Page 27 - Healthy Brain Initiative, State and Local Public Health Partnerships to Address Dementia: The 2018-2023 Road Map
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Another area for translating science into action is the
use of quality measures to track progress.
Measures specific to dementia have been developed
by the Physician Consortium for Performance
Improvement, the American Academy of Neurology,
and the American Psychiatric Association Work Group.
Further, the National Quality Forum and other experts
may develop or endorse additional quality measures
and measure concepts in the coming years.
COMPELLING DATA
The following programs and settings provide
opportunities for state public health to use dementia- The current public health and healthcare
related measures: workforce had little or no formal preparation
on dementia as a public health issue. In
» State healthcare quality initiatives (e.g., Medicaid general, there is a lack of knowledge among
payment and encounter data sets, Medicaid adult healthcare workers on how to detect and
core set); diagnose the disease, how to interact with
people with Alzheimer’s, and how to help
» Centers for Medicare & Medicaid Services (CMS) people with dementia and their caregivers
Quality Payment Program for the Merit-Based navigate care and services.
Incentive Payment System (MIPS);
» Despite predominantly working with
» State hospital and emergency department (ED) adults aged 55 and older, only 4% of
data sets; social workers have specialized geriatric
training. 24
» Medicare Hospital Inpatient and Outpatient Quality
Reporting Programs; » Less than 1% of registered nurses,
physician assistants, and pharmacists
» Physician Quality Reporting System (PQRS, now have specialized in geriatric care. 24
included in MIPS); and
» Less than 3% of medical students
» Long-term care data sets (e.g. institutional and choose geriatric electives during their
community-based services) and ambulatory care training, which means that most will
(e.g. home health, hospice). • enter the workforce with little exposure The Action Agenda
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to the needs of older adults.
III.
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