Mechanisms for Organizational Behavior Change to Address the Needs of People Living with Alzheimer's Disease and Related Dementias Proceedings of a Workshop (2022) / Chapter Skim
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6 Creating Change
6 Creating Change
Pages 61-72
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From page 61... ...
Concerns specific to ADRD care were integrated with important insights about behavior and systems change, with a focus on the patient's perspective. CHANGING BEHAVIORS TO SUPPORT BRAIN HEALTH Sarah Lenz Lock, senior vice president for policy and brain health in the AARP Policy, Research, and International Affairs Department and executive director of the Global Council on Brain Health, explained that up to 40 percent of dementias could be prevented by modifiable lifestyle factors (Livingston, 2020)
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From page 62... ...
She suggested that change will be needed at all levels of the health care system. The report includes specific strategies for individuals to engage in to support brain health.2 She suggested that the most important recommendation that the report makes for communities is to set goals to change behavior in order to improve brain health, which could reduce the stigma associated with ADRD diagnosis.
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From page 63... ...
Source: Presented by Leslie Pelton on May 24, 2022 at the workshop Mechanisms for Organizational Behavior Change to Address the Needs of People Living with Alzheimer's Disease and Related Dementias. For related work, this graphic may be used in its entirety without requesting permission.
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From page 64... ...
:12. Presented by Leslie Pelton on May 24, 2022 at the workshop Mechanisms for Organizational Behavior Change to Address the Needs of People Living with Alzheimer's Disease and Related Dementias.
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From page 65... ...
.7 There are also federal efforts to support access to care and services for people with ADRD, such as Aging and Disability Resource Centers and the No Wrong Door model.8,9 Medicaid waiver supports and OAA National Family Caregiver (III-E) resources provide limited funding at the state level.
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From page 66... ...
These include a combined effort between Medicare and Medicaid to cover bundled payment models, such as Community Aging in Place-Advancing Better Living for Elders (CAPABLE10) , and that include home care services, such as occupational therapy and home repair, and development of an LTSS Medicare/Medicaid waiver for people that are dually eligible that emphasizes coordinated care payments as well as measures directed at improving health equity and focuses on person-centered outcome measures.
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From page 67... ...
Lamont next discussed the workforce involved in care of people with ADRD. She noted that this includes everyone involved with providing care and support for a person with ADRD, including health care providers and staff, community-based organizations and their staff, family caregivers, home care workers, and others.
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From page 68... ...
She added that workforce education and engagement should be incorporated with payment policy changes to facilitate effective and sustainable strategies to improve quality of care and supports for people with ADRD. DISCUSSION Community Support for Sustainability Faith Mitchell began by asking the group to discuss how behavioral change at the community level can increase sustainability of efforts for brain health.
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From page 69... ...
Coordinating Federal Efforts Gary Epstein-Lubow, Brown University, asked the group to discuss potential coordination among CDC, CMS, and ACL, particularly related to dissemination and implementation of evidence-based practices to improve quality of care for people living with ADRD. Lamont noted that implementation of the Building Our Largest Dementia (BOLD)
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From page 70... ...
She added that a combination of tools for quality improvement and autonomy for the care team have been important to facilitate broad and sustainable adoption of the 4 Ms framework. Lenz Lock noted that AARP has collaborated with USAging to develop a simple and inexpensive evaluation mechanism to determine whether the initiatives were effective for people with ADRD,16 as well as the means to share successful practices.
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Lenz Lock emphasized the importance of communicating with people about available supports and services. Lamont noted research that examined individual caregiver-related factors as predictors of a person being placed in a nursing home.
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From page 72... ...
She cited an example of a program funded by an ACL grant, the Wisconsin State Dementia Care Specialist program, through which community-based health providers deliver culturally responsive support for people with ADRD and their families. McEvoy noted that expert volunteers represent an untapped resource for supporting people with ADRD and their families.
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