Dr Gnanasekaran has specific interest and expertise in system wide quality improvement in caring for Geriatric patients. His experience as a regional epidemiologist in the past has acquainted him with expertise in population health. He has specifically initiated quality improvement projects in prevention of delirium and thereby reducing length of stay and readmission in elderly patients. He has been instrumental in the development of an Acute Care for Elderly unit, at University Hospitals Cleveland Medical Center, that now serves geriatric patients and also as a site for educational training for residents and fellows. His novel program, PRIDE (Preventing Readmissions and Incident Delirium in Elderly) has provided better care quality and safer care transitions for elderly patients admitted ac Cleveland Medical Center. He currently serves as the Associate Chief of Geriatrics division, and the program director for the PRIDE program. He has been bestowed with many accolades for innovation in geriatric education for medical students, residents and fellows. He directs the annual CRIT (Chief Resident Immersion Training) program at Cleveland Medical Center that focuses on providing leadership skills for chief residents, fellows and nursing leaders from various subspecialties in the care of older adults. He is an excellent teacher and mentored several trainees and fellows in their career goals. He also serves as faculty advisor for several group of medical students, graduate and undergraduate students. He has served as a geriatric expert consultant in expanding antimicrobial stewardship for long term care facility patients and implementing active surveillance to reduce health care acquired multidrug resistant organisms in ICU settings. He has studied novel inflammatory pathways in development of chronic diseases in elderly population. He has written book chapters in chronic disease management in elderly patients. He has established partnership with leading institutions in the nation to develop and disseminate best practices in Geriatrics care.