F A L L 2 0 1 9 N E W S L E T T E R @UofUUGEC @UofU_UGEC W W W . U T A H G W E P . O R G GERIATRIC EDUCATION CONSORTIUM

OVERVIEW The Utah Geriatric Education Consortium received another 5 years of funding as a Geriatric Workforce Enhancement Program from the Health Resources and Services CONTENT Agency (HRSA). First funded in 2015, the UGEC aimed to enhance primary and geriatric care in 20 nursing homes in Utah through educational programs for students and nursing home providers and staff. The new funding which began July 1, 2019 allows us to expand 02 - Upcoming programs across the Long-Term Services and Supports (LTSS) settings. To do so, we Events & HIghlights welcome new clinical partners – the Ensign Group, Community Nursing Services, Legacy Retirement Communities and Aspire Home Health & Hospice – to join with our established partners - Mission Health Services and Avalon Health Care. We are excited to partner with Comagine Health, the , the Salt Lake Veterans Affairs Geriatric Research Education and Clinical Center, the Utah Commission on Aging, Utah 03 - Program Department of Health, the Utah Chapter of the Alzheimer’s Association, and the Utah Updates Health Care Association. Read more about our partners on page 4.

The focus of UGEC programs will be on the 4 M’s of Age Friendly Health Systems – mobility, medications, mentation and what matters most. We are pioneers in bringing the 04 - Our Partners Age Friendly Health System Movement to Long Term Services and Supports settings! We will continue some of our programs, such as the Nurse Residency Program and the Learning Communities; however, they are being updated and expanded. We are planning some new programs as well such as hosting Fireside Chats with our partners to discuss aging issues, particularly Alzheimer’s Disease and Related Dementia. Read more about 05 - Meet Our some of our programs on page 3. Faculty The next five years in Health Care are going to bring many changes. Our goal is to support our partners and make the lives of older adults in LTSS better. Please contact me with ideas about how we can do so! 09 - UGEC Grant Team Thank you for joining us on this journey.

Linda S. Edelman PhD, RN UGEC Program Director This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1QHP28741. UPCOMING EVENTS HIGHLIGHTS **If you would like to join the GWEP list serv, which sends out related events and information, please email [email protected]**

Learning Community Presentations (2:00 PM-3:00 PM) December 19, 2019 January 16. 2020 February 20. 2020 March 19, 2020 April 16. 2020 Congratulations to our most recent May 21, 2020 Faculty Fellow, Katarina Felsted, for June 18, 2020 receiving the 2019 Rising Star Early

Fireside Chat Career Faculty Award from The December 4, 2019 Time TBA Gerontological Society of America! This Legacy Village at Sugar House award recognizes new faculty whose We look forward to offering this quarterly series teaching and/or leadership stands out centered around ADRD, age-friendly health systems as impactful and innovative. and dementia-friendly topics. The first fireside chat presentation is "Screening for Depression, Delirium and Dementia". Nursing students enjoy nursing home rotation Nurse Residency Program Bootcamp At the University of Utah College of January 16, 2020 Time TBA Nursing, 3rd semester nursing students Central Utah Veterans Home 1551 N Main St spend six weeks in Global Health Payson, UT 84651 Nursing. They have the The UGEC Nurse Residency Program will be having opportunity to work and learn from nurse our kick-off event to meet all the new nurse residents preceptors in the community. Several of and explain the program in its entirety. We are excited the students will have the opportunity to to start with this new cohort of nurse residents! Thank spend time at the SLC Veterans Nursing you to Avalon Health Care for letting us use their Home. This rotation has been identified beautiful Payson facility for this event! by past clinical students as "one of their

favorite clinical sites", and they "loved

working with the veterans". Here's

Kaitlyn and Eliza (undergraduate students) along with Midge (Masters of Nursing Student) visiting with Frankie (resident tortoise) at the facility.

2 PROGRAM UPDATES NURSE RESIDENCY- NANCI MCLESKEY Our Nurse Residency Program (NRP) team (U of U CON and Comagine) are excited to again have the opportunity to work with our partners Mission and Avalon and to also work with our new partner Ensign in educating Long-term Care nurses in caring for the older adult. As the co-director of the program, I'm pleased to welcome Jacquie Telonidis (U of U) who will be working on the NRP curriculum/course and Joan Gallegos, Julie Wagner and Gina Dorsan (Comagine) who will be educating and guiding the nurses in completing a quality improvement project during the course. Mid-January there will be a Boot Camp to kick-off the Nurse Residency Program and the NRP course will begin. The course will run from mid-January to mid-May followed by a graduation/retreat. Please stay tuned for more updates! ALZEIMER'S DISEASE AND RELATED DEMENTIAS (ADRD)- KARA DASSEL The UGEC hosted two American Indian focused dementia caregiver conferences in September 2019. The first conference was held in Cedar City in conjunction with Four Points Health. The second conference was held in Montezuma Creek in conjunction with Active Re-Entry. The focus of these conferences was on providing general information about dementia (e.g., diagnosis, cognitive and behavioral symptoms, etc.), discussing how to manage caregiver stress, and introducing attendees to local services focused on dementia care and respite. We received positive feedback from both conferences and were invited to come back again to conduct more trainings.

LEARNING COMMUNITY- CHERIE BRUNKER UGEC expands to include Home Care & Hospice and Assisted Living, with Community Nursing Services (CNS) Home Health & Hospice Care, and Legacy Village at Sugar House joining our group. We also welcome The Ensign Group and our present PALTC partners, Avalon Health Care and Mission Health Services. These sessions are on the 3rd Thursday of each month from 2-3 pm through the Zoom conferencing platform. Our next presentation on Thursday, November 21, 2019 is Dr.'s A. Enrique Varela and Lea Erickson discussing strategies for maintaining oral health in people who have lost/are losing capacity for self-care. For instructions on joining, please contact Jacquie with any questions: [email protected].

IPE STUDENTS- SUE CHASE-CANTARINI The Utah Geriatric Education Consortium (UGEC) Interprofessional Education (IPE) in Long-Term Care Immersion course, NURS 5285/6285, is designed to enhance students’ understanding of IPE care for older adults in long-term care settings through an interactive immersion. Students will also receive instruction on historical and current trends in caring for older adults. During their rotation, nursing home staff will lead case-based discussions on coordinating a team of health care professionals in the care older adults with multiple chronic conditions. An interdisciplinary group of students will visit the Salt Lake Veterans home for a four-hour clinical immersion experience from 11am to 3pm on the following dates: Friday, March 6, 2020 and Friday, March 27, 2020.

INDIGENOUS PEOPLES CONSORTIUM- LINDA EDELMAN The UGEC will partner with seven other GWEPs participating in the Indigenous Peoples Age-Friendly Health Care Consortium. The purpose of the consortium is to identify the essential elements of age-friendly AI/AN/Native Hawaiian and Pacific Islander healthcare and to share best practices for training local service providers, older adults, and families in age-friendly, culturally competent care for indigenous people. This year UGEC faculty are meeting with American Indian tribes and individuals across Utah to better understand the needs of aging elders and their families. If you are interested in learning more about this exciting and important initiative, please contact Linda Edelman at [email protected]. 3 OUR PARTNERS Without our partners, our work would not be possible. We are excited to move our project forward with them!

Avalon Heath Care's care legacy is based on personal Comagine Health, formerly Qualis Health and HealthInsight, integrity and a commitment to provide compassionate, is a national, nonprofit, health care consulting firm. They work responsible, quality services to over 50 communities that they collaboratively with patients, providers, payers and other serve. They strive to provide industry-leading care in a patient- stakeholders to reimagine, redesign and implement centered environment and they embrace a reverence for life sustainable improvements in the health care system. As a and a heart for healing. Avalon’s comprehensive senior care trusted, neutral party, Comagine Health works in services include: skilled nursing, senior living, pharmacy, communities to address key, complex health and health care rehabilitation therapy and hospice services. delivery problems.

Mission Health Services (MHS) is Utah’s premier long-term Community Nursing Services (CNS) provides compassionate healthcare services provider. Founded in 1990, MHS is a home health and hospice care to patients and families who community-based, non-profit organization. Since 2008, have experienced illness or injury – all in the comfort of the Mission care communities have committed to The Eden patients' home. Other services provided through CNS are Alternative philosophy. Striving to improve the wellbeing of respiratory services, infusion pharmacy and durable medical Elders and those who care for them, they are transforming equipment and mobile vaccination clinics. The highly skilled the communities in which they live and work. In 2012, 2013, CNS team is comprised of nurses, social workers, chaplains, 2015, 2017, & 2019 Mission Health Services received the physicians and home health aides who truly care about driving designation as the “Best Skilled Nursing Facilities” in the quality clinical outcomes and a positive patient experience. state of Utah.

Legacy Retirement Communities has been caring for seniors Aspire is a team of caring professionals serving Salt Lake and their families since 1996. THey are a premier provider of City designed to provide seniors with thoughtful, dignified, Independent Living, Assisted Living, Memory Care and comfortable hospice and home care services. They have Rehabilitation services. They are built with seniors in mind and been in the community for over a decade and know how to are committed to quality, Legacy Retirement Communities work with physicians to carry out quality home health care. offers professional caregivers and associates, personalized They are also senior health advocates that cut out the care and the Personal Touch philosophy. common confusion associated with hospice service.

We would like to thank our other partners for the work they do to help us achieve our goals: Utah Area Health Education Center (AHEC), VA, Utah Telehealth Network, Alzheimer's Association- Utah Chapter, Utah Department of Health, Utah Commission on Aging, Utah HealthCare Association, Utah Association for Home Care and the Urban Indian Center of Salt Lake!

4 MEET OUR FACULTY We appreciate all of our faculty and the hard work they put into our programs!

Linda S. Edelman, PhD, RN Dr. Edelman is the Utah Geriatric Education Consortium Director. She is an Associate Professor in the University of Utah College of Nursing. She is a John A. Hartford and Atlantic Philanthropies Clare M. Fagin Fellow and in November 2019 was designated as a Distinguished Educator in Gerontological Nursing by the National Hartford Center of Gerontological Nursing Excellence. Dr. Edelman grew up in rural Kansas, the first member of her family to go to high school. Therefore, her love of rural communities fuels her research and teaching passions. She is also the program director for another HRSA program, the Nurse Education, Practice, Quality and Retention Program which aims to increase the capacity and competencies of primary care nurses working in rural and underserved Utah.

Troy Andersen, PhD, MSW, MS, LCSW Troy Christian Andersen is an Associate Professor/lecturer in the College of Social Work at the University of Utah. Dr. Andersen has expertise in geriatric social work and extensive clinical experience in working with older adults with dementia. He received his PhD in Social Work with an emphasis in developing proactive dementia care services for individuals in the early stages of the disease and other aging related topics.

Jim Ballard, PT, DPT, GCS, WCS Jim has been a faculty member in the Department of Physical Therapy at the University of Utah since 2004. He is a clinical assistant professor and the clinical director of the University Balance and Mobility Clinic. In the entry level physical therapy curriculum he teaches: management in geriatrics, men’s and women’s health and wellness and assists in teaching vestibular rehabilitation. Jim is a board certified clinical specialist in geriatric and women’s health physical therapy. His chief clinical interests are Parkinson’s disease rehabilitation, balance training, vestibular rehabilitation and male and female pelvic floor muscle rehabilitation.

Cherie Brunker, MD Dr. Brunker is Chief of Geriatrics at Intermountain Medical Center and Adjunct Faculty of Geriatrics at the University of Utah. She is board certified in Geriatrics and in Hospice & Palliative Medicine. She has led team-based geriatric education and quality improvement programs with support from the John A. Hartford, the D.W. Reynolds and the Foundations. As a Certified Medical Director in Post-Acute & Long-Term Care, she teaches interprofessional trainees in the nursing home setting and has facilitated the UGEC monthly learning sessions.

Jorie Butler, PhD Jorie Butler is an Assistant Professor at University of Utah in the Department of Internal Medicine, Division of Geriatrics. Dr. Butler is the Associate Director of Education and Evaluation at the Geriatric Research Education and Clinical Center (GRECC) and an investigator in the IDEAS Center of Innovation at the Salt Lake City VAMC. A Health Psychologist by training, Dr. Butler’s expertise includes qualitative and survey methods. Her research is focused on relational and contextual factors associated with shared decision making, patient centered care, and clinician decision making across care environments.

5 MEET OUR FACULTY Sue Chase-Cantarini, DNP Sue Chase-Cantarini, DNP RN is an Assistant Professor at the University of Utah College of Nursing. Her primary teaching responsibility is with undergraduate nursing students teaching a variety of courses using an assortment of modalities: online, simulation, clinical and classroom. For the past five years, she has been active in every phase of the Inteprofessional Education (IPE) program from curriculum development, facilitating case-based session and evaluation. Currently, she is the RN-BS Program Director and lead Instructor for the pre-licensure Capstone course.

Nick Cox, PharmD BCACP Dr. Cox completed his undergraduate studies at the College of Eastern Utah and earned his of Pharmacy degree from the University of Utah. He completed a Pharmacy Practice residency and an Ambulatory Care residency at University of Utah Health. He is now an Assistant Professor at the University of Utah and a clinic pharmacist at the University of Utah Health Westridge Health Center. The majority of chronic pain management occurs within primary care clinics, and as an ambulatory care pharmacist in a primary care setting, Dr. Cox works with patients and providers daily to help manage chronic pain, including in older adults. He has published research in family medicine and pharmacy journals on pharmacist engagement in chronic pain in the primary care setting. Kara Dassel, PhD Kara Dassel is an associate professor in the Gerontology Interdisciplinary Program in the College of Nursing at the University of Utah. Before beginning her current position, Dassel served as an affiliate faculty member at several institutions. Her research interests focus on Alzheimer’s disease and related dementias (ADRD) in regards to diagnosis, end-of-life care, and caregiver health outcomes. Nationally, she is a Fellow in both the Gerontological Society of America (GSA) and the academy for Gerontology in Higher Education (AGHE). On a community level Dassel has served on the professional advisory board of State Chapters of the Alzheimer’s Association since 2013. Lea Erickson, DDS, MSPH Lea Erickson completed a General Practice Residency at the Salt Lake VA and a Fellowship in Geriatric Medicine and Dentistry at the University of Utah. At the Salt Lake VA, she served as Dental Service Chief, taught residents, and designed and directed a fellowship in geriatric dentistry. In an adjunct role, she taught dental hygiene students at Idaho State University, and Salt Lake Community College and dental residents at the University of Utah. She is now a full time faculty member in the School of Dentistry teaching courses in geriatric dentistry and patient assessment/treatment planning, and she serves as Associate Dean for Education and Student Life. Tim Farrell, MD, AGSF Dr. Timothy Farrell is Associate Professor of Medicine and Adjunct Associate Professor of Family Medicine at the University of Utah School of Medicine, and is a Physician Investigator at the VA SLC Geriatric Research, Education, and Clinical Center. He also serves as Director of the U of U Health IPE and in this role collaborates with the National Center for Complex Health and Social Needs to lead one of four US Hotspotting Hubs. He is a prior recipient of a HRSA Geriatric Academic Career Award (GACA) and was also a 2016-17 Leadership Scholar in the Tideswell/AGS/ADGAP Emerging Leaders in Aging Program. He maintains a geriatrics primary care practice at the University of Utah Madsen Geriatrics Clinic. Valerie Flattes, PhD Valerie Flattes is an adult nurse practitioner and gerontologist. She chose to specialize in geriatrics early in my nursing career and never regretted that decision. Valerie serves as the specialty track director of the Adult Gerontological Primary Care Nurse Practitioner program and as a nurse educator and advisor for DNP students for GWEP. She has fulfilled this position since the College of Nursing received its initial GWEP funding. 6 MEET OUR FACULTY

Trenton Honda, PhD, PA-C Dr. Honda is the Division Chief for the Division of Physician Assistant Studies in the Department of Family and Preventive Medicine and has been an NP and PA educator for the last 10 years. In addition to his PA credential, Dr. Honda has a PhD in Environmental Epidemiology, with major research interests include identifying and quantifying risk factors of cardiovascular disease, concentrated on quantification of associations of air pollution exposures and a number of clinical conditions that may represent causal intermediates between environmental exposures and clinical cardiovascular outcomes. He regularly present and publishes on: 1) clinical public health issues, 2) strengthening connections between public health and clinical medical practice, 3) medical educational research, and 4) quantifying, and developing interventions to improve, disparities in access to graduate medical education.

Jeanette Koski, OTD, OTR/L Jeanette Koski graduated with an MS in Occupational Therapy from the University of Indianapolis in 1998, after completing a BS at the University of Utah in 1996. She obtained her OTD in 2015 from the University of Utah. She has worked with adults in neuro-rehabilitation settings since that time. She started teaching as an adjunct faculty member in 2006, and became a full time professor in 2008. In addition to teaching, she is the academic fieldwork coordinator and enjoys meeting occupational therapists across the state and country and providing them with support as they mentor students on their internships.

Nanci McLeskey, DNP, MCG, MDiv, RN-BC, CHPN, FNGNA Nanci McLeskey, joined the University of Utah College of Nursing (CON) in January 2012. She is an Assistant Professor at the College of Nursing at the University of Utah, teaching in the Gerontology Interdisciplinary Program and in the undergraduate nursing program. Prior work experience includes: 20+ years as an intensive care unit and medical-surgical nurse, a Alzheimer’s director in an assisted living facility, nurse educator in long-term care, and a geriatric nurse educator in the Division of Geriatrics, University of Utah School of Medicine. Dr. McLeskey is board certified in Gerontological Nursing and in Hospice and Palliative Care Nursing. Recently Dr. McLeskey became the recipient of the Distinguished Gerontological Nurse Educator Award by the National Hartford Center for Gerontological Nursing Excellence (NHCGNE).

Jane Price, Instructional Designer Before becoming an Instructional Designer, Jane spent 15 years teaching international students at the University of Texas, University of Utah and in Seoul, South Korea. She then spent five years designing online ESL courses for the Government of Mexico, Powerspeak Languages and Pearson Education. Jane’s eclectic background includes internships as a speech-language pathology graduate student at Healthsouth Rehab and the Oklahoma City VA Hospital. Jane served as the Mountain Chair for Area 11 of the Handbell Musicians of America, managed the Rough Drafts Polka Band, and currently performs with and runs the website for the Salt Lake Symphonic Winds.

Rand Rupper, MD, MPH Rand Rupper, MD, MPH, is a geriatric physician and health services researcher at the Salt Lake VAMC and an Associate Professor at the University of Utah. He is a member of the Utah Digital Health Commission. Dr. Rupper's work focuses on improving care delivery and access for older, rural patients, and improving resources for their family caregivers. He has led large, randomized clinical trials that included providing cancer navigation services to Native American populations across the Intermountain West, and providing telehealth based dementia care-management to caregivers of Veterans with dementia.

7 MEET OUR FACULTY Kathie Supiano, PhD, LCSW, APHSW-C, F-GSA, FT, APHSW-C Kathie Supiano is an Associate Professor in the College of Nursing (CON), and the director of Caring Connections: A Hope and Comfort in Grief Program at the University of Utah CON. She teaches Interdisciplinary Approaches to Palliative Care for graduate students in Pharmacy, Social Work and Nursing, and Geriatric Care Management. Dr. Supiano’s research is in clinical interventions in complicated grief, prevention of adverse grief outcomes, suicide survivorship, overdose grief and prison hospice. She has been a practicing clinical social worker and psychotherapist for over 35 years. Her clinical practice has included care of older adults with depression and m ultiple chronic health concerns, family therapy, end-of-life care, and bereavement care. Mark Supiano, MD, AGSF Dr. Supiano holds the D. Keith Barnes, M.D. and Dottie Barnes Presidential Endowed Chair in Medicine and is Professor and Chief of the Geriatrics Division in the University of Utah School of Medicine. In addition, he directs the VA Salt Lake City Geriatric Research, Education and Clinical Center (GRECC) and the University of Utah Center on Aging. He received his MD from the University of Wisconsin and training in Internal Medicine and Geriatric Medicine from the . He was a University of Michigan faculty member prior to joining the Utah School of Medicine faculty in 2005. Throughout his career, Dr. Supiano has responded to the demographic imperative of the aging population in his clinical practice of Geriatric Medicine, in conducting patient-oriented clinical research and in a commitment to medical education and research mentoring. His patient-oriented research program in vascular aging has been continuously funded beginning with an NIA Academic Award in 1988. Gail Towsley, PhD Gail Towsley, PhD, is an Associate Professor at University of Utah College of Nursing. She received her MS in gerontology and PhD in nursing at University of Utah. She completed postdoctoral fellowships focused on individualized care of older adults at Polisher Research Institute and University of Pennsylvania School of Nursing. As a gerontologist and licensed nursing home administrator, Dr. Towsley’s professional goal is to conduct interdisciplinary applied aging research that advances scientific knowledge about palliative care in long-term care settings and informs new approaches to enhancing communication among residents, families, and staff to provide person-centered care.

GWEP STAFF Nancy Nelson, MBA-MHA, CCRC Jacqueline Telonidis, MS Program Manager Nancy received her MBA in Healthcare Curriculum Coordinator Administration from Western Governors University Jacquie Telonidis is the new curriculum and her BS in Health Education and Promotion from coordinator for GWEP UGEC, and will the U of U. She is a Certified Clinical Research support faculty with development, Coordinator with over ten years of experience in management and dissemination of their Pediatrics, Neurology, Epidemiology, Public Health, training programs, including fostering and Pediatric Cardiology. She has extensive collaboration with our community experience with grant writing and management and stakeholders and affiliate partners. has been with the College of Nursing since July 2017. Sindy Chiu, MS, BSN, RN Harper Vander Hoek, MPH, CPH Evaluation Assistant Administrative Proogram Coordinator Since joining the U in 2015, Sindy has enjoyed a variety of roles within the College Harper graduated with her MPH in May of 2019. She of Nursing, including research assistant, began as the GA for the GWEP and loves what this teaching assistant, and simulation grant's programs provide for the community. Outside confederate. She just graduated with her of work, she enjoys fitness and spending time with Masters in Nursing Informatics. Outside of her dog and husband. work, she enjoys hiking, photo editing, and 8 traveling. UGEC GRANT TEAM

Content Expert- Gerontology Project Director: Linda Edelman, Interdisciplinary Program: Content Expert- PA IPE PhD, RN Valerie Flattes, PhD Trenton Honda, PhD, PA-C [email protected] [email protected] 801- [email protected] 801-585-9187 585-0719 Content Expert- Nursing IPE: Sue Chase-Cantarini, DNP Program Manager: Nancy Nelson Evaluation Assistant [email protected] [email protected] 801-585-9642 Sindy Chiu, MS, RN 801-587-9127 [email protected] Content Expert- Gertontology Evaluation Lead: Jorie Butler, PhD, Interdisciplinary Program: RN Gail Towsley, PhD [email protected] [email protected] 801-582-1565-Ext-1964 801-585-9085

LTSS & Community Advisory Patient Impact Co-Lead Board Chair: Mark Supiano, MD Joan Gallegos, MSW, RN, [email protected] Comagine 801-581-2628 [email protected]

LTSS Workforce Co-Lead: Curriculum Coordinator: Nanci McLeskey, DNP, MCG, Jacqueline Telonidis, MS MDiv, RN-BC, CHPN, FNGNA [email protected] [email protected]

Administrative Coordinator: LTSS Workforce Co-Lead: Harper Vander Hoek, MPH, Cherie Brunker, MD CPH 801-408-5356 [email protected] (801) 587-1255 Community Programs Lead Kara Dassel, PhD Intructional Designer [email protected] 480- Jane Price 544-1188 [email protected]

Interprofessional Education Lead: Timothy Farrell, MD, AGSF Content Expert- Pharmacy IPE 801-581-2628 Nicholas Cox, PharmD [email protected]

Content Expert- Community Programs: Rand Rupper, MD, MPH Content Expert- PT IPE 801-584-2522 D. James Ballard [email protected]

Content Expert- Community Programs: Kathie Supiano, PhD Content Expert- Dentistry IPE [email protected] Lea Erickson, DDS, MSPH 801-581-2322 [email protected]

Content Expert- Community Programs, Social Work, IPE: Troy Christian Andersen, PhD, MSW, MS, LCSW Content Expert- OT IPE [email protected] 801- Jeanette Koski OTD, OTR/L 587-5354 [email protected]

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