About our teams
The OHSU Ambulatory Geriatrics Program provides primary and consultative care to older adults across the state of Oregon and beyond. All 12 of OHSU's Internal Medicine and Geriatrics Primary Care sites are recognized as an "Age-Friendly Health System – Commited to Care Excellence” by the Institute for Healthcare Improvement. This distinction notes that OHSU:
- Is guided by an essential set of age-friendly, evidence-based practices across the 4Ms (What Matters, Medication, Mentation, and Mobility);
- Causes no harm; and
- Is consistent with What Matters to the older adult and their family.
We are honored to receive this recognition! Thanks to all of our providers, care givers, and staff for contributing to our success.
Inpatient Geriatrics Care
The OHSU Inpatient Geriatrics Program has been providing high quality geriatric care for older adults admitted to our hospital since 2015. Our team of geriatric specialists works hand in hand with medicine and surgical teams to reduce the hazards posed to older adults from the hospital environment and to adapt their care to their unique needs. We work with interdisciplinary teams to coordinate ongoing care needs after the hospital and make connections to primary care and other outpatient specialists with the goal of a smooth transition home. We also advocate for and assist with individualized advance care planning to ensure the care received supports the goals of every patient and their loved ones. Our team works side by side with the Trauma Surgery program to provide integrated geriatric care for older adults with injuries. This novel collaboration has been cited by the American College of Surgeons’ Trauma Verification program as a unique and significant asset to OHSU’s Trauma Program. Our inpatient staff are sought after educators and champions of system improvements to enhance the care received by all older adults at OHSU. We are involved in developing new care pathways like the hip fracture standard of care, improving cognitive care via development of delirium treatment protocols adapted to specific patient populations and adapting our electronic medical record to support safer prescribing for older adults.
The OHSU Long-Term Care Program includes two skilled nursing and long term care/memory care sites – The Mirabella and Holladay Park Plaza. We have built collaborative work groups at each site with an emphasis on team building and communication between long term care staff, on-site providers, and hospital care management teams. We also have a 2 week curriculum for interns that focuses on transitions of care in and out of skilled nursing. We explore geriatric syndromes, deprescribing, implicit bias as it relates to age, and social determinates of health as they related to geriatric populations. We also serve as a primary continuity long term care preceptorship site for geriatric fellows.
In the news
“Bedside tests for a ‘slam-dunk’ delirium diagnosis.” ACP Internist. November 2022
“OHSU Doc talks falls prevention awareness week.” Interviewed by Emily Burris and Ken Boddie. KOIN Portland. September 23, 2021.
“Ease Winter Health Woes.” Written by Catherine Roberts. Consumer Reports. January 24, 2021.
OHSU Geriatrics Program: US News and World Report Best Hospitals for Geriatrics 2012-23
Health and Aging Policy Fellowship 2022-2023
-Elizabeth Foy White-Chu
Tideswell Emerging Leaders in Aging Scholarship, 2022
-Laura Byerly, MD, Katie Schenning, MD, MPH
Geriatric Academic Career Award, 2019-2023
-Laura Byerly, MD
Tideswell Emerging Leaders in Aging Scholarship, 2021
-Emily Morgan, MD
Public Health Week Research Showcase, Top Poster 2023
-Lisa Miura, MD
OHSU School of Medicine: Preceptor of the Year Award, 2023
-Lisa Miura, MD
Clinical faculty named “Top Medical Providers,” Portland Monthly Magazine, between 2020-2023
-Nicholas Kinder, NP
-Elizabeth Eckstrom, MD, MPH
-Lisa Miura, MD
-Jessica Wright, PA
-Katie Drago, MD
-Emily Morgan, MD
1. A Novel Curriculum to Train Physician Assistant Students to Become Healthcare Leaders
PI: Jessica Wright, PA
Designed curriculum for PA students to receive an introduction to leadership skills and assessed the impact of the pilot on comfort engaging in difficult conversations with a significant power differential, comfort using tools for healthcare system change, and comfort in being an effective listener.
2. Optimizing interprofessional geriatric education to build age friendly health systems in rural Oregon
PI: Laura Byerly, MD
Career development award focused on interprofessional geriatric education projects at the undergraduate medical education and continuing medical education levels.
3. Implementation of Wound Healing Curriculum for Medical Students
PIs: E. Foy White-Chu, MD, Enjae Jung, MD
Evaluating feasibility of implementation of wound healing curriculum. The curriculum starts with online self-directed modules prior to hands on workship. With COVID the curriculum was vastly changed from hands on workshop to virtual teaching. We will be contrasting/comparing the different modalities and efficacy in knowledge assessment.
4. ADVANCE-PC (Aligning Dementia and adVANce Care planning Education in Primary Care)
PI: Annette Totten; Co-I: Elizabeth Eckstrom, MD
Assessing the feasibility and acceptability of 1) a remote learning platform for primary care providers and teams about ACP in the context of dementia and 2) approaches to ACP procedures, documentation, and data that can be used to create pragmatic outcome measures for future research and quality improvement projects.
- Eckstrom E, Zauflik M, De Lima B. Matching enrolled trial participants to disease demographics: Using IRB submissions to identify opportunities for researcher training. J Clin Transl Sci. 2023;7(1):e114. doi:10.1017/cts.2023.539.
- De Lima B, Rowan E, Motulsky A, Morgan E. Primary care provider-led approach to deprescribing potentially inappropriate medications in older adults. Gerontol Geriatr Med. 2023. doi: 10.1177/23337214231158474
- Nohner M, De Lima B, Drago K. Validating ICD-10 codes for adverse drug events in hospitalised older adults: protocol for a cross-sectional study. BMJ Open. 2022;12(11):e062853. doi: 10.1136/bmjopen-2022-062853. PMID: 36323472
- Eckstrom E, De Lima B. There Is No Magic Pill to Prevent Frailty—You Still Have to Eat Your Vegetables. JAMA Netw Open. 2022;5(9):e2231147. doi:10.1001/jamanetworkopen.2022.31147
- Gould L, White-Chu EF. Can technology change the status quo for pressure injury prevention? Br J Dermatol. 2022 Jul 26. doi: 10.1111/bjd.21714. Epub ahead of print. PMID: 35882383
- LaVasseur C, Neukam S, Kartika T, Samuelson Bannow B, Shatzel J, DeLoughery TG. Hormonal therapies and venous thrombosis: Considerations for prevention and management. Res Pract Thromb Haemost. 2022 Aug 23;6(6):e12763. doi: 10.1002/rth2.12763. PMID: 36032216.
- King M, De Lima B, Emlen E, Eckstrom E. Patient experiences of the Serious Illness Conversation Guide in a primary care setting. J Am Geriatr Soc. 2022 Jul 12. doi: 10.1111/jgs.17943. Epub ahead of print. PMID: 35819190.
- Choxi H, VanDerSchaaf H, Li Y, Morgan E. Telehealth and the Digital Divide: Identifying Potential Care Gaps in Video Visit Use. J Med Syst. 2022 Jul 30;46(9):58. doi: 10.1007/s10916-022-01843-x. PMID: 35906432.
- Morgan-Gouveia M, Drago K, Harris P and Sheffrin M. Geriatric medicine in the 2020s: An update for internists. Cleve Clin J Med. 2022;89(11):617-624. doi:10.3949/ccjm.89a.21094. PMID: 36319045
- De Lima B, DeVane K, Drago K. Long-term impact of a geriatric prescribing context. J Am Geriatr Soc. 2022 Aug; 70(8): 2291-2297. doi: 10.1111/jgs.17799. PMID: 35420159.
- Morgan E, De Lima B, Pleet A, Eckstrom E. Health equity in an Age-Friendly Health System: Identifying potential care gaps. J Gerontol A Biol Sci Med Sci. 2022 Mar. doi: 10.1093/gerona/glac060. PMID: 35271715.
- Drago K, De Lima B, Sharpe J, Eckstrom E. In pursuit of the Quadruple Aim: A geriatric prescribing context’s impact on clinician workflows and alert fatigue. J Appl Gerontol. 2022 Mar. doi: 10.1177/07334648221079103. PMID: 35240037.
- Mahgouob AE, Tessema S, Nakhleh R. Normal ESR, CRP and platelet count in giant cell arteritis and polymyalgia rheumatica: A diagnostic conundrum. Eur J Case Rep Intern Med. 2022;9(2):003192. doi: 10.12890/2022_003192. PMID: 35265557.
- Tessema S, Mahgoub AE, Nakhleh R: Gout gone awry: The importance of proper diagnosis. Clin Case Rep. 2021 Dec 16;9(12):e05201. doi:10.1002/ccr3.5201. PMID:34963804
- Lin AL, Newgard C, Caughey AB, Malveau S, Dotson A, Eckstrom E. End-of-life orders, resource utilization, and costs among injured older adults requiring emergency services. J Gerontol A Biol Sci Med Sci. 2021 Sept;76(9):1686-1691. doi: 10.1093/gerona/glaa230. PMID: 32914190.
- Li F, Harmer P, Eckstrom E, et al. Efficacy of exercise-based interventions in preventing falls among community-dwelling older persons with cognitive impairment: Is there enough evidence? An updated systematic review and meta-analysis. Age Ageing. 2021 Sept;50(5):1557-1568. doi: 10.1093/ageing/afab110. PMID: 34120175.
- Luh C, Eckstrom E. Perceptions that influence acupuncture use in hospice settings: Results of a state-wide survey study. J Altern Complement Med. 2021 Sept;27(9):760-770. doi: 10.1089/acm.2021.0028. PMID: 34129378.
- Nakhleh R, Tessema S, Mahgoub AE: Creutzfeldt-Jakob disease as a cause of dementia. BMJ Case Rep. 2021 May 11;14(5):e240020. doi: 10.1136/bcr-2020-240020. PMID: 33975835
- Crowe B, Eckstrom E, Lessing JN. Missed opportunity for fall prevention: A teachable moment. JAMA Intern Med. 2021 May 1;181(5):689-690. doi: 10.1001/jamainternmed.2021.0221. PMID: 33749713.
- Batsis JA, Daniel K, Eckstrom E, et al. Promoting healthy aging during COVID-19. J Am Geriatr Soc. 2021 Mar;69(3):572-580. doi: 10.1111/jgs.17035. PMID: 33470421.
- Recognized as one of top 10 JAGS articles for 2021
- Byerly LK, Floren LC, Yukawa M, O'Brien BC. Getting outside the box: exploring role fluidity in interprofessional student groups through the lens of activity theory. Adv Health Sci Educ Theory Pract. 2021 Mar;26(1):253-275. doi: 10.1007/s10459-020-09983-w. Epub 2020 Jul. PMID: 32705403.
- Runkel KM, Rdesinski RE, Miura LN. Hospitalist perceptions of fall prevention: A comparison of two health care systems. Am J Med Qual. 2021 Jan-Feb 01;36(1):36-41.doi: 10.1177/1062860620917206. PMID: 32383632.
- Levin C, Morgan E, Kassakian S. et al. Increasing cognitive assessment rates in an internal medicine clinic: a quality improvement project. J Gen Intern Med. 2021 Jan;36(1):22-229. doi: 10.1007/s11606-019-05628-w. PMID: 31925738.
- Drago K. Ask – Adapt – Collaborate: An approach to individualizing acute care for people with dementia. J Gerontol Geriatr Med. 2021;7:108. doi: 10.24966/GGM-8662/100108.
- Rogers S, Haddad YK, Legha JK, Stannard D, Auerbach A, Eckstrom E. CDC STEADI: Best practices for developing an inpatient program to prevent older adult falls after discharge. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 2021. https://www.cdc.gov/steadi/pdf/STEADI-inpatient-guide-508.pdf
- Stout M, White-Chu F, Garcia D. Chapter: Pressure Injuries. In: Warshaw G, Potter J, Flaherty E, Heflin MT, McNabney MK, Ham R, eds. Ham’s Primary Care Geriatrics. 7th ed., Philadephia, PA: Elsevier Saunders; 2021.