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.

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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.

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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.

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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

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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

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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

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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.

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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)

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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

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http://alzheimers.gov – Your Federal Portal

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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

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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

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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

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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

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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

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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

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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/

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Eldercare Locator 1-800-677-1116

Hours of Operation: Monday – Friday 9:00am – 8:00pm ET

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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.

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Search By Topic

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http://longtermcare.gov/

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http://www.cdc.gov/aging/pdf/2013-healthy-brain-initiative.pdf

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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

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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

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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

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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

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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

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Available at: http://www.alz.org/i-have-alz/i-have-alzheimers-dementia.asp

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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

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Available at:http://www.communityresourcefinder.org

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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

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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

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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

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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

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Recruiting Older Adults into Research –ROAR (ACL-NIH-CDC)

Contact watsonjl@nia.nih.gov

Available Fall 2014

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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

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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

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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.alzheimers.gov/

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http://www.nhats.org/scripts/aboutNHATS.htm

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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/

Estimates of Caregiving by States and Territories, BRFSS 2009*

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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

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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

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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

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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

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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/

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LGBT Caregivers

http://longtermcare.gov/the-basics/lgbt/lgbt-caregivers

http://www.lgbtagingcenter.org/resources/index.cfm?s=3

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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

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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

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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

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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).

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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).

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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

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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

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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.

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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

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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

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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

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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

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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”

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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”

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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

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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

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VHA Dementia Initiatives

Susan G. Cooley, PhDChief, Dementia Initiatives

Geriatrics and Extended Care ServicesVeterans Health Administration

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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

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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

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Curriculum Categories

• Dementia Detection & Assessment

• Management of Co-Morbid Illness in Dementia

• Dementia Disease Management

• Life Care Planning in Dementia

• Dementia Caregiver Support

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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/

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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

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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

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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)

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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

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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

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Thank You!

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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

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Questions?