Post on 01-Jan-2016
description
Updates on Alzheimer’s Disease & Related Dementias Resources
2014 ACL/CDC/NIA Alzheimer’s Webinar SeriesJuly 22, 2014
ACCREDITATION STATEMENTSCNE: The Centers for Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center's Commission on Accreditation. This activity provides 1.5 contact hours. CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.2 CEU's for this program.
CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.5 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 0 CDC provider number GA0082.
2
DISCLOSURE STATEMENTS
In compliance with continuing education requirements, all presenters must disclose any financial or other associations with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use. CDC, our planners, presenters, and their spouses/partners wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. Planners have reviewed content to ensure there is no bias. Presentations will not include any discussion of the unlabeled use of a product or a product under investigational use.
3
To receive continuing education (CE):
Complete the activity
Complete the Evaluation at http://www.cdc.gov/TCEOnline Pass the posttest at 75% at http://www.cdc.gov/TCEOnline
If requesting CE, please use the following Verification Code: ADWeb14 FEES: There are no fees for CE.
4
A collaboration of the Administration for Community Living, the Centers for Disease Control and Prevention and the
National Institute on Aging/NIH
Jane Tilly, DrPHAdministration for Community Living/Administration on Aging
jane.tilly@acl.hhs.gov
Welcome to the 3rd Annual Dementia Webinar Series
5
Requires the Secretary of the U.S. Department of Health and Human Services (HHS) to establish the National Alzheimer’s Project to:
• Create and maintain an integrated national plan to overcome Alzheimer’s • Coordinate research and services across all federal agencies• Accelerate development of treatments to prevent, halt, or reverse the
disease• Improve early diagnosis and coordination of care and treatment of the
disease • Improve outcomes for ethnic and racial minority populations at higher
risk • Coordinate with international bodies to fight Alzheimer’s globally• Create an Advisory Council to review and comment on the National Plan
and its implementation 6
National Alzheimer’s Project Act of 2011
1. Prevent and Effectively Treat Alzheimer’s Disease by 2025
2. Optimize Care Quality and Efficiency
3. Expand Supports for People with Alzheimer’s Disease and Their Families
4. Enhance Public Awareness and Engagement
5. Track Progress and Drive Improvement
7
National Alzheimer’s Plan Goals
National Alzheimer’s Plan 2014 update• Goal 1: Research
• Create milestones for research goals• Brain health education program• DoD & VA collaboration on neurodegeneration research
• Goal 2: Optimize care• Help state LTSS become dementia-capable• Link to broader improvements in LTSS• Identify meaningful care outcomes• Use HIT to improve care transitions• Explore models of family support for younger onset dementia,
including those with intellectual disabilities8
National Alzheimer’s Plan 2014 update• Goal 3: Expand supports
• Enhance disaster preparedness • Engage law enforcement• Compile state policies on residential care & adult day health
• Goal 4: Public awareness• National education & outreach• Improve coordination between IHS, Tribal & Urban Indian Health
programs with aging network• Enhance global collaboration
• Goal 5: Data• Dementia chartbook• Develop consistent codes for analysis of administrative data
9
Webinar Series Goals• Inform the Aging, Public Health, and Dementia
Research Networks about federal resources to help people with dementia and their family caregivers.
• Improve coordination of federal resources available to them.
• Enable CEUs for those who desire them.
10
Webinar Series Calendar• Webinar #2: Community Collaborations for Assisting People with
Alzheimer’s and Dementias: The Steps to SuccessThursday, August 28
• Webinar #3: Alzheimer’s Research UpdatesThursday, September 25
• For a more detailed agenda & CEU information, please go to http://www.acl.gov/NewsRoom/NewsInfo/2014/2014-Webinars-Alz.aspx.
• Archives will be available at: http://www.aoa.gov/AoARoot/AoA_Programs/HPW/Alz_Grants/index.aspx (under Resources & Useful Links)
11
Presenters:• Amy Wiatr-Rodriguez, MSW, Aging Services Program Specialist at the
Administration for Community Living/Administration on Aging will discuss existing resources for consumers.
• Jennifer Watson, MA, Senior Public Affairs Specialist, National Institute on Aging at the National Institutes for Health will discuss new resources for consumers, including the brand new Brain Health Resource.
• Lynda Anderson, PhD, Director, Healthy Aging Program, Centers for Disease Control and Prevention will discuss resources for caregivers.
• Joan Weiss, PhD, Senior Advisor, Division of Medicine and Dentistry, Health Resources and Services Administration, will discuss resources for paid staff. 12
Amy Wiatr-Rodriguez, MSWAdministration for Community Living/Administration on Aging
312-938-9858amy.wiatr@acl.hhs.gov
Consumer Resources on Alzheimer’s Disease & Related Dementias
13
http://www.nia.nih.gov/alzheimers NIA’s
Alzheimer’s DiseaseEducation and
Referral (ADEAR)Center
1-800-438-4380Mon-Fri,
8:30am-5:00 pm Eastern Time
adear@nia.nih.gov• Focus on research-
based information• Referral to
government and organization resources
15
http://www.nia.nih.gov/alzheimers ADEAR Center Website features:
• Alzheimer’s research news• Alzheimer’s topics:Causes, Symptoms, Diagnosis, Caregiving, Treatment, and more
• Easy access to caregiving & other professional information
• E-alert Sign-up, Twitter
• FAQs
16
http://www.nia.nih.gov/alzheimers/publication
ADEAR Publications• Available online to
read and download• Users can also order
free print copies• Bulk copies available
for organizations
17
http://www.nia.nih.gov/alzheimers/alzheimers-disease-research-centers NIA-funded Alzheimer’s Disease Centers (ADCs):• ADCs conduct research to improve diagnosis and care and test
treatments• Help with obtaining diagnosis and medical management• Opportunities to participate in research
18
23
National Alzheimer’s Call Center24/7 Helpline 800-272-3900 or
http://www.alz.org/we_can_help_24_7_helpline.asp
• Alzheimer’s Association is grantee of Administration for Community Living
• The National Contact Center operates in partnership with Alzheimer’s Association chapters
• 24,000 calls/month nationwide to provide support, information and referrals
• Calls taken by:• General information specialists• Masters prepared Care Consultants
19
31
Assistance in Languages other than English, including Spanish and Asian portals
• Information and brochures available in multiple languages
• http://www.alz.org/espanol• http://www.alz.org/asian
20
Online Resource: ALZConnected
• Active social networking community
• For people w/ Alzheimer’s & their families
• Public and private groups• 40K visits/month• Discuss unique challenges• Message boards• Peer supporthttps://www.alzconnected.org/
21
http://www.eldercare.gov
Brochures to download and print or order
online
Have Questions? Chat or Call
Search by Location OR Topic
Links to:• BenefitsCheckUP• LTC PathFinder• Federal Websites that offer
valuable information on a range of critical eldercare issues.
• Links to non-profit organizations that focus on eldercare and other aging issues.
23
Dementia Capability - Issue brief and toolkit resourceshttp://aoa.gov/AoARoot/AoA_Programs/HPW/Alz_Grants/index.aspx
In model dementia-capable systems, programs are tailored to the unique needs of people with Alzheimer’s disease or other dementias (AD), and their caregivers. Such considerations include: • Information & assistance services have a method to identify people with
possible AD & give a recommendation for physician follow-up. • Options counseling staff communicate effectively with persons with dementia
and their family caregivers and know what services this population is likely to seek.
• Publicly and privately financed services are capable of meeting the unique needs of persons with dementia and their caregivers.
• Workers have appropriate training in identifying possible AD, the symptoms of AD, the likely illness trajectory, and services needed.
• Quality assurance systems measure how effectively LTSS providers & systems serve persons with dementia and their family caregivers. 27
New Consumer Resources on
Brain Health and DementiaJennifer Watson, National Institute on Aging, NIH
28
New! Brain Health Resource Evidence-based materials to facilitate
conversations with older people about brain health as we age
Developed by ACL, NIH, CDC of the U.S. Department of Health and Human Services
Plain language For use in senior centers and other community
settings
29
Brain Health Resource (ACL-NIH-CDC)4 Components:
PowerPoint presentation (23 slides, 60-minute session)
Topics include: preventing falls to avoid head injury refraining from excessively drinking alcohol getting enough sleep managing diabetes and blood pressure
Educator Guide with additional information for presenters
One-page handout: “Brain Health as You Age: You Can Make a Difference!”
Supplementary handout: “Brain Health as You Age: Key Facts and Resources”
Available FREE at: http://www.acl.gov/Get_Help/BrainHealth/Index.aspx
30
Advance Care Planning Fact Sheets (ACL) Fact sheet series from Eldercare Locator:
Advance Care Planning For Serious Illness Care for Advanced Cancer Caregivers and Serious Illness Dementia, a Serious Illness Hospice Care Palliative or Comfort Care
Available at: http://eldercare.gov/Eldercare.NET/Public/Resources/Advanced_Care/Index.aspx
31
I Have Alzheimer’s Disease
Newly redesigned Input from Early
Stage Advisors Know what to
expect Treatments &
research Programs & support Overcoming stigma Younger-onset
Alzheimer’s Live well
25
Available at: http://www.alz.org/i-have-alz/i-have-alzheimers-dementia.asp
32
Online Resources: Community Resource Finder
Access comprehensive lists of resources, services and community programs (including ADRC’s, AAA’s)
Search by category and proximity
Sort by specific needs and preferences
Create lists of resources you need near you
29
Available at:http://www.communityresourcefinder.org
33
Long-Distance Caregiving (NIA) Online tip sheets
Getting Started: http://www.nia.nih.gov/health/publication/long-distance-caregiving-getting-started
Family Affair: http://www.nia.nih.gov/health/publication/long-distance-caregiving-family-affair
34
Talking With Your Doctor Toolkit (NIA) PowerPoint presentation (18 slides, 45
minutes) features tips for how to: Get ready for a doctor’s visit Effectively talk with a clinician about health
concerns Make collaborative decisions about
treatment Remember what was discussed following
the appointment Toolkit also includes speaker notes, handouts Available at:
http://www.nia.nih.gov/health/publication/talking-your-doctor-presentation-toolkit
35
Other Dementias Resources (NIH) Booklets for patients,
families, and health care professionals on: The Dementias Frontotemporal Disorders Lewy Body Dementia
(New) Available from:
http://www.nia.nih.gov/alzheimers/topics/other-dementias
36
Participating in Alzheimer’s Research (NIH)
Coming soon! Guide for older adults and families discusses:
Types of clinical research Common questions
about participating Why placebos are important Benefits, risks, and safety Need for all kinds of people
Will be available at:http://www.nia.nih.gov/alzheimers
37
Recruiting Older Adults into Research –ROAR (ACL-NIH-CDC)
Contact watsonjl@nia.nih.gov
Available Fall 2014
38
3939
Caregivers of Persons with Dementia
Alzheimer’s Disease and Related Dementias Resources Update
Lynda A. Anderson, PhDNational Center for Chronic Disease Prevention
and Health PromotionCenters for Disease Control and Prevention
4040
National Recognition for Caregivers’ Roles
National Plan to Address Alzheimer's DiseaseA number of strategic actions that focus on caregivers
Healthy People 2020: Older Adults“Reduce the proportion of unpaid caregivers of older adults who report an unmet need for caregiver support services” (Older Adults Topic: Objective 9)
The Healthy Brain Initiative: The Public Health Road Map for State and National Partnerships, 2013 – 2018
6 action items focus on caregivers
41
Caregiver Supports and Services
National and state data
Resources and strategies to support independent living
Health promotion programs
‘Dementia-capable’ care in community settings
http://www.nhats.org/scripts/aboutNHATS.htm
43
44
State Public Health Surveillance
Updated set of 9 questions on caregiving available for the 2015+ Behavioral Risk Factor Surveillance System Case definition: “During the past 30 days, did you
provide regular care or assistance to a friend or family member who has a health problem or disability?”
If yes, ask:Relationship to recipient; Type, length, and intensity of careHealth problem of care recipient Services that are most needed that not currently receiving
If no, ask: “In the next 2 years do you expect to provide care or assistance to a friend or family member who has a health problem or disability?”
http://www.cdc.gov/aging/
Alzheimer’s Disease Supportive Services Program
http://www.aoa.gov/AoARoot/AoA_Programs/HPW/Alz_Grants/index.aspx
Administration on Aging (AoA)/ Administration for Community Living
Delivers supportive services and facilitates informal support for persons with ADRD and their family caregivers
Translates evidence-based models into community-level practice; and
Advances state initiatives toward coordinated systems of home and community-based care
46
National Family Caregiver Support Program
http://www.aoa.gov/AoARoot/AoA_Programs/HCLTC/Caregiver/ 47
Toolkits AoA toolkits focus on different aspects of providing home and community-based services to people with dementia and their caregivers
InnovationsConsumer Directed Care Disaster Preparedness Resources for Individuals & Families Serving African American Families Serving Asian-Pacific Islander Families Serving Hispanic Families Single Point of Entry Supporting Family Caregivers
http://www.aoa.gov/AoARoot/AoA_Programs/HPW/Alz_Grants/compendium.aspx#toolkits
48
ADEAR Caregiving Information
http://www.nia.nih.gov/alzheimers/topics/caregivinghttp://www.nia.nih.gov/alzheimers/publication/caring-person-alzheimers-disease/about-guidehttp://www.nia.nih.gov/health/publication/so-far-away-twenty-questions-and-answers-about-long-distance-caregiving/getting
Research-based information & tipsPublications, including eBooksFeature articlesVideos & Resource ListsLinks to other organizations
Caring for a person with Alzheimer’s disease:
Comprehensive, easy-to-read guideAvailable FREE online
49
Information and Resources
Centers for Medicare & Medicaid Services
ResourcesWhat does Medicare cover? Caregiver resourcesWhat every caregiver needs to know Caring for someone with a chronic illness Planning for the future What caregiver support is available in my area? Taking care of yourselfCaregiver resource kithttp://
www.medicare.gov/campaigns/caregiver/caregiver.html 50
Caregiver Support for Veterans
US Department of Veterans Affairs
Family Caregivers taking care of veteran
VA website
VA's Caregiver Support Line
(1-855-260-3274)
http://www.caregiver.va.gov/support/index.asp#s 51
Preparedness Resources
http://www.aoa.gov/AoARoot/Preparedness/Resources_Individuals/index.aspx
52
Preparedness Guide and PortalCenters for Disease Control and Prevention
Preparedness guide for community-dwelling adults aged ≥ 60 years
Strategies & OptionsCharacterizing the populationUsing GIS, Registries, Shelter Intake
Web portal Compilation of existing information, resources, and toolsExtensive user-testing during developmentFeatures new tools for planners
http://www.cdc.gov/aging/emergency/
53
LGBT Caregivers
http://longtermcare.gov/the-basics/lgbt/lgbt-caregivers
http://www.lgbtagingcenter.org/resources/index.cfm?s=3
54
Employed CaregiversFamily and Medical Leave Act
Family and Medical Leave Act Advisor
http://www.dol.gov/whd/regs/compliance/whdfs28.pdf http://www.dol.gov/elaws/fmla.htm
55
State Resources
United States Department of Agriculture (USDA), Cooperative Extension System
Topics include Disaster preparednessMilitary families Grandparents raising grandchildrenHousingNutritionhttp://www.extension.org/pages/69940/alzheimers-disea
se:-a-current-and-looming-challenge#.U7HzlXYpAdY
56
Dementia Resources: Educating the Healthcare
WorkforceJuly 22, 2014
Joan Weiss, PhD, RN, CRNP, FAANSenior Advisor, Division of Medicine
and Dentistry Bureau of Health Workforce
Department of Health and Human Services
Health Resources and Services Administration
57
Why is Education Needed?
• As many as half of people satisfying diagnostic criteria for dementia have never received a diagnosis.
Alzheimer’s Association (2011). 2011 Alzheimer’s Disease Facts and Figures, Alzheimer’s & Dementia, 7(2).
58
Non-Diagnosis Causes Delays In
• Evaluation/treatment of reversible or treatable causes
• Management of symptoms with medication or other interventions
• Potential inclusion in Alzheimer clinical trials• Management of possible behavioral symptoms• Polypharmacy management• Reduction of anxiety• Reduction of caregiver burden
Alzheimer’s Association (2011). 2011 Alzheimer’s Disease Facts and Figures, Alzheimer’s & Dementia, 7(2).
59
Geriatric Education Centers (GEC) Program Activities
Purpose: •Provide training to healthcare providers’ on Alzheimer’s disease and related dementias (AD)
Goal: •Improve detection and early intervention of AD and ultimately improve care for patients and their families
60
GEC Program Activities
• Revise and update existing evidence based practice curricula related to AD and related dementias and use the curricula to train interprofessional teams of health care practitioners. One of the discipline team members must be medicine
• Provide trainings free-of-charge as continuing education to providers
61
GEC Program Activities • Partner with the Quality Improvement
Organizations (QIOs), professional organizations and accreditation bodies to distribute these trainings more broadly
• Provide the trainings for distribution on a centralized website (site to be determined by HRSA) and
• Report on the number of trainings provided, number of disciplines, number of participants, and practice improvement of participants.
62
GEC Program Activities
• Provide training on the latest clinical guidelines and on how to work with patients with the disease and their families
•Learn how to assess patients for AD • Recognize the signs and symptoms of AD• Manage the disease in the context of other
health conditions
63
GEC Program Activities
•Refer patients to appropriate clinical trials • Be knowledgeable of long-term services and
supports in the community • Recognize and treat signs of caregiver burden
and depression • Trained on the tools available to detect cognitive
impairment and appropriate assessment processes for the diagnosis of AD
64
GEC Program Activities • Address the unique needs of medically
underserved and special populations including racial and ethnic minorities and individuals with intellectual disabilities.
• Provide information on the Health Information Portability and Accountability Act (HIPAA)
• Recommended that education materials be translated other languages to meet the needs of their communities
65
Geriatric Education Center of Greater Philadelphia
• Collaborated with the Area Agency on Aging to provide training on:• Recognizing signs and symptoms along the
spectrum of mild to advanced dementia• Non-pharmacologic management of dementia
behaviors• Recognizing and preventing caregiver burden
66
GEC of Michigan (GECM)
• Partnered with the Area Agency on Aging to provide two trainings • “Community-based Solutions for
Managing Dementia”• “Early Detection and Management of
Dementia”
67
New Jersey Geriatric Education Center
• Partnered with the New Jersey Aging and Disability Resource Centers to provide a series of trainings on Alzheimer’s disease• “Update and overview of Alzheimer’s disease
and other dementias”• “Dementia behaviors, interventions, and
successful communications”• “Community-based resources and end-of-life
issues surrounding the dementia patient”• “Dementia patient safety in the home and
community setting”
68
Medscape Article “Case Challenges in Early
Alzheimer’s Disease”• Educate primary care physicians, nurse
practitioners, and nurses on how to utilize evidence-based strategies to diagnose, monitor, and treat patients with Alzheimers Disease
• Improve early detection in primary care and outpatient settings
Doody, R.S. (2013). Case challenges in early Alzheimer’s disease. http://www.staging.medscape.org/viewarticle/806464
69
Contact Information
Joan Weiss, PhD, RN, CRNP, FAANSenior Advisor
Division of Medicine and Dentistry Bureau of Health Workforce
Phone Number: 301-443-0403E-mail Address: jweiss@hrsa.gov
70
VHA Dementia Initiatives
Susan G. Cooley, PhDChief, Dementia Initiatives
Geriatrics and Extended Care ServicesVeterans Health Administration
71
ContextSetting: Veterans Health Administration (VHA)
– Large managed care system– Nearly 7 million veterans served annually
• 21 networks (Veterans Integrated Service Networks)• 152 medical centers• 135 community living centers (skilled nursing, short/long stay)
– Centers of Excellence in Geriatrics (GRECCs) since 1975– Computerized Patient Record System since 1997
• Core values– Patient-centered & Evidence based– Collaborative teams in an integrated environment – Supports learning, discovery and continuous improvement.http://www.va.gov/health/aboutVHA.asp#datasource
72
Context of Care Throughout VA Healthcare System
• Values: Veteran-centric, data-driven, team-focused, and evidence-based
• Integrated Cross-Continuum Care– Home, Community, Outpatient, Inpatient, Nursing
Home/Community Living Center, Respite, Hospice services• Patient Aligned Care Team (PACT) is cornerstone of care:
– http://www.va.gov/HEALTH/services/primarycare/pact/• Geriatrics specialty services
– http://www.va.gov/GERIATRICS • Robust, multidisciplinary, multi-level trainee education
integrated throughout continuum of care
73
Curriculum Categories
• Dementia Detection & Assessment
• Management of Co-Morbid Illness in Dementia
• Dementia Disease Management
• Life Care Planning in Dementia
• Dementia Caregiver Support
74
FY2014 Educational Activities
Title/Date Collaborators Modality Target Audience
1. CMS Hand-in-Hand Training Materials Dissemination Workgroup - May 2014
GEC Operations
Lync or Adobe Connect meetings & distribution of DVDs & manuals
CLC staff
2. STAR-VA Training: Collaboration with OMH re: nurse champion role Next cohort: June 2014
Office of Mental Health
Face-to-face with follow-up support calls
CLC staff
3. Veterans with Dementia: Skills for Addressing Challenging Behaviors - Summer 2014
(GEC Operations) (ONS)
DVD & Video-Conference Master Trainers Sessions
CLC & HBPC Staff; Extend to Hospital Staff 2014-15
4. Dementia Warning Signs Toolkit Dissem. Summer-Fall 2014
PACT Lync meetings PACT staff75
Centers of Excellence
• GRECCs – 19 nationwide; 4 with major dementia focus (New England, Madison, Minneapolis, Puget Sound); others with minor focus/projects http://www.va.gov/grecc/
• MIRECCs – 10 nationwide; 2 with major dementia focus (Seattle, Palo Alto) http://www.mirecc.va.gov/
• PADRECCs – 6 nationwide http://www.parkinsons.va.gov/
76
Current/Emerging Emphases
• Use of dementia warning signs in primary care• Integration of dementia care/care
coordination into Patient-Aligned Care Teams• Behavioral interventions – inpatient settings• Access to care - Rural health, Telehealth• Special populations - Women’s health, Native
Americans• Caregiver support
77
Center for Medicare & Medicaid Services
Shari M. Ling M.D.Deputy Chief Medical Officer
Centers for Medicare & Medicaid Services (CMS)Center for Clinical Standards & Quality
Center for Medicare & Medicaid Services Center for Medicare & Medicaid Services
78
Center for Medicare & Medicaid Services Patient & Family Engagement Campaign (PFEC)
• Five Quality Improvement Organization campaign projects target improvement of care for “Individuals Diagnosed with Dementia”
• Generate processes designed to increase awareness and engagement by providing decisive tools, so patients and families make better decisions related to health care services they receive;
• Enable patients, their families, care givers and the public in general to interact among themselves and obtain information related to health care services they receive related to Dementia or Alzheimer’s Disease.
• The QIOs have established their tactics for achieving success • Concluding in July, 2014
Center for Medicare & Medicaid Services Patient & Family Engagement Campaign (PFEC)
Center for Medicare & Medicaid Services Patient & Family Engagement Campaign (PFEC)
79
Patient and Family Engagement Campaign is Reaching People
Patient and Family Engagement Campaign is Reaching People
Patient and Family Engagement Campaign is Reaching PeopleState/QIO # Directly Reached # Indirectly
Reached
California (HSAG) 1250 n/a
Kentucky (HCE) 630 n/a
Michigan (MPRO) 560 n/a
Missouri (Primaris) 339 29,704
New York (IPRO)160 (80 beneficiaries
w/ 80 graduate caregivers)
882
80
Improvement Opportunities Identified
• Beneficiaries are receptive to using technology and knowledge to actively engage in their healthcare;
• For some of the target audience the QIOs have learned that Hispanic communities have providers of care but many have English as a second language and are located in a high crime area;
• Identified that many have limited knowledge of dementia-care best practices, resources; and that many may be unaware, due to recent diagnosis of dementia or Alzheimer’s disease, of evidence-based practices for quality of life practices;
• Learned that dementia-care resources exist, but beneficiaries have limited understanding of how helpful these resource can be to caregivers;
• Recognized that beneficiaries and families require education regarding the need, and ability, of being responsible for their healthcare decisions;
• Acknowledged that care transitions and continuity need to be better coordinated between hospitals and communities.
Improvement Opportunities IdentifiedImprovement Opportunities Identified
81
Registration for 2014 Webinar Series is at capacity; Slides, audio and transcript will be posted on-line, generally
within 2 weeks after the live webinar. Free CEUs for Webinar 1 will be available for up to 2 years after the live
webinar.
Slides, audio and transcript for 2012 & 2013 webinar series available under Resources and Useful Links at:
http://www.aoa.gov/AoARoot/AoA_Programs/HPW/Alz_Grants/index.aspx
83
Questions?