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Advisory Council November 2020 Meeting Presentation: Healthy Brain Initiative and BOLD Updates

Monday, November 9, 2020

Printer Friendly Version in PDF Format (6 PDF pages)

Updates: The Healthy Brain Initiative and BOLD

Lisa C. McGuire, Phd
Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Population Health

Health Brain Initiative - BOLD


  • Five year, multi-component approach for Alzheimer's and related dementias (ADRD) public health activities. Activities are expected to promote brain health, address cognitive impairment including ADRD, and support the needs of caregivers.
  • Component A: Fund an organization with national scope and reach within states, to develop and implement public health strategies guided by the Healthy Brain Initiative (HBI) Road Map Series
    • The Alzheimer's Association
  • Component B: Fund organizations to support populations with a high burden of ADRD
    • International Association for Indigenous Aging (AI/AN).
    • University of Illinois at Chicago (IDD)
    • UsAgainstAlzheimer's (Hispanic/Latino & African American)

Health Brain Initiative

  • Advance brain health as a central part of public health practice (nationally)
    • Implementation and evaluation of HBI Road Map Series
    • Development of future road maps
Overlapping circles; top circle NHBI Component A, bottom circle NHBI Component B.

BOLD Public Health Programs

  • Building Our Largest Dementia Infrastructure (BOLD)--Public Health Programs to Address Alzheimer's Disease and Related Dementias (CDC-RFA-DP20-2004)
  • Funded 16 public health programs from states, political subdivisions of states, tribes and tribal organizations for 3-year awards at the Enhanced or Core level.
  • Enhanced Level
    • Georgia
    • Minnesota
    • Rhode Island
    • Virginia
    • Wisconsin
  • Core Level
    • Colorado
    • Hawaii
    • Iowa
    • Los Angeles County
    • Maine
    • Mississippi
    • Nevada
    • North Carolina
    • Northwest Portland Area Indian Health Board
    • Oklahoma
    • Vermont

BOLD Public Health Centers of Excellence

3 Components of BOLD

Priority Areas in BOLD

  • Address Alzheimer's as an urgent public health issue to create population-level change
    • Early detection and diagnosis
    • Preventable hospitalizations
    • Care planning and management
    • Support for caregivers
  • Attention to:
    • Health disparities
    • Rural areas
    • High burden populations


BOLD is designed to create a strong public health infrastructure for dementia and dementia caregiving

Overlapping circles; top circle BOLD Centers, bottom circle BOLD Programs.

Long-term Outcomes (where all circles overlap)

  • Diagnosis and awareness of ADRD
  • Talk to provider about changes in memory
  • Reduce preventable hospitalizations
  • Utilization of Medicare benefits
Overlapping circles; top left circle NHBI Component A, top right circle BOLD Centers, bottom left circle NHBI Component B, bottom right circle BOLD Programs.


Lisa McGuire, PhD