Grand Rounds 14- March 2021

Update on Two IMPACT Funded Pilot Studies

March 2021 – In Grand Rounds 15, Drs. Forester and Hwang share experiences as Pilot Cycle 1 awardees and provide updates to their funded pilot studies.

Brent P. Forester, MD, MSc on his pilot: Implementation of the Care Ecosystem training model for individuals with dementia in a high risk, integrated care management program

Ula Hwang, MD, MPH on her pilot: Pathway to Detection & Differentiation of Delirium & Dementia in the Emergency Department

Speakers

Brent P. Forester, MD, MSc

Brent P. Forester, MD, MSc
Chief, Center of Excellence in Geriatric Psychiatry, McLean Hospital Medical
Director, Behavioral Health Integration, Quality, and Patient Experience, Mass General Brigham

Ula Hwang, MD, MPH

Ula Hwang, MD, MPH
Professor, Vice Chair for Research, Department of Emergency Medicine
Yale School of Medicine

Learning Objectives

Dr. Forester:

  • To understand the rationale and design of our adaptation of the Care Ecosystem model to train nurse case managers to deliver telephone-based collaborative dementia care.
  • To appreciate the successes and challenges encountered in stakeholder engagement, adaptation of the Care Ecosystem training program and implementation of the model.
  • To describe updates on pilot progress to date and plans for a larger embedded pragmatic clinical trial.

Dr. Hwang:

  • To describe the Pathway to Detection & Differentiation of Delirium & Dementia in the Emergency Department (PD4ED) pilot.
  • To share challenges and solutions of implementation with an embedded pragmatic trial (during a pandemic and institution move).
  • To provide updates on the status of the PD4ED pilot study implementation.