Sustaining a Promising Clinical Practice in High-Turnover Rural Environments Through the Geriatric Referral Navigator Role: Qualitative Case Study

Eileen M Dryden   ^{1, 2} , PhD ;   Camilla B Pimentel   ^{1, 3, 4} , MPH, PhD ;   Jessica Riley   ¹ , MS ;   Meaghan A Kennedy   ^{3, 5} , MPH, MD ;   Lauren Moo   ^{3, 6} , MD ;   Laura M Kernan   ^{1, 7} , MSc ;   Lynn A Garvin   ^{1, 8} , MBA, PhD ;   Lynette R Kelley   ⁹ , FNP ;   William Hung   ^{10, 11} , MD

¹ VA Bedford Healthcare System, Center for Health Optimization and Implementation Research, Bedford, MA, United States

² Department of Population and Quantitative Health Sciences, UMass TH Chan School of Medicine, Worcester, MA, United States

³ Geriatric Research Education and Clinical Center, Bedford, MA, United States

⁴ Department of Public Health, University of Massachusetts Lowell, Lowell, MA, United States

⁵ Boston University Chobanian & Avedisian School of Medicine, Boston University, Boston, MA, United States

⁶ Harvard Medical School, Harvard University, Boston, MA, United States

⁷ Department of Orthopedics, Dartmouth–Hitchcock Medical Center, Lebanon, NH, United States

⁸ Department of Health Law, Policy and Management, School of Public Health, Boston University, Boston, MA, United States

⁹ VA Eastern Colorado Health Care System, Aurora, CO, United States

¹⁰ James J. Peters VA Medical Center, New York, NY, United States

¹¹ Icahn School of Medicine, Mount Sinai Hospital, New York, NY, United States