Dr. Fabiny has been leading an effort at the SFVAHCS since 2015 to create systems change to better care for complex older veterans. She is currently engaged in creating an innovative model of site-based primary care within a new HUD-VASH permanent supportive housing site to better support chronically homeless, hard-to-house, frail veterans over the age of 62. She is also co-leading an interdisciplinary effort to improve transitions of care for complex veterans across sites of care at the San Francisco VA Medical Center, the Transitions Referral and Coordination (TRAC) Team. Prior to her tenure at the SFVAHCS she was Chief of Geriatrics at Cambridge Health Alliance in Cambridge, MA and medical director of its Program for All Inclusive Care of the Elderly (PACE). Dr. Fabiny completed her medical school training and family medicine residency at the University of Wisconsin School of Medicine and Public Health. She was a Fellow in Geriatric Medicine at Harvard Medical School/Beth Israel Deaconess Medical Center.