72 students provided blood pressure screenings for 79 older individuals during 266 distinct encounters. We believe this program can serve as a model for other professional schools, as it effciently accomplishes several distinct PAEAN: PAIN IN AGING, EDUCATIONAL ASSESSMENT OF NEED: OPIOID DIAGNOSES AND IMPACTS ON PAIN DIAGNOSIS IN OLDER ADULTS Beth Hogans 1 , Bernadette Siaton 2 , Julie Witter 2 ,  Leslie Katzel 3 , Lana Brown 4 , Laura Frey-Law 5 , and  John Sorkin 6 , 1. VAMHCS/Johns Hopkins School of Medicine, Baltimore, Maryland, United States, 2. UMB, Baltimore, Maryland, United States, 3. VAMHCS/UMB, Baltimore, Maryland, United States, 4. Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas, United States, 5. Carver School of Medicine, University of Iowa, Iowa City, Iowa, United States, 6. UMB/VAMHCS, Baltimore, Maryland, United States Pain is prevalent in older adults of both genders but more so in women. The extent to which this is impacted by opi- oids is not well established. We sought to evaluate common pain diagnoses among older adults noting whether the pat- tern of female preponderance holds across all conditions and whether opioids might impact this. Utilizing the 2017 Medicare 5% standard analytical claim sample we exam- ined the rate of pain condition diagnoses in older females and males with or without opioid-related diagnoses. We have previously reported that low back pain and opioid diagnosis coding rates interact in older adults, we here expand this fnding. We established a condition defnition fle for opioid use, not including overdose-related codes. We segmented the older adult Medicare part B claims fle into those with and those without opioid diagnoses, separated by CMS-coded gender. Diagnostic rates of the 100 most common pain diag- noses in each of the subpopulations showed low back pain was the most prevalent pain diagnosis regardless of gender or opioid diagnosis status. Chest pain unspecifed, neck pain, and abdominal pain unspecifed, were also highly prevalent. All pain conditions were diagnosed at higher rates in the opioid subpopulation. Few diagnoses were more common in males, these included sex-specifc conditions, diabetic neur- opathy, and vascular claudication. Although pain conditions are common in older adults, diagnosis rates are elevated in those with opioid diagnoses. This impacts the educational needs of geriatricians, and other healthcare providers, and may indicate needs for more research in pain and aging. IMPLEMENTING A HEALTHY BRAIN INITIATIVE IN THE NATION’S LARGEST COUNTY JURISDICTION Tony Kuo 1 , Noel Barragan 2 , Mariana Reyes 2 , and  Ariane Thomas 2 , 1. University of California, Los Angeles, Los Angeles, California, United States, 2. Los Angeles County Department of Public Health, Los Angeles, California, United States In 2019, there were an estimated 166,857 Los Angeles County (LAC) residents living with Alzheimer’s disease. By 2040, this number is expected to rise by 150% to 405,382, with 152,980 and 35,341 of them, respectively, being Black and Latinx. Locally, there is special interest in reducing de- mentia risk among the two communities, as modifable risk factors such as untreated hypertension, diabetes, and smoking are disproportionately higher in these groups (e.g., hyperten- sion – Black, 35.9% vs. White, 27.3%; diabetes – Black and Latinx, 14.4% and 13.6%, respectively, vs. White, 8.8%). In LAC, considerable investments have been made to help create and implement the local arm of the California Healthy Brain Initiative (Healthy Brain Initiative: Los Angeles or HBI-LA). Launched in 2019, HBI-LA utilized a multi-level, multi-sector approach to expand the breadth and quality of tools available to the Black and Latinx communities and key stakeholders who work with these communities. The initia- tive set out to complete the following State-approved object- ives: (i) educate the public and health professionals about dementia care and prevention; (ii) develop policies that im- prove access to health, aging, and prevention services for those with cognitive decline; and (iii) disseminate reliable, culturally sensitive information and tools to promote best practices on brain health. The present investigation exam- ines the stepwise process that LAC took to achieve these ob- jectives, including the development of two culturally tailored educational workshops (one for community members, one for healthcare and social services professionals) and how a U.S. Congressperson and County Supervisor supported dis- semination efforts. ADAPTING PRIMARY CARE WORKFLOWS TO PROMOTE ADVANCE CARE PLANNING WITH AN EMPHASIS ON A DEDICATED ACP FACILITATOR Kevin Valadares 1 , Suzanne Leahy 1 , Katie Ehlman 1 , and Robin Arnold 2 , 1. University of Southern Indiana, Evansville, Indiana, United States, 2. Deaconess Clinic, Evansville, Indiana, United States The COVID-19 pandemic has sharpened attention re- garding the need to proactively plan for a future medical crisis. Advance Care Planning (ACP) has emerged in the last 30 years as a potential way to improve individuals’ end-of- life care by ensuring that patients explore and communicate personal values, goals, and preferences regarding future med- ical care to surrogate decision makers and medical providers. Elevating ACP as a core function of direct patient care, the University of Southern Indiana’s (USI) Geriatric Workforce Enhancement Program (GWEP) embedded a multi-modal ACP initiative in a primary care clinic, anchored by the Medicare Annual Wellness Visit (AWV). Within this initia- tive, the role of a dedicated ACP Facilitator embedded in the practice is highlighted to promote and bill (Medicare CPT codes 99494, 99498) for ACP conversations. The addition of an ACP Facilitator (who is a licensed clinical social worker) as part of the primary care team complements the efforts of the providers to focus on What Matters most to patients. This is particularly important to patients with serious illness. This presentation will summarize the re-alignment efforts of the primary care clinic to prioritize ACP conversations for older adults, amounting to 10,000 visits per year. ADVANCING LATE-LIFE TRAUMA-INFORMED CARE EDUCATION: DEVELOPMENT AND EVALUATION OF AN EDUCATIONAL PODCAST Rachel Weiskittle 1 , Lola Baird 2 , Hannah Bashian 3 ,  Anica Pless Kaiser 4 , Kelly O'Malley 5 , Anna Etchin 4 , and Jennifer Moye 5 , 1. University of Colorado Colorado Springs, Colorado Springs, Colorado, United States, 2. 518 Innovation in Aging, 2022, Vol. 6, No. S1 Downloaded from https://academic.oup.com/innovateage/article/6/Supplement_1/518/6938832 by guest on 23 December 2022