This application proposes a program to address the needs of elders, families, and caregivers by developing and integrating geriatrics and interprofessional teamwork into primary care systems. The five health affairs schools (dentistry, nursing, pharmacy, public health, and medicine including allied health) and the clinical social work program at the applicant organization, the University of North Carolina at Chapel Hill, will collaborate with two community-based partners—Piedmont Health Services, Inc. (PHS) and the North Carolina Area Health Education Centers (AHEC) Program—to deliver geriatrics education and clinical training, including education and training in Alzheimer’s care at sites that are rural, underserved, and with diverse patient populations. PHS is a 330(e) Federally Qualified Health Center grantee organization of the Bureau of Primary Health Care charged with reducing barriers to care for underserved populations. PHS operates 8 community health centers and a Centers for Medicare and Medicaid Services (CMS)-deemed Program for All-Inclusive Care of the Elderly (PACE) . AHEC sites with a high proportion of underserved clients will also provide clinical experiences for trainees. Three AHECs ( Charlotte, Southeast, and Wake) will collaborate in integrating geriatrics into primary care. The remaining six AHECs in the system are joining he effort as well to provide continuing education services. They will be joined by the North Carolina American Indian Health Board to bring education and training in geriatrics, including Alzheimer’s disease and related disorders (ADRD), to targeted populations. Extensive geriatrics training will occur at the participating schools within UNC, at PHS sites and at AHECs, using both local interprofessional teams and online curricula to reach students and a broader workforce in addition to trainees in geriatric nursing, who will be specifically funded by this grant. Partnerships with the North Carolina Division of Aging and Adult Services, senior centers, and congregate meal sites will allow the program to reach out to community-based resource centers and programs to extend knowledge and skills in elder care to patients and their families and caregivers. As a result of this project, primary care practices in the CGWEP will document when geriatric assessment and interventions are appropriate and improve the frequency with which they are performed; partners in the CGWEP will provide education and training to patients, families, and direct care workers on geriatric screening and syndromes, especially ADRD, to increase their ability to manage elders’ chronic health conditions; and primary care providers who participate in the CGWEP will demonstrate increased confidence in their ability to work as part of an interprofessional team to provide high quality, appropriate care for their older patients.
Effective start/end date7/1/156/30/18


  • HRSA Bureau of Health Professions (BHP)


Primary Health Care
Health Services
Area Health Education Centers
Alzheimer Disease
Geriatric Nursing
Senior Centers
School Dentistry
Geriatric Assessment
Community Health Centers
School Nursing
Centers for Medicare and Medicaid Services (U.S.)
North American Indians
Organized Financing
Quality of Health Care