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Innovations : memory-alzheimers

Clinical Innovations

Title: Memory and Alzheimer’s Treatment Center Program

 

Organization: Johns Hopkins Bayview Hospital 

Innovation type: Community Based Chronic Disease Management  

What They’re Doing:  Implementing the Johns Hopkins Dementia Care Model combining state of the art diagnostic and medical treatment, with supportive care for patients, and skills training for caregivers.  

Clinical Innovation:  The Memory and Alzheimer's treatment center at Johns Hopkins Bayview Hospital offers an interdisciplinary team-based model of care that integrates psychiatry, neurology, and geriatric medicine with primary care and other allied health professional services for patients with dementia. The program utilizes the evidence-based Johns Hopkins Dementia Care Model package of interventions including the use of FDA approved medications; specific management for psychiatric symptoms; management of medical comorbidities; efforts at delirium prevention; aggressive rehabilitation; interventions for safety; guidance with advanced planning; and systematic support and skills training for caregivers.  

Evaluation Type: Site specific program: Non-Experimental/ Qualitative Support. The Dementia Care model: Experimental

Evaluation Plan: Programmatically, MATC is being evaluated based on its rate of referrals, patient outcomes, clinical volumes, and fiscal sustainability. The program quantifies and follows individual patient clinical outcomes, as well as patient and caregiver satisfaction.  

Patient Health Outcomes:  The Dementia Care model has been shown in randomized trials to improve outcomes in the community and institutional settings by reducing symptoms, improving life quality, reducing caregiver burden, preventing delirium, and delaying time to institutionalization.   

Publications:   

1)  Mittelman MS Haley WE Clay OJ Roth DL . Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease. Neurology .  2006 Nov 14;67(9):1592-9.  

2) Callahan CM, Boustani MA, Unverzagt FW, Austrom MG, Damush TM, Perkins AJ, Fultz BA, Hui SL, Counsell SR, Hendrie HC. Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial. JAMA. 2006 May 10;295(18):2148-57.  

3)  Economic evaluation of an integrated diagnostic approach for psychogeriatric patients: results of a randomized controlled trial . Wolfs CA, Dirksen CD, Kessels A, Severens JL, Verhey FR. Arch Gen Psychiatry. 2009 Mar;66(3):313-23.  

4) Lyketsos CG, Samus QM, MS, Baker A, McNabney M, Onyike CU, Mayer LS, Brandt J, Rabins P, Rosenblatt A. Effect of Dementia and Treatment of Dementia on Time to Discharge from Assisted Living Facilities: The Maryland Assisted Living Study. JAGS 2007; 55: 1031–1037 

5) Lyketsos CG, Colenda C, Beck C, Blank K, Doriaswamy M, Kalunian D, Yaffe K. Position statement of the American Association for Geriatric Psychiatry regarding principles of care for patients with dementia due to Alzheimer's disease. Am J Geriatr Psychiatry 2006;14(7):561-72  

Publication for the Dementia Care Model:  

Rabins PV, Lyketsos CG, Steele C. Practical Dementia Care, Oxford University Press Inc.: New York, 1999. Second edition, 2006.      

Target Population:  Patients with dementia  

Date of Implementation:  August 2007  

Contact:  Constantine G. Lyketsos ( kostas@jhmi.edu ) Center number 410-550-6337  

Multimedia: http://www.hopkinsmedicine.org/psychiatry/specialty_areas/memomy_center/

Where to learn more:  http://www.hopkinsmedicine.org/psychiatry/specialty_areas/memomy_center/   

 
 
  
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