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Since 1975, GRECCs have supported discovery and innovation across 20 connected VA medical centers and academic institutions. In 1990, the Geriatrics and Extended Care service line expanded evidence-based, patient-centered programs to prevent disability and promote independence. VA investments have driven clinical innovations that influenced standard practice beyond VA through research, education, and translation into evidence-based care.",{"@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/understanding-the-tradition-and-impact-of-va-innovation-to-geriatric-care/423268/",{"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/understanding-the-tradition-and-impact-of-va-innovation-to-geriatric-care/423268.png","ImageObject",300,407,{"name":92,"@type":93},"Emma Wilson","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},"When were the Geriatric Research, Education, and Clinical Centers (GRECCs) established, and what is their role?","Question",{"text":112,"@type":113},"GRECCs were established in 1975. They function as engines of discovery and innovation, testing and developing care models connected to academic medical institutions at VA medical centers.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did the Geriatrics and Extended Care (GEC) service line expand geriatric care in 1990?",{"text":117,"@type":113},"Created in 1990, the GEC service line expanded access to comprehensive, evidence-based, patient-centered care. Its focus includes preventing disability and promoting independence for older adults, including Veterans and their families/caregivers.",{"name":119,"@type":110,"acceptedAnswer":120},"What impact did VA’s sustained investments have on healthcare beyond the VA system?",{"text":121,"@type":113},"VA’s clinical innovations became standard practice not only within VA but also in broader healthcare settings. Many VA programs also predated similar initiatives in Medicare and private-sector efforts.","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},423268,1790767328,{"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},3848291630094,"https://eur-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Innovation in Aging, 2025, Vol. 9, No. S2 145  \nAbstract citation ID: igaf122.481  \nUNDERSTANDING THE TRADITION AND IMPACT OF  \nVA INNOVATION TO GERIATRIC CARE  \nLea Kiefer1, Caroline Madrigal2, Caitlin Kappler3, Katherine Hall4, Katherine Ritchey5, Nihar Shetty1,  \nAnne Wang1, and Priya Bapna1, 1. Michael E. DeBakey VA Medical Center, Houston, Texas, United States, 2. VA Boston Healthcare System, Boston, Massachusetts, United States, 3. Durham Veterans Affairs, Durham, North Carolina, United States, 4. Veterans Health Administration, Durham, North Carolina, United States, 5. Department of Veterans Affairs, Seattle, Washington, United States  \nThe Department of Veterans Affairs (VA) has been a leader in geriatric care since the aftermath of World War I, pioneering specialized programs to meet the needs of aging Veterans. In 1975, Congress established the Geriatric Research, Education, and Clinical Centers (GRECCs) . There are currently 20 GRECCs located in VA medical centers across the country, and each is connected with an academic medical institution. The GRECCs are the engines of discovery and innovation, and have been testing and developing models of care nearly a decade before similar programs/initiatives emerged in Medicare. This commitment deepened in 1990 with the creation of the Geriatrics and Extended Care (GEC) service line, which expanded access to comprehensive care focused on preventing disability and promoting independence for older adults through evidence-based, patient-centric programs and services for Veterans and their families/caregivers. VA’s sustained investments in geriatric care resulted in numerous clinical innovations that became standard practice, not only within the VA system but also in broader healthcare settings. Many programs predated similar private sector initiatives, exemplifying VA’s proactive approach to meeting the evolving needs of the nation’s aging population. VA has a rich history of pioneering advancements in geriatric care and has played a crucial role in translating research into evidence-based practices. By examining the evolution of VA’s geriatric initiatives and their collaboration with community-based initiatives, we can see how VA continues to shape the future of geriatric care –leveraging research, education, and clinical innovation to meet the evolving needs of the Veteran population.","cbCaisEXxFzlLuo8","https://ap.wps.com/l/cbCaisEXxFzlLuo8","pdf",191074,"English","# Background of VA leadership in geriatric care\n# Establishment and role of GRECCs\n# Expansion through GEC service line\n# Clinical innovations and broader healthcare impact\n# Translating research into evidence-based practice","[{\"question\":\"When were the Geriatric Research, Education, and Clinical Centers (GRECCs) established, and what is their role?\",\"answer\":\"GRECCs were established in 1975. They function as engines of discovery and innovation, testing and developing care models connected to academic medical institutions at VA medical centers.\"},{\"question\":\"How did the Geriatrics and Extended Care (GEC) service line expand geriatric care in 1990?\",\"answer\":\"Created in 1990, the GEC service line expanded access to comprehensive, evidence-based, patient-centered care. Its focus includes preventing disability and promoting independence for older adults, including Veterans and their families/caregivers.\"},{\"question\":\"What impact did VA’s sustained investments have on healthcare beyond the VA system?\",\"answer\":\"VA’s clinical innovations became standard practice not only within VA but also in broader healthcare settings. Many VA programs also predated similar initiatives in Medicare and private-sector efforts.\"}]","UNDERSTANDING THE TRADITION AND IMPACT OF VA INNOVATION TO GERIATRIC CARE | PDF",1790630633]