NICHE and GEM: Geriatric Care Programs

Compassionate Geriatric Expertise

As we age, our healthcare needs can become more frequent. Older adults often experience functional decline brought on simply by aging alone. We can become at risk for a variety of conditions that can be challenging for caregivers such as dementia, delirium, and frailty. When selecting a healthcare partner, you can have peace of mind that Community Hospital North, Community Hospital East and Community Heart and Vascular Hospital offer a combination of compassionate care and the expertise to understand and address the physical, psychological, and social needs of older adults.

Evidence-Based Care for Better Patient Outcomes

NICHE Recognized Hospital logoIn 2016, the nursing care team at Community Hospital North instituted the Nurses Improving Care of Healthsystem Elders (NICHE) program. NICHE is a national nurse-driven membership organization that encourages hospitals to adopt its tested principles, protocols and model of care. This innovative program is dedicated to the highest level of care for our aging patients. The NICHE goals fit perfectly with Community’s culture of patient-centered care.

Due to its success, NICHE was implemented at Community Hospital East in 2017 and at Community Hospital South in 2021.

Our program is led by a nurse practitioner who specializes in geriatrics, and who helps guide clinicians, care providers, and nursing staff in providing sensitive and responsive geriatric care with an ongoing, high-level dedication to our aging population. NICHE evidence-based principles are embedded across the hospital, which means older adults receive high-quality, interdisciplinary care that leads to better outcomes.

Patient Care that Includes Families

In our program, care for older adults extends beyond health maintenance. Rather, we look for opportunities to improve health beyond a hospital stay or appointment with us. We believe communication with patients and their family members is crucial to providing care and achieving better health outcomes.

Older adults are hospitalized three times more than the general population and that number is expected to grow. Through 2030, more than 10,000 baby boomers will turn 65 every day.

Geriatric Evaluation & Management (GEM)

The Geriatric Evaluation & Management (GEM) team is an inpatient, geriatric consult service for individuals hospitalized over the age of 65. This specialized, interdisciplinary care team excels in focusing on the needs of the aging patient during a hospitalization, as well as the needs of both the individual and caregiver at discharge. The GEM team works closely with the primary medical team during an individual’s hospitalization to ensure additional support for individuals navigating the aging process.

A part of Community Health Network, the GEM team includes a geriatrician - a physician specializing in the care of older adults - a geriatric nurse practitioner, a social worker case manager, a registered nurse, a pharmacist and a physical therapist. Our clinicians each bring a unique perspective and expertise to an individual’s care, and daily rounds assist in creating a unique care plan based on individual and caregiver preferences and needs.

The GEM team’s focus is to help older adults stay independent, especially when an acute hospitalization can cause further decline for seniors. Our assessment focuses on common issues related to aging – medication review and utilization, nutrition screening, mobility concerns, memory changes, mood or sleep problems, caregiver resources, and discharge planning. Our team is available to provide assistance and information on desired services and resources available throughout Community Health Network and local communities.

Our clinicians are credentialed with all of the major insurance providers, including Medicare.

The GEM team is currently located at Community North, Community East, Community South and Community Heart and Vascular Hospitals. Services are available Mondays through Fridays, excluding holidays.

East GEM: 317-355-9290
North GEM: 317-621-6161
South GEM: 317-887-7822

Meet the GEM Teams

East GEM Team

Christina McArthur, NP

Bio coming soon!

Sarah Sampson, PA

Sarah Sampson, PA, East GEM teamSarah earned her bachelor of science in health and disease biology from Purdue University and went on to complete her master of physician assistant studies at Butler University. She began her career with Community Health Network in 2019 and joined the inpatient geriatrics team in 2024. Sarah is committed to providing compassionate, patient-centered care and finds fulfillment in promoting the health and well-being of older adults.

A lifelong resident of the Indianapolis area, Sarah enjoys spending quality time with her husband, their son, and their two golden retrievers, Scout and Winnie. Outside of work, she enjoys singing, playing piano, cooking, gardening, and caring for her ever-growing collection of houseplants.

North GEM Team

George Hoyek, MD, MBA

Georges Hoyek, geriatric care physicianDr. Hoyek received his doctorate degree from Lebanese University School of Medicine. He completed an internal medicine residency at St. George Medical Center, a family medicine internship/residency at University of North Dakota, and a geriatric fellowship at University of Nevada School of Medicine. He is a certified medical director and most recently served as a hospitalist at Trinity Hospital. He also has an MBA from Indiana University Kelley School of Business.

He is a member of AMA, AGS, AMDA, AAFP, and Alpha Omega Alpha. He has a special interest in geriatric syndromes (frailty, fall, gait impairment), dementia/delirium/depression and geriatric acute/post-acute/long term care. He also has an interest in development and implementation of geriatric models of care.

He enjoys skiing, golfing, tennis and travel.

Angela R. Boyle, MSN, FNP-C, GS-C

Angela Boyle, NPAngela began her career in health care as a certified nurse assistant at an extended care facility in Muncie, IN when she was in nursing school. After completion of her BSN from Ball State University in 2011 she worked at IU Health Methodist Hospital as a bedside nurse on their Advanced Heart Care Unit or cardiac PCU. Angela obtained her MSN from Ball State University in December of 2016 and started her career as a nurse practitioner with IU Geriatrics working in the Eskenazi House Calls for Seniors program and in extended care.

Angela is certified by the American Association of Nurse Practitioners as a family nurse practitioner and as a Certified Gerontological Specialist from the Gerontological Advanced Practice Nurses Association. Angela found her passion for geriatrics early in nursing school and that passion only grew as a bedside nurse when she realized her best days at work were spent caring for older adults. Angela's interests in geriatrics include managing polypharmacy and providing education and support for patients and their families.

In her free time, Angela loves to spend time with her husband Todd, son Maddox, and dog Meeko at their home or exploring the outdoors. She is very close with her family and enjoys being an aunt to her nieces and nephews.

Alexandra Sanserino, MSN, FNP-BC

Alexandra Sanserino, FNP for Procare at HomeAlex is a board-certified family nurse practitioner who was born and raised in Fort Wayne, Indiana. She completed her bachelor’s in psychology from Indiana University in 2011. She moved to Chicago in 2012 to complete her nursing degree where she completed University of Illinois at Chicago’s Graduate Entry Program to obtain her RN license and her master’s degree in nursing. In 2016, she and her husband moved back to Indiana to be closer to family where she began her career as a nurse practitioner.

Alex’s previous experience is in home hospice care, addiction medicine and immediate care.

Outside of work, Alex enjoys traveling with her husband, game nights with family, and exploring local parks with her dog, Diego.

South GEM Team

Erin A. Ray, MD

Erin Ray, MDDr. Ray obtained her undergraduate degree in biology from Indiana University. She attended medical school at Indiana University School of Medicine and completed her family medicine residency at Community Hospital East. After returning to IU for her geriatrics fellowship, she is now a practicing geriatrician at Community Health Network. Dr. Ray is a member of the American Geriatrics Society as well as the American Academy of Family Physicians.

Her interests include the care of older adults in both the ambulatory and hospital setting, with a focus on individualized and comprehensive treatment plans to best meet the needs of each patient and their family. She is passionate about the education of medical trainees to ensure that future providers are well-equipped to deliver the outstanding care that seniors deserve. Dr. Ray proudly serves the Healthy Aging Transition Services (HATS) clinic and the Geriatric Evaluation and Management (GEM) team to continue her focus on older adults.

She enjoys spending time with her husband and son, and loves animals, especially her cat, Charlie.

Stephanie Sherrow, MSN, AGPCNP-BC

Stephanie Sherrow, Nurse PractitionerStephanie Sherrow is a native of Rushville, Indiana and currently resides on the south side of Indianapolis. She received her bachelor of science in nursing from Indiana University School of Nursing and her master of science in nursing from the University of Indianapolis where she received the CARE award for demonstrating outstanding caring qualities. She is certified by the American Nurses Credentialing Center in adult and geriatric primary care. She is a member of ANA, GAPNA, AGS and IGS.

Stephanie enjoys working with the geriatric population and has special interests in chronic disease management and palliative care.

In her free time, Stephanie enjoys spending time outdoors with her husband and pet Corgi. She also enjoys working out, cooking, traveling and reading a good book.

Contact NICHE or GEM

For more information about the NICHE and GEM geriatric care programs, please contact Molly Campbell at 317-621-6161 or mcampbell3@eCommunity.com.

Additional Resources

At Community, we offer comprehensive outpatient services to assist older adults, including: