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Geriatric Transitions, Consultation and Comprehensive Care

Geriatric Transitions, Consultation and Comprehensive Care provides services for seniors 65 years and older who are frail. The program has two core services — a comprehensive geriatric consultation service and geriatric Heart Failure Transitions care for patients returning home from the hospital.

Consultation Service

An outpatient consult service assists seniors who are experiencing age-related problems such as memory loss, mood or behavior changes and trouble walking.

Consultations with the program, abbreviated as GeriTRaCCC, are available by referral. Doctors may refer patients to GeriTraCCC using a UCSF referral form at and faxing the request to (415) 353-2568.

Heart Failure Transitions

The heart failure transitions service is a collaboration between UCSF's Heart Failure Discharge Planning, Home Health Care and Housecalls, which provides care for homebound seniors. The program ensures that patients with heart failure, who are discharged from the hospital, have a housecall by a doctor within 48 hours of returning home.

It assists patients who may have difficulties with medication changes or managing daily affairs, coping with new or worsening symptoms and have an increasing need for caregiving at home.

The Team

The service team includes doctors, a social worker and a clinical pharmacist who work with the patient's primary care doctor and, as appropriate, the UCSF Memory and Aging Center, UCSF Orthopedics and community agencies.

The program was founded by Dr. Helen Kao and Dr. Seth Landefeld, both geriatricians, with funding from the S.D. Bechtel Jr. Foundation and UCSF Medical Center.

More Information

See our senior clinic at Center for Geriatric Care.

Additional information on making a referral is available for health professionals.

Related Information

How to Reach Us

Geriatric Transitions, Consultation and Comprehensive Care
Fax (415) 353-2568

Important Forms