[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-425806-105":59,"doc-detail-425806-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","lessons-learned-implementation-sustainment-of-a-geriatric-care-model-within-a-changing-healthcare-landscape","Lessons Learned - Implementation & Sustainment of a Geriatric Care Model - Within a Changing Healthcare Landscape","","Rural communities in the United States tend to have older populations and poorer health than urban areas. Telemedicine programs within the VA system, such as GRECC Connect, reduce barriers including limited specialist availability, cost, and travel time for frail older patients. Although telehealth support existed during program initiation, implementation faced challenges from rural staff turnover and technology or Wi‑Fi limitations. GRECC Connect evolved into a mature program focused on sustaining gains in educating rural primary care clinicians and caring for medically complex rural Veterans within a changing healthcare landscape.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/lessons-learned-implementation-sustainment-of-a-geriatric-care-model-within-a-changing-healthcare-landscape/425806/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/lessons-learned-implementation-sustainment-of-a-geriatric-care-model-within-a-changing-healthcare-landscape/425806.png","ImageObject",300,407,{"name":92,"@type":93},"Maya Linwood","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why are telemedicine programs such as GRECC Connect important for rural patients?","Question",{"text":112,"@type":113},"They help reduce barriers common in rural settings, including limited specialist availability, higher costs, and travel time for frail older patients.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What challenges affected GRECC Connect implementation at the start?",{"text":117,"@type":113},"Implementation and dissemination were challenged by rural staff turnover and limitations related to technology and Wi‑Fi access.",{"name":119,"@type":110,"acceptedAnswer":120},"How does GRECC Connect remain effective despite changes in healthcare conditions?",{"text":121,"@type":113},"It has matured into a program focused on maintaining positive gains in educating rural primary care clinicians and supporting medically complex rural Veterans as the healthcare landscape changes.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},425806,1791089855,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","364 Innovation in Aging, 2025, Vol. 9, No. S2  \nWisconsin, United States, 3. James J Peters VA Medical Center, New York, New York, United States  \nAmericans in rural communities tend to be older and in poorer health than their urban counterparts. Telemedicine programs like GRECC Connect, within the VA healthcare system, have proven to reduce healthcare barriers such as limited availability of specialists in rural areas, cost, and travel time for frail older patients. During the initiation of this program, telehealth was widely supported within VA. Even with this support, implementation and dissemination was a challenge with rural staff turnover and limitations of technology and Wi-Fi access as examples. GRECC Connect has become a mature program which has been focusing in recent years on maintaining the positive gains GRECC Connect has made in educating rural primary care clinicians and caring for older medically complex rural Veterans despite the changing landscape of healthcare inside and outside of VA. We will discuss lessons learned in our efforts to sustain GRECC Connect clinical efforts and how these may inform implementation and sustainment of Geriatric models in context of a Value based payment system.  \nAbstract citation ID: igaf122.1230  \nLESSONS LEARNED: IMPLEMENTATION &  \nSUSTAINMENT OF A GERIATRIC CARE MODEL  \nWITHIN A CHANGING HEALTHCARE LANDSCAPE  \nMichelle Rossi1, Steve Barczi2, and William Hung3, 1. VA Pittsburgh Health Care System, Pittsburgh, Pennsylvania, United States, 2. Veterans Health Administration, Madison,","cbCaijPVjYqfxfAS","https://ap.wps.com/l/cbCaijPVjYqfxfAS","pdf",366199,"English","# Lessons Learned: Implementation & Sustainment of a Geriatric Care Model\n## Rural health and healthcare barriers\n## Program challenges during implementation\n## Sustaining clinical and educational gains\n## Implications for geriatric models under value-based payment","[{\"question\":\"Why are telemedicine programs such as GRECC Connect important for rural patients?\",\"answer\":\"They help reduce barriers common in rural settings, including limited specialist availability, higher costs, and travel time for frail older patients.\"},{\"question\":\"What challenges affected GRECC Connect implementation at the start?\",\"answer\":\"Implementation and dissemination were challenged by rural staff turnover and limitations related to technology and Wi‑Fi access.\"},{\"question\":\"How does GRECC Connect remain effective despite changes in healthcare conditions?\",\"answer\":\"It has matured into a program focused on maintaining positive gains in educating rural primary care clinicians and supporting medically complex rural Veterans as the healthcare landscape changes.\"}]","Lessons Learned - Implementation & Sustainment of a Geriatric Care Model - Within a Changing Healthcare Landscape | PDF",1790638387]