Geriatric Interprofessional Team Transformation for Primary Care overview.

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).