Division secured three new long-term care antimicrobial stewardship projects. They are funded by the Agency for Healthcare Research and Quality.
      • One project will develop and pilot test the efficacy of a novel toolkit.
      • A second project will implement a nursing facility-tailored antimicrobial stewardship program that includes an “antibiotic time out”, a CDC-recommended best practice which has never been implemented or tested.
      • The third aims to improve the approach to urinary tract infections (UTI) in nursing homes.
  • RISE Program
    • Under Dr. Nace’s leadership, the Division directs a nationally recognized long-term care influenza prevention and management program.
      • The program reduced flu incidence in long-term care settings regionally and, using an enhanced voluntary model, achieved some of the nation’s best healthcare worker influenza immunization rates.
      • In FY2014, all facilities reached 70%, surpassing the 60% rate set by the U.S. Surgeon General; most hit 80%, and 1 in 5 reached 90%.
      • In FY15, UPMC mandated it system-wide.
  • Reducing Unplanned Admissions(RAVEN)
      • Led by Dr. Nace and Dr. Steven M.  Handler, MD PhD CMD , in collaboration with the Aging Institute and Senior Communities, the Division established a comprehensive program to reduce unplanned admissions from nursing facilities to the hospital.
        • The focus is on four key phases: a) improved understanding of patients’ care goals, b) earlier detection of deterioration, c) improved communication among team members, and d) use of clinical care pathways.
        • The program reduced unplanned admissions across UPMC-owned facilities by 45% (from 4.9/1000 patient days in Jan 2010 to 2.7 in June 2013) and has maintained this precedent.
        • This program’s outcomes were responsible for UPMC Community Provider Services receiving a $19 million CMS Innovation Award to reduce unplanned nursing facility admissions.

Charles Morris Nursing and Rehabilitation Center

Contact Us

Division of Geriatric Medicine
Academic Administrative Office

Kaufmann Medical Building, Suite 500
3471 Fifth Ave
Pittsburgh, PA 15213

Email Us

Benedum Geriatric Center

412-692-4200

Senior Care Institute

412-623-2700