Editorial: How Do We Make Comprehensive Dementia Care a Benefit?
September 25, 2020
Main Types
Not all approaches to data are equal: Data-related challenges for pragmatic trials involving PLWD
September 2020 – In Grand Rounds 9, Members of IMPACT's Technical Data Core (TDC) discuss how data algorithms from electronic health records (EHRs) are used to identify, characterize and capture relevant health outcomes of people living with dementia (PLWD) and their care partners.
Speakers
Executive Committee, Technical Data Core
Professor and Vice Chair of Medical Informatics and Clinical Epidemiology
Professor of Medicine, Division of General Internal Medicine and Geriatrics
Chief Research Information Officer, Biomedical Informatics Graduate Program, Oregon Health & Science University School of Medicine
Executive Committee, Technical Data Core
Assistant Professor of Learning Health Sciences, University of Michigan
Learning Objectives
- Understand key data-related steps involved in designing pragmatic trials and trade-offs
- Identify data-driven approaches to identify people living with dementia and caregivers - focus on EHR
- Identify challenges in validating approaches in different healthcare settings
Podcast
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Podcast Transcript: Download the podcast transcript.
Podcast Transcript: Download the podcast transcript.
Larson and Gitlin contribute to Lancet Commission report with recommendations to help reduce dementia risk
The Lancet Commission on dementia prevention, intervention, and care published a report July 30, 2020 that highlights recommendations for policy makers and individuals to help reduce dementia risk worldwide.
Eric B. Larson, MD, MPH, core leader of the IMPACT Health Care Systems Core and Laura Gitlin, PhD, FGSA, FAAN, core leader of the Implementation Core are among 28 internationally recognized dementia experts who contributed to the comprehensive report.
The report expands the number of modifiable risk factors from nine to 12, to now include head injuries in mid-life, excessive alcohol consumption in mid-life, and exposure to air pollution in later life. The Commission estimates that 40% of dementia cases could be prevented or delayed by targeting these 12 modifiable risk factors. The 2020 Lancet Commission update calls for nations and individuals to be ambitious about preventing dementia, and lays out a set of policies and lifestyle changes to help. Read https://hubs.ly/H0s-vHK0
Larson also answered questions from Kaiser Permanente Washington about the report. You can read the Q&A at this link.
Breaking the Cycle: Health Care Systems Interactions for Impactful Results
July 2020 – Grand Rounds 8, Members of the IMPACT Health Care Systems Core share how embedded pragmatic trials can benefit both health care systems and the research community.
Core Leader, Health Care Systems Core
Member, Steering Committee
Vice President, Research and Health Care Innovation, Kaiser Foundation Health Plan of Washington
Executive Director and Senior Investigator, Kaiser Washington Health Research Institute
Executive Committee, Health Care Systems (HCS) Core
Archstone Professor of Medicine, Director, UCLA Multicampus Program in Geriatric Medicine and Gerontology, David Geffen School of Medicine at UCLA
Learning Objectives
- Communicate the need and promise for improvement of dementia care with embedded pragmatic trials within dynamic health care settings.
- Review what we have found to be key components of ePCT trial design and conduct for ensuring that study results are implementable.
- Provide learnings of two ePCT trialists from The Dementia Care Study: A Pragmatic Clinical Trial of Health System-Based Versus Community-Based Dementia Care (D-CARE)
Unroe editorial explores how partnerships with health systems can provide support to nursing homes during COVID-19 pandemic
May 11, 2020
Kathleen Unroe, MD, MHA from the IMPACT Pilot Studies Core recently co-authored an editorial published in the Journal of the American Geriatrics Society. In it, they stated the benefits of collaboration between health systems and nursing facilities.
The editorial, "Time to Leverage Health System Collaborations: Supporting Nursing Facilities Through the COVID-19 Pandemic," was written in response to a paper published by a research team from the University of Washington. Dr. Unroe and her colleague Joshua Vest, PhD, MPH praise the work, which leveraged an existing university health system infrastructure to provide solutions and support to nursing homes during the outbreak. They believe the University of Washington's model demonstrates what is possible when investments are made in partnerships.
Read more about Dr. Unroe's editorial here.
