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- W4254039161 abstract "Dementia is common among elderly patients yet often goes unrecognized in the primary care setting. Despite the availability of gold standard diagnostic guidelines and the recent inclusion of cognitive screening as a component of the Medicare Annual Wellness visit, few physicians assess for dementia as part of routine care. Many providers are still extremely reluctant to embrace dementia screening and diagnosis because the work-up and management of these patients in everyday practice is perceived to be unclear, complex, time consuming, and burdensome. ACT on Alzheimer's© is a state-wide collaboration between medical, academic, community, government, business, and nonprofit stakeholders working to transform Minnesota's medical and long term care systems and communities to better support individuals with dementia and their families. These efforts have resulted in several tools designed to demystify and simplify dementia management in primary care. Our “practice parameter” provides doctors with a streamlined, 1 page protocol to guide decision making in each of 3 topics: cognitive screening, dementia work-up/diagnosis, and disease management. The guidelines incorporate existing best practice recommendations and are presented in a manner that allows for full appreciation of the steps involved in efficient and appropriate dementia care. Moreover, the protocols are easily adaptable to different settings and diverse practice groups. A second tool provides a recipe for taking full advantage of the electronic medical record system (EMR) to further simplify and streamline the evaluation, diagnosis, and management of patients with dementia. The tool is not specific to any one EMR product but rather designed to guide efficiencies within existing systems (e.g., EPIC, McKesson, etc). The tool provides a way for healthcare systems, clinics, and hospitals to promote best practices in dementia care in a format that allows providers to quickly access and administer desired screening measures, place orders for appropriate labs and other diagnostics, make appropriate referrals, and connect patients and families to helpful resources at the point of diagnosis. Several e vidence-based tools are now available to simplify and streamline dementia management in primary care." @default.
- W4254039161 created "2022-05-12" @default.
- W4254039161 creator A5029053945 @default.
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- W4254039161 date "2013-07-01" @default.
- W4254039161 modified "2023-09-27" @default.
- W4254039161 title "P4-137: Evidence-based provider tools for efficient identification and management of cognitive impairment" @default.
- W4254039161 doi "https://doi.org/10.1016/j.jalz.2013.05.1527" @default.
- W4254039161 hasPublicationYear "2013" @default.
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