Testing solutions, advancing care, changing policy
About the Collaborative
Participating Sites

Med-IC is currently working with a group of six competitively selected health systems, each with a track record of excellent geriatric care. Each site is testing one or more innovative programs designed to improve care for Medicare patients with multiple chronic conditions. These challenging patients make up an increasingly significant portion of the hospital population, and their care is complex and expensive. The six sites will serve as “learning laboratories,” testing the feasibility of offering patients access to these evidence-based programs in acute-care inpatient hospital situations.

  1. Geisinger Health System
    Geisinger, a national leader in health system innovation, offers
    cutting-edge programs designed to facilitate effective coordination of health services, supporting independence of frail seniors and helping seniors live life to the fullest. Specialized geriatric services
    already in place include Proven Health Navigator, a medical home model that transforms primary care from transaction to value focus to improve quality and efficiency across the spectrum of care.

    Geisinger has an established Transitions of Care Program fostering
    comprehensive care planning across care settings and preventing hospital readmissions. Palliative Care and other community based programs including home health, hospice and LIFE Geisinger, a program serving nursing home eligible seniors who wish to remain at home are currently part of the Geisinger Aging Portfolio.

    Through the Medicare Innovations Collaborative, Geisinger is expanding geriatric expertise through adoption of NICHE (Nurses Improving Care for Healthsystem Elders) certification at system tertiary care hospitals.

    Pennsylvania is ranked number three in the nation with individuals over the age of 65, and seeks to provide the best care and be prepared to address the anticipated growth needs for aging seniors throughout Pennsylvania.

  2. Carolinas Medical Center-Mercy
    Carolinas HealthCare System (CHS) is one of the leading healthcare systems in the Southeast and serves patients at more than 500 care locations including physician practices, nursing homes, surgical and rehabilitation centers, home health agencies and other facilities. The leadership of CHS and CMC-Mercy is strongly committed to becoming the hospital of choice in the Charlotte area for seniors and their families. CMC-Mercy already offers a program of palliative care and is actively developing a portfolio of senior services including NICHE and Care Transitions Intervention.

  3. Crouse Hospital
    The Senior Centered Care program at Crouse Hospital is known for excellence and innovation in the care of senior patients. Senior Centered Care seeks to prevent the complications that senior patients are at risk for while in the hospital, referred to as geriatric syndromes. Staff members, including 40 geriatric resource nurses, along with volunteers, work with patients to maintain physical mobility, provide company and mental stimulation and assist with transition out of the hospital, as well as end-of-life care. Specialized geriatric services already in place at Crouse include the Care Transitions Intervention, Palliative Care, NICHE, and HELP. We are in the process of adding the ACE model as well, and working to integrate all these models for the best possible geriatric care.

  4. Lehigh Valley Health Network
    At Lehigh Valley Health Network, our care for older adults sets us apart, prompting U.S. News & World Report to recognize us as one of America's Best Hospitals for geriatrics. Our geriatricians received special education to understand the aging process and how it affects your health. We are the region's largest Level I Trauma Center for adults, and the only one that specializes in care for older adults. Our Center for Healthy Aging is a one-stop resource for information, activities and social events. And Our Vitality PLUS program helps older adults stay healthy and active. Our program already includes palliative care, and we are actively exploring adopting the NICHE program to continue to improve our service line for older adults."

  5. Aurora Sinai Medical Center
    Aurora Health Care system is a not-for-profit integrated health care system headquartered in Milwaukee, Wisconsin. Established in 1984, Aurora has become a nationally recognized leader in efforts to improve the quality of health care. Aurora has sites in more than 90 communities throughout eastern Wisconsin, including 14 hospitals, more than 140 clinics and over 80 community pharmacies.

    Aurora is committed to providing the best care for seniors by helping to meet the physical, emotional and social challenges that can come with longevity. Our professionals specialize in meeting the needs of older adults, allowing Aurora to offer some of the most effective and innovative senior programs available. Acute Care for Elders, or ACE, opened at Aurora Sinai Medical Center opened in September 2000, working to decrease the risk of functional decline that sometimes occurs during hospitalization of patients who are frail and/or have memory loss. Since that time, we have developed over 30 ACE Programs at 11 Aurora hospitals. We have also developed the ‘ACE Tracker’ tool, working with the electronic medical record to identify areas of risk for senior patients in real time.

    Through the Medicare Innovations Collaborative, Aurora Health Care will provide technical expertise to other health care providers that want to develop Acute Care for Elders programs, and hopes to expand its existing offerings in palliative care and the Hospital Elder Life Program, or HELP, designed for patients who are at risk for developing delirium. We are also exploring further participation in the NICHE Program (Nurses Improving Care for Health System Elders).

  6. University Hospitals Case Medical Center
    Thomson Reuters has named University Hospitals (UH) one of the top-ten health systems in the nation. Our health system focuses on providing compassionate, high-quality, patient-centered medical care at locations throughout Northeast Ohio. Our flagship 1,032-bed tertiary medical center, University Hospitals Case Medical Center (UHCMC), is the primary teaching affiliate of Case Western Reserve University School of Medicine (Cleveland, Ohio).

    Our mission, To Heal, To Teach, and To Discover, requires a continuous and on-going commitment to excellence. UH offers an innovative integrated delivery system to patients. Our Senior Service Line programs/initiatives aim to integrate comprehensive, collaborative and well-coordinated senior care services across the community continuum of care.

    University Hospitals Case Medical Center (UHCMC), is a designated NICHE (Nurses Improving Care for Hospitalsystem Elders) and Magnet hospital. Our Senior Service Line is extending NICHE system-wide in an effort to improve the overall quality of care and quality of life for older adults (teaching). It is also the first hospital in the USA to have an Acute Care for the Elderly (ACE) unit.

    Through Med-IC, UH is also engaged in three additional programs: our House Calls Program; Transitional Care; and our newest program, Palliative Care, which provides consultative care to medical and surgical patients with serious illness and suffering.