Monday, February 3, 2014
Clincal Care Subcommittee Recommendations
Non-federal members
Laurel Coleman
Helen Matheny
Dennis Moore
Yanira Cruz
Federal members
Shari Ling
Joan Weiss
Bruce Finke
Recommendation 1
Target the dementia awareness campaign funded in the omnibus appropriations bill toward the following specific efforts:
- recognition and diagnosis of cognitive impairment and Alzheimer’s disease;
- the importance of talking to a healthcare provided about worsening memory problems; and
- talking with family members and healthcare providers about preferences for care.
Recommendation 2
Evaluate the detection of cognitive impairment component of the Annual Wellness Visit and study possible ways to improve detection and diagnosis of Alzheimer’s Disease.
Recommendation 3
Establish targets and milestones for improving the clinical care for persons with Alzheimer’s disease and their caregivers through the following patient-centered goals:
- I was diagnosed in a timely way.
- I know what I can do to help myself and who else can help me.
- Those helping to look after me feel well supported.
- My wishes for my care are respected.
Recommendation 4
Clarify the privacy protections under the Health Insurance Portability and Accountability Act (HIPAA) to ensure that health care providers can engage in care planning with family members of those diagnosed with Alzheimer’s disease or other dementias.
Recommendation 5
Evaluate models and demonstrations of payment and care delivery reform on the quality and cost for the subpopulation of participants with Alzheimer’s disease.
Recommendation 6
Develop and set targets, strategies and milestones for ensuring a dementia-capable primary and specialty care workforce in terms of both the number of professionals needed and ensuring basic competence among health care professionals in caring for persons with Alzheimer’s disease and their caregivers.