Nebraska Geriatric Workforce Enhancement Project
Active June 2019 through September 2024
Enhancing Healthcare Outcomes for Older Adults by implementing Age-Friendly Care using the 4Ms framework
What Matters Focuses on what Matters most, what brings the individual joy and what they cannot live without; coordinating advance care planning and ensuring the individual’s priorities and preferences are part of their treatment plans.
Medications Focusing on Medications means raising awareness about potential side effects while also working to reduce the number of medications taken whenever possible. Medications should not interfere with what Matters most, Mobility or Mentation.
Mobility means being able to move freely on one’s own or with help. Mobility is linked to staying physically fit and able to live on one’s own for as long as possible while “being safe, and independent. It means maintaining the ability to walk, stay balanced and avoid falls and injury.
Mentation or Mind. Staying mentally sharp and managing mental health help us live longer and fuller lives. That is why expert attention to the Mind—is an important part of well-being. Focusing on Mind means supporting brain health and managing conditions like dementia, delirium, and depression, which affects one’s ability to think clearly and make decisions.
- The Nebraska Geriatrics Workforce Enhancement Program (NGWEP – or Nebraska GWEP) aimed to improve the healthcare and healthcare outcomes of Nebraska’s older population by educating teams of primary care provider teams, patients, families, caregivers and health professions’ trainees.
- NGWEP was a five-year partnership between UNMC (University of Nebraska Medical Center), Nebraska Medicine and primary care practices in Omaha and 13 rural counties in Nebraska, the partners listed above, and the University of Nebraska at Omaha School of Social Work
Resources for Healthcare Professionals
- 9/5/2019, Dementia as a Geriatric Syndrome Benefiting from an Inter-Professional Approach to Care by Jane Potter, MD
- 10/3/2019, Cognitive Testing by Thuy Koll, MD
- 11/7/2019, Caregivers by Natalie Manley, MD, MPH
- 12/5/2019, Pharmaceuticals by Linda Sobeski, PharmaD
- 2/6/2020, Mobility by Joe Hejkal, MD
- 3/5/2020, How to Hold a Goals of Care Discussion by Bill Lyons, MD
- 6/4/2020, Best Practices For Identifying Dementia In Non-English Speakers (From a Neuropsych Perspective) by Aimi Nelson-Sheese, Ph.D, ABPP-CN
- 7/2/2020, Advance Care Planning - In the Times of Covid-19 by Jane Potter, MD
- 8/6/2020, Social Determinants of Health by April Recher
- 9/3/2020, Finding the Right Housing Options for Patients with Dementia by Natalie Manley, MD,MPH
- 10/1/2020, Impaired Older Driver/Driving and Dementia by Karina Bishop, MD,
- 11/5/2020, Common Adverse Drug Events and High-Risk Drugs by Linda Sobeski, PharmaD
- 12/3/2020, Behavioral and Psycological Symptoms of Dementia by Tom Magnuson, MD
- 1/7/2021, Opioids: Alternatives for Older Adults by Alëna Balasanova, MD and Alfred Fisher, MD
- 2/4/2021, Weight Loss in Older Adults by Bill Lyons, MD and Linda Sobeski, PharmD, BCPS
- 3/4/2021, Adult Protective Services by Gina Mack, DHHS and Trampis Wrice, DHHS
- 4/1/2021, Eye Problems for the Elderly by Natalie Manley, MD
- 5/6/2021, Powers of Attorney - Patient Rights by Ann Mangiameli, AV Legal Aid of Nebraska
- 6/3/2021, Problems in Foot Care by John Weremy, DPM
- 8/5/2021, Partnering for Age Friendly Care at the Nebraska GWEP: Progress Report by Jane Potter, MD
- 9/2/2021, Palliative and Hospice Care: What the PC Provider Needs to Know by Melissa Teply, MD
- 10/7/2021, Diabetes and Your Older Patients by Natalie Manley, MD
- 11/4/2021, Screening and Health Maintenance in Older Adults: What to Do and When to Stop by Nora Kovar, MD, MPH
- 12/2/2021, Alzheimer's Disease - Local and National Resources by Alzheimer's Association, Nebraska Chapter
- 1/6/2022, Thyroid Disorders by Mandy Byers, MD
- 2/3/2022, Lab Abnormalities in Older People and Anemia Evaluation by Jane Potter, MD
- 3/3/2022, Therapy for COPD: Can They Afford It? Can They Use It? by Linda Sobeski, PharmaD
- 4/7/2022, Lewy Body Dementia and Other Non-AD Dementia Subtypes Diagnosis and Management by Bill Lyons, MD
- 5/5/2022, How to Help Patients and Their Caregivers After Initiating Home Hospice by Natalie Manley, MD, MPH
- 6/2/2022, Providing Best Care for LBGTQ+ Older Adults by Rajean Moone, PhD
- 7/7/2022, Evaluation and Treatment of Agitation in Dementia by Thomas Magnuson, MD
- 8/4/2022, Depression in Older People by Andrew Baumgartner, MD
- 9/1/2022, Anxiety Disorders by Erin Ranum, MD
- 10/6/2022, Sleep Disorders and Treatment by Alfred Fisher, MD
- 11/3/2022, Physical Activity in Older Adults by Alex Dworak, MD
- 12/1/2022, Colon Cancer Screening for People 45-75 Years of Age by Katie Hutchins, MD
- 2/2/2023, Chronic and Musculoskeletal Pain by Justin Choi, MD
- 3/2/2023, Pet Therapy and Emotional Support Animals by Cathy Guinane and Ann Mangiameli, JD
- 4/6/2023, Interventions and Intergenerational Programs on Addressing Social Isolation and Loneliness in Older Adults by Jeremy Holloway, PhD
- 5/4/2023, Chronic Kidney Disease in Older People by Jennifer Fillaus, DO
- 6/1/2023, Cross Cultural Communication by Jeremy Holloway, PhD
- 8/3/2023, Principles of Outpatient Palliative Care for the PCP by Lou Lukas, MD,
- 9/7/2023, State of Aging with HIV by Nikki Regan, APRN
- 10/5/2023, Statin Use in Older Patients by Al Fisher, MD, PhD
- 11/2/2023, Understanding Karen Culture as a Roadmap for Improving Multicultural Care by Synthia Htoo and Hta Thi Yu Moo
- 12/7/2023, Acceptance and Commitment Therapy by Cecilia Poon, PhD, ABPP
- 2/1/2024, Pharmacogenomics in Older People by Christopher Shaffer, PharmD, PhD, MS
- 3/7/2024, GUSM (genitourinary syndrome of menopause) by Sylvia Ziegenbein, MD, MA
- 4/4/2024, Approach to Substance Use Disorder in Older People by Alëna Balasanova, MD
- 5/2/2024, Sharing What Matters as Patients Complete Advance Care Planning by Brandi Flagg, MD and Nubia Quiros
- 6/6/2024, Collaborating in Care of Older Patients under the Geriatrics Workforce Enhancement Program: What did we do, and did it make a difference? by Jane Potter, MD
- 8/1/2024, Cognitive Care Plan – Assessing Mentation in Primary Care by Jessie Jenkins, MD
Additional Presentations:
- 6/9/2020, Elder Mistreatment by Deb Mostek, MD
- 9/28/2020, Telehealth by Joe Hejkal, MD
- 5/10/2023, A Review of Opioid Safety in Older Adults by Alëna Balasanova, MD and Alfred Fisher, MD
Online Resources
CDC - About Prescription Opioids
US Department of Health and Human Services – Prevent Opioid Abuse and Addiction
U.S. Department of Education – Combating the Opioid Crisis and other Substance Misuse
SAMHSA Opioid Overdose Prevention Toolkit
Nebraska’s Oversight of Opioid Prescribing and Monitoring of Opioid Use
CMS Roadmap – Fighting the Opioid Crisis
HHS – Guide for Appropriate Tapering or Discontinuation of Long-Term Opioid Use
Opioid Oral Morphine Milligram Equivalent (MME) Conversion Table
Nebraska GWEP Created Resources
Opioid Education Brochure for Providers
Opioid Pocket Card or Opioid Pocket Card online version
Opioid Education Brochure for Patients – English
Opioid Education Brochure for Patients – Spanish
Alzheimer’s Association Nebraska Chapter
Eastern Nebraska Office on Aging
Immanuel Pathways PACE: Central Iowa, Southwest Iowa, Eastern Nebraska
Nebraska Medicine at Eagle Run
Nebraska Medicine at Fontenelle
Nebraska Medicine at Internal Medicine at Durham Outpatient Center
Nebraska Medicine Specialty Care Center
Jane F Potter, MD - Program Director
Jungyoon “Jy” Kim, PhD - Program Evaluator
Mary Jo Spurgin, BA - Program Coordinator
NGWEP’s core interprofessional leadership team, clinic champions, and faculty are listed below. The trainees participating in the ‘all teach/all learn’ programs which were at the heart of the NGWEP are too many to list, but their participation was essential to NGWEP’s success.
- Alёna Balasanova, MD
- Karen Backus, LMSW, PLMHP
- Andrew Baumgartner, MD
- Karina Bishop, MD
- Stephen Bonasera, MD, PhD
- Rachel Burns, MSW
- Mandy Byers, MD
- Molly Carpenter, MA
- L. Chen, PhD
- Amy Dorton, LCSW
- Paul Estabrooks, PhD
- Al Fisher, MD, PhD
- Sonya Glenn, BSW
- Elizabeth Harlow, MD
- Joe Hejkal, MD
- Diane Hendricks, LCSW
- Rebecca Hiebert, BA
- Carrie Hoarty, MD
- Sarah Howard, MD
- Isha Jain, MD
- Dan Jeffrey, MD
- Jessie Jenkins, MD
- Thuy Koll, MD
- Nora Kovar, MD
- Ruby Larson, EdS
- Kenya Love, MPH
- William Lyons, MD
- Jihyun Ma, MS/MA
- Tom Magnuson, MD
- Natalie Manley, MD
- Alberto Marcelin, MD
- Stefan Merchant, BS
- Maria Mickles, MPH
- Stephen Mohring, MD
- Deb Mostek, MD
- Valerie Pacino, MPH
- Nubia Quiros
- Erin Ranum MD
- April Recher, BS
- Nichole Regan, MSN, APRN, NP-C
- Lindsey Schindler, MD
- Jessica Semin, DNP, MPH, RN
- Linda Sobeski, PharmD
- Jeanie Stuto, LICSW
- D. Su, MD
- Hongmei Wang, PhD
- Tesia Winter, MD
- Sara Wolfson, APRN, PhD
This program was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award from July 2019 through September 2024, with 0% financed with non-governmental sources. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government. For more information, please visit HRSA.gov.