Proceedings of a Workshop

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This activity was supported by contracts between the National Academy of Sciences and the National Institutes of Health (contract no. HHSN263201800029I, task order no. 75N98021F00010). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-69569-5
International Standard Book Number-10: 0-309-69569-4
Digital Object Identifier: https://doi.org/10.17226/26772

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2022. Mechanisms for organizational behavior change to address the needs of people living with Alzheimer’s disease and related dementias: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26772.

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PLANNING COMMITTEE FOR A WORKSHOP ON MECHANISMS FOR ORGANIZATIONAL BEHAVIOR CHANGE TO ADDRESS THE NEEDS OF PEOPLE LIVING WITH ALZHEIMER’S DISEASE AND RELATED DEMENTIAS¹

RICHARD G. FRANK (Chair), Senior Fellow, Economic Studies, Brookings Institution; Director, USC-Brookings Schaeffer Initiative on Health Policy; and Margaret T. Morris Professor of Health Economics, Emeritus, Harvard Medical School

ELISABETH BELMONT, Corporate Counsel, MaineHealth

TERRY FULMER, President, John A. Hartford Foundation

SCOTT HALPERN, John M. Eisenberg Professor of Medicine, Epidemiology, and Medical Ethics and Health Policy, University of Pennsylvania

SHARON K. INOUYE, Director, Aging Brain Center, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife; Milton and Shirley F. Levy Family Chair and Professor of Medicine, Harvard Medical School

FAITH MITCHELL, Institute Fellow, Urban Institute

JULIE ROBISON, Professor of Medicine, Center on Aging, University of Connecticut School of Medicine

Project Staff

CRYSTAL BELL, Associate Program Officer

AUSTEN APPLEGATE, Research Associate (from May 2022)

LORI BRENIG, Research Associate (June 2022–July 2022)

TORRIE BROWN, Senior Program Assistant (June 2022–July 2022)

LYLE CARRERA, Research Associate (from June 2022)

MOLLY CHECKSFIELD DORRIES, Program Officer

TRACY LUSTIG, Senior Program Officer

RUKSHANA GUPTA, Senior Program Assistant (March 2022–June 2022)

ARZOO TAYYEB, Finance Business Partner

SHARYL NASS, Senior Board Director

Consultant

CAROL BERKOWER, Consulting Writer

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¹ The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

BOARD ON HEALTH CARE SERVICES¹

DONALD M. BERWICK (Chair), Harvard Medical School

ANDREW B. BINDMAN, Kaiser Foundation Health Plan, Inc., and Hospitals

NIRANJAN BOSE, Gates Ventures

NEIL S. CALMAN, Institute for Family Health and Icahn School of Medicine at Mount Sinai

PAUL CHUNG, Kaiser Permanente Bernard J. Tyson School of Medicine

PATRICIA M. DAVIDSON, University of Wollongong

MARTHA DAVIGLUS, University of Illinois at Chicago

JENNIFER E. DEVOE, Oregon Health & Science University

RICHARD G. FRANK, Harvard Medical School and University of Southern California–Brookings Schaeffer Initiative on Health Policy

CINDY GILLESPIE, Arkansas Department of Human Services

ELMER E. HUERTA, The George Washington University Cancer Center

LAUREN HUGHES, Farley Health Center and University of Colorado

SHARON K. INOUYE, Harvard Medical School and Hebrew SeniorLife

JOHN R. LUMPKIN, Blue Cross and Blue Shield of North Carolina Foundation

FAITH MITCHELL, Urban Institute

DAVID B. PRYOR, Ascension Clinical Holdings (retired)

JULIE ROBISON, University of Connecticut School of Medicine

WILLIAM M. SAGE, University of Texas at Austin

HARDEEP SINGH, Michael E. DeBakey VA Medical Center and Baylor College of Medicine

LAURIE ZEPHRYIN, The Commonwealth Fund

MICHAEL ZUBKOFF, Dartmouth College

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¹ The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by LINDA A. MCCAULEY, Emory University. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.

We also thank staff member Connie Citro for reading and providing helpful comments on this manuscript.

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Acknowledgments

The National Academies of Sciences, Engineering, and Medicine’s Board on Health Care Services wishes to express its sincere gratitude to the planning committee chair Lauren S. Hughes for her valuable contributions to the development and organization of this workshop. The board wishes to thank all the members of the planning committee, who collaborated to ensure a workshop complete with informative presentations and rich discussions. Finally, the board wishes to thank the speakers and moderators, who generously shared their expertise and their time with workshop participants. Funding from the National Institutes of Health made this workshop possible.

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Contents

1 INTRODUCTION

2 KEYNOTE PRESENTATIONS

3 DEFINING QUALITY

4 TRANSFORMING THE ROLE OF PAYMENT SYSTEM INCENTIVES TO IMPROVE QUALITY

5 EVIDENCE ON THE EFFECT OF EXISTING MODELS AND RESEARCH AND INNOVATION TO ADDRESS GAPS IN DATA AND EVIDENCE

6 CREATING CHANGE

7 FINAL THOUGHTS

APPENDIXES

A References

B Statement of Task

C Workshop Agenda

D Biographical Sketches of the Speakers and Committee Members

E Acronyms and Abbreviations

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