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Geriatric Interprofessional Team Transformation for Primary Care overview.

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The Geriatric Interprofessional Team Transformation for Primary Care (GITT-PC) model enhances care for older adults. This financially sustainable program improves geriatric care delivery and demonstrates a strong business case for primary care practices.

Keywords:
Medicareannual wellness visitgeriatric careinterdisciplinary care

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Area of Science:

  • Geriatric medicine
  • Primary care innovation
  • Healthcare systems transformation

Background:

  • The Geriatric Interprofessional Team Transformation for Primary Care (GITT-PC) model builds upon the foundational Geriatric Interdisciplinary Team Training (GITT) program.
  • GITT-PC was developed to address the complex needs of older adults within the evolving healthcare landscape.
  • The model incorporates best practices and lessons learned from previous geriatric training initiatives.

Purpose of the Study:

  • To present the Geriatric Interprofessional Team Transformation for Primary Care (GITT-PC) model.
  • To highlight its evolution from an academic program to a financially sustainable model.
  • To demonstrate its applicability in improving care for older adults in primary care settings.

Main Methods:

  • GITT-PC implementation involves interprofessional teams and community providers focused on patient needs and preferences.
  • The model centers on four core geriatric care components: health promotion, chronic disease management, advanced care planning, and transitional care management.
  • Each component is designed to align with Medicare-reimbursable visits.

Main Results:

  • Implementation of GITT-PC facilitates the delivery of evidence-based geriatric care.
  • The model offers primary care practices a significant potential return on investment.
  • Reimbursable services are key to the financial sustainability of the GITT-PC model.

Conclusions:

  • The GITT-PC model represents a successful transition from an academic training program to a financially viable approach.
  • It systematically transforms teams to improve the care of older adults, presenting a clear business case for primary care.
  • The GITT-PC program can be implemented to enhance or expand Annual Wellness Visits (AWVs), including those led by Registered Nurses (RNs).