THE MIDWESTERN GERIATRIC EDUCATION CENTER

1. THE MIDWESTERN GERIATRIC EDUCATION CENTER FRANK J. PREROST, PhD DIRECTOR

2. Aging Issues • Crisis in the US in expertise to care for the elderly population • Common chronic conditions: Arthritis (49%), Hypertension (36%), Hearing Impairment(36%), Heart disease(27), Orthopedic impairment, cataracts, diabetes • >74 yrs. 10% ADL Limitations; 19% IADL limitation • Mental Health problems often overlooked • 20% mental disorders • Alcohol and medication abuse • Alcohol~25% heavy use; ~10 abuse • 30% 8 or more medications Plus OTC • >65 yrs. 35 million (12.4% of population) in 2000. • 70 million (20.6%) by the year 2030. • Older population is aging and > diversity • Past century: 65-74 yrs. 8x increase; 75-84 yrs. 16 x larger; 85+ 34x larger. • In 2030 1 in 4 ethnic/racial

3. Government Responses • “Aging and Medical Education” • IOM Beeson Report, 1978 • Call for increase in geriatric training • 1987 IOM Report • Geriatrics should become a recognized academic discipline • Certificate of added qualification in geriatric medicine • Center of Excellence strategy • “A National Research Agenda on Aging: Extending Life, Enhancing Life” (IOM, 1991) • Need for new research • “Strengthening Training in Geriatrics for Physicians” (IOM, 1993) • Growth inresources needed (non-physicians) • Expand expectation for primary care physicians • Geriatric training for subspecialties • All physician training include geriatrics

4. Health Care Issues • Geriatricians 5.5 per 10,000 population over 75 years. • Distribution > in East coast, NE, and CA. • 25%of office visits made by persons >64 yrs. • By 2030 30% outpatient, 60% hospital, 95% nursing home practice • Only 27 out of 100+ non-pediatric specialties cover geriatrics (2004) • Medical students not selecting geriatrics • 321 out of 9,780 graduates entered geriatric programs (2000) • Obstacles to geriatric training (Association of Directors of Geriatric Programs-2002) • Lack of senior faculty • Lack of research fellows • Lack of junior faculty • Lack of institutional support • Lack of access to medical school curriculum • Lack of clinical educator • Poor reimbursement

5. GERIATRIC EDUCATION CENTERS (GECs) • Geriatric Education Centers (GECs) are established through competitive federal grants awarded by the Bureau of Health Professions of the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services. • The GECs develop andpresent continuing education programs to faculty and a variety of health care professionals to enhance geriatric care.

6. Geriatric Education Centers • The Geriatric Education Center (GEC) Program provides grants to support collaborative arrangements that involve several health professions schools and health care facilities. Within defined geographic areas, GECs provide educational programs for health care professionals in the diagnosis, treatment, and prevention of disease and other health concerns of the elderly. . • Curriculum development and dissemination - over 1000 products, including elder abuse, ethics, interdisciplinary team care, rural access, teleconferencing, web-based modules, ethnogeriatrics, and improvement of quality care.. • Training and retraining of faculty - It is estimated that about 8.2 million health care providers and 17,000 faculty will need training in geriatrics. The GECs are addressing this need. Finally, the GECs also provide students with clinical training in geriatrics in nursing homes, chronic and acute disease hospitals, ambulatory care centers, and senior centers.

7. Geriatric Education Centers • The national network of Geriatric Education Centers (GECs) are dedicated to improving the education/training, supply, distribution and quality of health care professionals through strong community-academic partnerships. • Serves local communities and, together, the entire country. • Strengthens multi-disciplinary training of health professionals in assessment, chronic disease syndromes, care planning, and cultural competence unique to older Americans. • Has trained well over 450,000 health care professionals from all disciplines to better serve the burgeoning older adult population. • Is Cost-Effective: Low-cost professional geriatric training interventions create competent health care providers who can save taxpayers billions of dollars by making informed health care decisions. • Meets the critical need to prepare the United States health care workforce to care for the underserved, minorities, and aging baby boomers.

8. GERIATRIC EDUCATION CENTERS (GECs) • The Bureau of Health Professions has a mission to provide leadership to improve the training, distribution, utilization, and quality of personnel required to staff the nation’s health care system. • Universities with a medical school are eligible to compete for a GEC.

9. The Midwestern Geriatric Education Center (MidGEC) was established July 1, 2001 through the award of a five year grant. • The MidGEC is one of 41 GECs funded in the U. S. • The MidGEC is mandated to provide service for professionals throughout the State of Illinois.

11. MidGEC: Our mission is to provide preeminent specialized education and training in an interdisciplinary mode to faculty and health care professionals in geriatrics and gerontology in order to enhance the medical and mental health care provided elderly persons with and without developmental disabilities.

12. MidGEC GOALS • CONTINUING EDUCATION: Provide education in an interdisciplinary mode to physicians and other health care professionals of Illinois. • NETWORK DEVELOPMENT: Initiate a forum for faculty, researchers, and health care professionals. • RESOURCE AND CURRICULUM DEVELOPMENT: Develop and disseminate curricula and educational materials. • MENTAL HEALTH EDUCATION: Provide education on the assessment and treatment of emotional and cognitive disorders. • DEVELOPMENTAL DISABILITIES EDUCATION: Provide interdisciplinary education on the medical and mental health care of older adults with developmental disabilities. • MIDLEVEL EDUCATION: Provide specialized education for midlevel health care providers.

13. Accomplishments • In 2004 reached ~1,200 health care professionals. • Co-Sponsored Programs • DuPage County Health Department • Area Health Education Center • Tele Health Network/IL Health Ed Consortium • Illinois Nurses Association • Illinois Osteopathic Medical Society • Illinois Occupational Therapy Association • Illinois Physical Therapy Association • Illinois Academy of Physician Assistants • University of Illinois Department of Family Medicine • University of Illinois Section of Geriatric Medicine • Active Seniors Options • Arthritis Foundation

14. PROGRAMS • CERTIFICATE PROGRAM IN GERIATRICS FOR NON-PHYSICIANS • Fall and Spring • Multiple sites • BIOTERRORISM AND DISASTER PREPAREDNESS FOR LONG-TERM CARE FACILITIES • OMBUDSMAN TRAINING: “HOW TO START A FAMILY COUNCIL AT A LONG TERM CARE FACILITY”

15. TOPICS Sociological Changes Demographics Family Issues Physiological Changes Normal Aging Late Life Health Issues Disease Prevention Medication Issues Death and Dying Medical Ethics Economics Retirement Working with Older Individuals Psychological Change Mental Health Developmental Disabilities and Aging Care Systems for Older Adults Policy Issues Dementia Diversity in Aging SUMMER INSTITUTE in GERONTOLOGY: CERTIFICATE PROGRAM

16. Recent Programs • Clinical Refresher Course: Geriatric Program • “Behavioral Health Issues and Geriatric Sexuality” • “Palliative Care” • “Understanding Severe Psychopathology: Psychosis vs. Neurosis” • “Alzheimer’s Disease Management: Assessment, Treatment Education, and Support”

17. CHRONIC CARE CONFERENCE2005 • Conference Theme: Patient-Centered Care • Keynote Speakers • Thomas Cornwell, M.D. • “House Calls: Improving Patient & Physician Satisfaction and the Bottom Line” • Wendy Lustbader,M.S.W. • “Living as Prescribed: Motivating Compliance in Geriatric Patients” • Cheryl Woodson, M.D. • “Geriatric Assessment in the Community: The Virtual Team” • Workshops Offered: • Detecting and Responding to Elder Abuse & Neglect in Patients • Managing Difficult Behaviors • Substance Abuse and the Geriatric Patient • Medical management of chronic illnesses from a patient centered perspective

18. AGING RESOURCES AND TRAINING SERIES • QUARTERLY PROGRAMS • “Senior Housing” • “Paying for Prescription Medications: Medicare Part D and Changes to Circuit Breaker/Senior Care”

19. RESOURCES • Curriculum Modules • “DEVELOPMENTAL DISABILITIES AND AGING: A TRAINING MANUAL FOR HEALTH PROFESSIONALS” • Best Practice • “DEMENTIA: MEDICAL ASPECTS AND WORKING WITH DEMENTIA PATIENTS” • Videotapes • “EFFECTIVE COMMUNICATION WITH SPECIAL POPULATIONS” • “PAKISTANI AND INDIAN ELDERS LIVING IN A CULTURALLY DIVERSE SOCIETY” • Audiotapes

20. Publications

21. MIDWESTERN CENTER ON AGING • Michelle Lee, Ph.D., Coordinator • Center of Aging strives to provide education to older adults, their families, and the larger community in Illinois on the interdisciplinary aspects of aging. In this manner, the Center on Aging serves as a direct link to the community to enhance and promote geriatric care in Illinois.

22. RESEARCH ACTIVITIES • Bipolar Project • Thresholds: Psychiatric Rehabilitation Centers • Winfield Wood: LTC Residence • Autism Spectrum Disorders Project • Center for Speech and Language Disorders

23. Information • MidGEC Coordinator: Linda Seyler, MPE • Phone: 630-515-6944 • MidGEC Web site: http://midgec.midwestern.edu • NAGEC website: http://www.nagec.org • The GEC Pipeline is a monthly newsletter of the GEC network.

24. Questions?