2010 Practice Change Fellows

The National Program Office is pleased to announce the 2010 Practice Change Fellows. These individuals were chosen from a highly competitive applicant pool based on their potential to exert a profound impact on care for older adults, commitment to self-directed and peer learning and improvement, and a strong professional record reflecting positions of increasing leadership responsibility. Congratulations to the 2010 PCF Class!

Andrea R. Fox, MD, MPH;    Squirrel Hill Health Center;   "Creating a Geriatric-Friendly Federally Qualified Health Center" (project description)
Melissa Frey, MSW, LSW;    Rush University Medical Center;   "Reducing the Health Disparities for Spanish-speaking Older Adult Trauma Survivors" (project description)
Shirley Fong Jones, MD, FCCP;    Scott and White Memorial Hospital;   "Reducing Rehospitalization in older critically ill patients: The ICU Survivors Followup Care Program" (project description)
Denise L. Lyons, MSN, GCNS-BC;    Christiana Care Health System;   "Implementing a Comprehensive Functional Model of Care in Hospitalized Older Adults" (project description)
Ursula McClymont, MD;    Baltimore Medical Systems;   "Geriatric Medical Home: Integrating Somatic and Psychiatric Care for Community Health Centers Patient" (project description)
Hermia Parks, RN, PHN, MA;    Riverside County Community Health Agency;   "Achieving Health Equity in the Older Adult Population: A Public Health Approach" (project description)
Jennifer Blackledge Porth, LISW-AP, Gerontologist;    Palmetto Health;   "Implementing a Care Coordination Model for Older Adults within an Accountable Care Organization" (project description)
Thomas Price, MD;    Wesley Woods Health Center;   "The Safety Action Plan – A Rescue and Recovery System for the Victims of Elder Abuse" (project description)

Andrea R. Fox MD, MPH
"Creating a Geriatric-Friendly Federally Qualified Health Center"
Squirrel Hill Health Center
Pittsburgh, PA

Andrea R. Fox, MD MPH is the medical director of the Squirrel Hill Health Center, a federally qualified health center (FQHC) founded in 2006 to care for older adults as well as religious and ethnic minorities including many new immigrants to Pittsburgh. As a fellowship-trained geriatrician, Dr. Fox has spent her career developing community and home-based programs for frail older adults with an emphasis on team-building and integration of medical and behavioral health. In addition, she has developed nationally-recognized and innovative student, resident and fellowship programs to encourage better care of older adults and expand the number of students deciding on a career in a geriatrics areas. She is a graduate of Boston University School of Medicine and completed her residency in internal medicine at Montefiore Medical Center, Bronx, NY in the Social Medicine Program. Her fellowship was also completed at Montefiore. She was a Geriatrician in the Division of Geriatric Medicine at the University of Pittsburgh for many years, including being the medical director of the Benedum Geriatrics Center and the founding Associate Director of Clinical Care at the Pittsburgh VA GRECC. She is currently an Associate Professor of Family Medicine at the University of Pittsburgh.
Melissa Frey, MSW, LSW
"Reducing the Health Disparities for Spanish-speaking Older Adult Trauma Survivors"
Rush University Medical Center
Chicago, IL
Melissa currently works at the Johnston R. Bowman Center at Rush University Medical Center in Chicago, IL as Project Coordinator for the BRIGHTEN Heart Program. The BRIGHTEN model utilizes an electronic multidisciplinary team that has implemented screening and treatment of depression and anxiety for older adults in their primary care clinics in the city of Chicago. Prior to working as Project Coordinator, Melissa worked as a post-graduate fellow on the BRIGHTEN Program providing outpatient psychotherapy to older adults. Over the past five years Melissa has volunteered, interned, and worked in predominately Spanish-speaking communities and settings, providing direct patient care and conducting research aimed to reduce health disparities affecting this population. Additionally, she has worked in various outpatient and inpatient mental health settings including Northwestern Memorial Hospital Stone Institute of Psychiatry. Melissa received her undergraduate degree from the University of Wisconsin-Madison, during which time she spent a year studying at the Universidad de Sevilla in Seville, Spain. Following this, she received her Master’s degree from the University of Chicago School of Social Administration where she was awarded the Jane Mullenbach Moore Scholarship.
Shirley Fong Jones, MD, FCCP
"Reducing Rehospitalization in older critically ill patients: The ICU Survivors Followup Care Program"
Scott and White Memorial Hospital
Temple, TX

Dr. Shirley Jones completed her residency in Internal Medicine at the University of Arkansas for Medical Sciences in Little Rock, Arkansas. Following residency, she completed a fellowship in Pulmonary and Critical Care Medicine at the University of Alabama at Birmingham. She is currently Assistant Professor of Medicine at Scott and White Healthcare/Texas A&M Health Science Center. She is the recipient of a Junior Faculty Development Award through the T. Franklin Williams Scholars Program, a program for internal medicine specialists interested in geriatric medicine. Her academic interests include disease recognition and practice improvement in chronic obstructive pulmonary disease and research examining sleep dysfunction, ICU delirium and their impacts on critical care outcomes in an aging population. Dr. Jones actively participates in the medical education of students, residents and fellows. She is a member of the Sleep and Airways Disorders committee for the American College of Chest Physicians (ACCP) and has served as teaching faculty for courses offered through the ACCP. She aims to improve the healthcare of older individuals by examining factors that impact intensive care unit outcomes and rehospitalizations.
Denise L. Lyons, MSN, GCNS-BC
"Implementing a Comprehensive Functional Model of Care in Hospitalized Older Adults"
Christiana Care Health System
Newark, DE

Denise L. Lyons is a certified Clinical Nurse Specialist in Gerontology & Adult Health at Christiana Hospital in Delaware. She is also the WISH (We Improve Senior Health) Program coordinator for Christiana Care Health System. The WISH Program is based on a national initiative called NICHE (Nurses Improving Care for Healthsystem Elders). Denise's role at Christiana Care is to improve clinical outcomes for patients age 65 or older by facilitating the implementation of the WISH program. Her other responsibilities include coordinating and teaching geriatric educational programs and providing clinical consultation. Her clinical consultation is mainly focused on hospitalized older adults with delirium. She is involved in many hospital projects that require geriatric expertise such as the Fall prevention team, the Restraint reduction team, the Constipation team & the Delirium team. She is also utilized as a preceptor for undergraduate & graduate nursing students. Denise earned her BSN and MSN from the University of Delaware. Denise is a member of the National Association of Clinical Nurse Specialists (NACNS) and the Gerontological Advanced Practice Nurses Association (GAPNA). In June 2010, Denise completed a 9 month Team-Based Faculty Development Fellowship sponsored by the Eastern Pennsylvania/Delaware Geriatric Education Center.
Ursula McClymont, MD
"Geriatric Medical Home: Integrating Somatic and Psychiatric Care for Community Health Centers Patient"
Baltimore Medical Systems
Baltimore, MD

Dr. Ursula McClymont developed an interest in Geriatrics as a child in Jamaica, West Indies while watching her grandmother care for the frail elderly. Dr. McClymont received her BS in microbiology from Howard University in Washington, DC and attended medical school at The University of Maryland School of Medicine in Baltimore. She completed her residency training in family medicine at The University of Maryland and a 2 year fellowship in Geriatrics at The Union Memorial Hospital in Baltimore, Maryland. After fellowship, she served as Director of Family Medicine and Union Memorial's Inpatient Geriatric Evaluation and Management Unit. She also served as medical director for several nursing home facilities in Maryland. She is on faculty at The University of Maryland Department of Family Medicine. She currently works for Baltimore Medical System (BMS), the largest FQHC in Maryland, where she serves as medical director for one of BMS' six medical centers. She also serves as BMS director of Suboxone, Pain and other Substance Abuse Programs. As BMS increased its focus on the patient centered medical home model (PCHM), Dr. McClymont started thinking about ways to apply the concept to geriatrics. In a fee-for-service model, she found it difficult to address this complicated population in 15 minutes, a concern she discussed with her CEO. When BMS implemented integrated behavioral health, her CEO encouraged her to design a project that would focus on the geriatric population. With the support of BMS' leadership, the project was conceived.
Hermia Parks, RN, PHN, MA
"Achieving Health Equity in the Older Adult Population: A Public Health Approach"
Riverside County Community Health Agency
Riverside, CA

Ms. Parks serves as the Public Health Nursing (PHN) and Maternal Child and Adolescent Health (MCAH) Director for the Community Health Agency, Department of Public Health. She is a Registered Nurse, Public Health Nurse, and holds a Bachelor of Arts Degree in Behavioral Science, and Masters Degree in Psychology. She is an active member of the executive committee and President Elect for the California Conference of Local Health Department Nursing Directors. She also serves in a leadership capacity on a number of committees including the California State Department of Public Health Council on Multicultural Health, and Board of Registered Nurses. Ms. Parks's overall responsibilities includes: the operations, planning and policy development of the PHN and MCAH branches. She represents Public Health Nursing in many geriatric initiatives including: the Grandparents Raising Grandchildren Task Force; the Grandparents Raising Grandchildren Multidisciplinary (MDT) Team; Curtailing Abuse Related to the Elderly; the Clinical MDT, and the Aging and Disability Resource Connection. Ms. Parks has also worked to have Public Health Nursing services included in the In Home Support Services Program. Ms. Parks was awarded the Orange County Women of Achievement Award and was a Finalist in NurseWeek Excellence Awards, 2009-Advancing and Leading the Profession.
Jennifer Blackledge Porth, LISW-AP, Gerontologist
"Implementing a Care Coordination Model for Older Adults within an Accountable Care Organization"
Palmetto Health
Columbia, SC

Jennifer is the Lifestyle University Project Director and a gerontological Social Worker with Palmetto Health in Columbia, SC. She is a Licensed Independent Social Worker (Advanced Practice), earning her BA in Sociology from Wofford College and an MSW along with a graduate certificate of study in Gerontology from the University of South Carolina. She started at Palmetto Health as Program Coordinator of a Duke Endowment grant to develop a geriatric multidisciplinary hypertension program, including Lifestyle University, a six-session course focused on educating older adults with the conditions of diabetes, obesity and/or hypertension about self-management. Jennifer has managed multiple grants to implement this program and the Community Health Advisor program. Jennifer works with the Palmetto State Geriatric Education Center to develop curriculum in the Gerontology Certificate program at USC. Her interests include hypertension, cardiovascular health, program development for older adults, lay health workers, and care transitions from the inpatient to outpatient setting. Jennifer belongs to the National Association of Social Workers, serving as the state chapter's chairperson for the Committee on Aging, the Gerontological Society of America, and the American Geriatrics Society. Jennifer is thrilled for this fellowship opportunity to learn from peers and enhance quality care for older adults.
Thomas Price, MD
"The Safety Action Plan – A Rescue and Recovery System for the Victims of Elder Abuse"
Wesley Woods Health Center
Atlanta, GA

Dr. Thomas Price is Chief of Medicine for the Wesley Woods Geriatric Hospital in Atlanta, Georgia. He is the lead physician of DeKalb County, GA’s elder abuse multidisciplinary team (VALARI) and the Medical Director of its rescue program, the VALARI Safety Action Plan. Dr. Price also serves as Medical Director of A.G. Rhodes Health and Rehabilitation and is the Associate Program Director for the Emory University School of Medicine Fellowship in Geriatric Medicine.