GRACE Team Care improves the health and lives of frail older adults with complex needs. Working together, a team of doctors, nurses, social workers, and pharmacists use geriatric knowledge and techniques to improve patient care not just in the clinic, but in the patient's home and community.

GRACE is proven to reduce costs by decreasing hospitalizations and readmissions, delaying nursing home admissions, and reducing emergency department visits.


Proven to improve the health and quality of life of low-income seniors by working with patients in their homes and in their communities to manage health problems, track changing care needs, and leverage needed social services. Studies show that GRACE can improve care quality and outcomes, and lower the cost of medical care.

Easy to Implement

  • The IU Geriatrics GRACE Training and Resource Center provides the training, tools
  • and resources you need to put GRACE Team Care into action.
  • GRACE expertise can be used in a variety of clinic, transitional care, and home-based settings.
  • Clinicians can be easily and quickly trained to deliver the model. No special license is needed.


  • Physicians lead a coordinated team of professional health and social care providers.
  • Shared electronic records and frequent communications help reduce duplication of services and streamline decision-making.


  • The team works together to meet patients’ interdependent health and social needs.
  • Mental health care is a critical aspect of this coordinated approach.


  • GRACE Team Care infuses geriatrics knowledge into the primary care setting, giving patients the benefits of a specialist’s perspective in their general practitioner’s office.