Redesigning Wisconsin s Dementia Care System Dementia Care Specialist Program Sharon Beall, Nurse Consultant WI Healthy Aging Summit 2014 Protecting and promoting the health and safety of the people of Wisconsin 1
Overview Aging population projections with specific emphasis on the dementia population growth from 2015 to 2035. Wisconsin s plan to address the needs of this growing population. Dementia Care Specialist Program. 2
Aging Population Projections Between 2010 and 2015, the aging population will grow by 117,360 people. In 2010, it was estimated that 119,900 persons had dementia. By 2035, that number is expected to increase by 68% to 201,600. 3
Wisconsin s Aging Population - 2015 4
Wisconsin s Aging Population - 2035 5
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Why the increase in dementia? Increased survival into very old age. Prevalence of dementia after age 85 increases to 48%. Life threatening diseases have been decreased due to successful treatments. Cancer. Heart disease. Early detection tools. Growing racial and ethnic diversity. 7
30.00% 25.00% Percent of People Age 65+ with Cognitive Impairment 23.90% 20.00% 17.50% 15.00% 10.00% 8.80% 5.00% 0.00% Caucasian Latino/Hispanic African American 8
Individuals 65+ with Dementia by Setting (n=120,000) Community Skilled Nursing Facilities 9
Wisconsin s Dementia Care System Redesign Plan The Department of Health Services is committed to changing the way state residents with Alzheimer s disease and other dementias are cared for in Wisconsin. Mission: to provide appropriate, safe and costeffective care throughout the course of the disease. 10
Planning Process and Timing Stakeholder Summit creates priorities for state dementia redesign plan; Report published. Draft Plan based on Summit priorities released for public comment. Stakeholder Survey collected comments and suggestions. Revised and updated Plan released and posted to DHS website. October, 2013 January, 2014 January, 2014 February, 2014 11
Key Focus Areas of the Plan 1. Community Awareness and Services. 2. Facility-Based Long Term Care. 3. Care for People with Significant Challenging Behaviors. 4. Dementia Care Standards and Training. 5. Research and Data Collection. 12
Community Awareness Projects ADRC Dementia Care Specialist Program expanded from 5 to 16 ADRCs in April 2014. DCS Program Goals: Create a dementia capable ADRC. Be a catalyst for development of Dementia-Friendly Communities. Provide opportunities for people with dementia to remain in their own homes. 13
Create a Dementia Capable ADRC Educate ADRC staff on dementia to enhance capacity in serving families facing dementia. Expand cognitive screening in ADRCs and ensure follow-up with a customer s preferred provider. Enhance outreach to health systems and the medical community. Collaborate with crisis teams, adult protective services and community service organizations. 14
Develop a Dementia Friendly Community Develop referral processes to physicians and health systems. Inform the community of the ADRC dementia services and other long term care services and supports. Engage the larger community in recognizing, communicating with, and supporting people with dementia. 15
Supporting Individuals in Their Own Homes Follow-up after medical evaluations to discuss a plan of action. Connect with individual and family-centered services and supports. Implement evidence-based caregiver and family support program. Refer to exercise and language program and other early memory loss programs. Provide short term care management. 16
The Future of Dementia Care in Wisconsin Increased community awareness with additional resources available. Program options that demonstrate positive results without the use of medication and relocations from home. An infrastructure that will respond appropriately to crisis, reducing the need for institutional placement. 17
Questions/Comments Sharon Beall, BSN, MS Sharon.Beall@Wisconsin.gov 18