Grace team care model

Abstract

Delivering high-quality, coordinated medical care to older adults, many of whom have multiple medical and psychosocial comorbidities, is challenging, whether one is the patient, the clinician, or the healthcare system. Interdisciplinary teams providing in-home geriatric assessment and ongoing care management, such as Geriatric Resources for the Assessment and Care of Elders (GRACE), are one solution to the challenges of caring for this patient population.