Maximizing Independence at Home (MIND at Home): A Memory Care Coordination Program
undefined
“
M
a
x
i
m
i
z
i
n
g
I
n
d
e
p
e
n
d
e
n
c
e
a
t
H
o
m
e
”
(
M
I
N
D
a
t
H
o
m
e
)
:
A
M
e
m
o
r
y
C
a
r
e
C
o
o
r
d
i
n
a
t
i
o
n
P
r
o
g
r
a
m
Quincy M. Samus, PhD, MS
Current Financial Support
•
National Institute on Aging
•
Centers for Medicare and Medicaid
•
BrightFocus Foundation
•
Broadmead Retirement Community (JHU consultant
contract)
•
Welltower (JHU consultant contract)
The project described in this presentation is supported by Grant Number 1C1CMS331332 from the Department of Health and
Human Services, Centers for Medicare & Medicaid Services. The contents of this presentation are solely the responsibility of
the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any
of its agencies.
Program origin and vision
O
r
i
g
i
n
•
Conceived by Roy Hoffberger & Kostas Lyketsos
•
Grassroots, philanthropic collaboration
•
Recognition great unmet needs in the community but effective
care strategies available
V
i
s
i
o
n
•
Home-based, care coordination
•
Family-centered, individualized (not one-size fits all), evidence-
based
•
Goals of care patient-centered (age-in-place, quality of life,
reduce caregiver burden)
•
Proactive and pragmatic
•
P
l
a
t
f
o
r
m
t
o
“
c
o
n
n
e
c
t
t
h
e
d
o
t
s
”
f
o
r
m
e
d
i
c
a
l
,
s
o
c
i
a
l
a
n
d
s
u
p
p
o
r
t
i
v
e
c
a
r
e
a
n
d
s
e
r
v
i
c
e
s
,
t
e
c
h
n
o
l
o
g
y
Photo: Paula Tillman-Hoffberger
Pilot studies
Phase 1
•
Tested a dementia case finding method
•
Developed needs assessment tool
•
Initial prevalence unmet needs
•
Developed protocol
4
Phase 2
Pilot RCT
of
MIND on aging in place among
community-living persons with memory disorders
(18m, n=303)
•
PTs:
Delayed transition from home, improved
quality of PT life, reduced unmet needs
•
CGs:
time savings (i.e. fewer hrs per wk with PT),
reduced burden
Samus et al., American Journal of Geriatric Psychiatry, 2014
Home
Setting
M
I
N
D
a
t
H
o
m
e
M
o
d
e
l
(
S
t
r
e
a
m
l
i
n
e
d
,
P
L
U
S
)
Other
community
resources
Person with
Dementia/
Family
Caregiver
Primary
Care and
Specialty
Care
Provider
Social and
supportive
care
services
Aging
Services
Registered
Nurse
Occupational
Therapist
Geriatric
Psychiatrist
Memory
Care
Coordinator
Community
Resources
Educate/Navigate/Support
Facilitate/Coordinate
Regular clinical expert support
Direct Consultation
on Complex Issues/
Full Needs
Assessments
M
I
N
D
a
t
H
o
m
e
m
i
n
i
m
u
m
c
o
r
e
(
S
t
r
e
a
m
l
i
n
e
d
)
1.
Initial JHDCNA needs assessment
(PT & CG)
2.
Individualized need-based care
planning and standardized MIND
service delivery
•
Written care plan (family and Primary
care provider)
•
Implement core care strategies per
standardized protocol
–
Disorder education
–
Referrals and Linking
–
Specific skills/strategies/problem
solving-DICE
–
Emotional support
–
Symptom screening/ Needs
Assessment
•
Caregiver resource binder
3.
Monitoring and revision of care plan
•
MCC direct encounter every 30 days
•
Quality reviews, every participant, every
60 days by clinical supervisor
•
Weekly care team rounds
(challenging/complex cases)
•
Tracking encounters in Dementia Care
Management System
4.
Full JHDCNA In-Home
Reassessment (every 9 months)
5.
Critical Events protocols
•
PRN telehealth visits within 1 week of
discharge
•
Transitions/discharges
6
Care Needs
Proximal outcomes
Primary outcomes
H
o
w
M
I
N
D
w
o
r
k
s
P
r
o
g
r
a
m
T
o
o
l
s
S
t
o
r
i
e
s
f
r
o
m
t
h
e
f
i
e
l
d
•
Working with a Physician Assistant to discuss a MOLST with a critically ill participant, who later died
peacefully in own how, according to his wishes.
•
Helping a family caregiver recognize symptoms of a urinary tract infection, who promptly called the PCP
and obtained outpatient labs and treated—potentially avoiding a ED or worse, a hospitalization.
•
Providing emotional support and empowerment to a family caregiver, who at the initial home visit, was so
overwhelmed that she was tearful through most of the interview, and 9 months later is now a Caregiver
Advocate for the Alzheimer’s Association.
•
Assisting with overseas travel preparation for a person with mild dementia (recommended contacting PCP
for advice on flying and blood clot prevention, creation of an ID pouch in case of getting lost)
•
Assisting with calling Maryland Health Connection, after patient lost health insurance coverage, and was
initially declined to have it re-instated. Assistance led to re-instating health insurance coverage so that the
participant could obtain her medications.
•
Assisting with ordering a bedside commode to prevent entering a nursing home. Now PT can make it to
the toilet in the middle of the night instead of inappropriately urinating and ruining the hardwood floors.
•
Helping to secure an Alzheimer’s Association Caregiver Grant for a weekend get-a-way for a caregiver
who had gone 8 years of daily caregiving without a full night respite.
10
I
m
p
o
r
t
a
n
c
e
o
f
w
o
r
k
i
n
g
i
n
t
h
e
H
o
m
e
Over 90% of MIND PTs had safety
unmet needs at baseline
W
h
a
t
F
a
m
i
l
i
e
s
a
r
e
S
a
y
i
n
g
11
“
They are somebody. They are somebody. They
have the right to be cared for. He is a good man”
“[Thank you] for the practical assistance and
moral support we’re receiving from Mind at
Home. In a rather bleak time for our family, this
program has been a ray of hope.”
“You are my angel. You lift me up….my emotions.
All other programs are to help him. You help me
.”
Photo: QMS with permission
•
2 Active research studies (RCT
, CMMI project)
–
Enrollment closing soon for MIND clinical trial
•
C
a
l
l
4
1
0
-
5
5
0
-
6
7
4
4
o
r
e
m
a
i
l
m
i
n
d
a
t
h
o
m
e
@
j
h
m
i
.
e
d
u
•
Sustainability, scalability and dissemination, with well
matched partners
Coordinators, nurses, doctors, OTs, evaluators, and researchers
13
T
h
e
M
I
N
D
a
t
H
o
m
e
T
e
a
m
2
0
1
6
Special thanks Co-Investigators: Deirdre Johnston, MD,
Betty Black, PhD, Karen Davis, PhD, and Laura Gitlin, PhD
Thank you!
Quincy Samus, PhD, MS
Associate Professor
Department of Psychiatry, JHU
qmiles@jhmi.edu
Maximizing Independence at Home (MIND at Home) is a memory care coordination program initiated by Dr. Quincy M. Samus, focusing on home-based, individualized care strategies for those with memory disorders. Supported by various organizations, the program aims to enhance quality of life, reduce caregiver burden, and connect individuals with necessary medical, social, and supportive services. Through pilot studies and a streamlined model, MIND at Home facilitates aging in place while addressing unmet needs effectively.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Maximizing Independence at Home (MIND at Home): A Memory Care Coordination Program Quincy M. Samus, PhD, MS
Current Financial Support National Institute on Aging Centers for Medicare and Medicaid BrightFocus Foundation Broadmead Retirement Community (JHU consultant contract) Welltower (JHU consultant contract) The project described in this presentation is supported by Grant Number 1C1CMS331332 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this presentation are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.
Program origin and vision Photo: Paula Tillman-Hoffberger Origin Conceived by Roy Hoffberger & Kostas Lyketsos Grassroots, philanthropic collaboration Recognition great unmet needs in the community but effective care strategies available Vision Home-based, care coordination Family-centered, individualized (not one-size fits all), evidence- based Goals of care patient-centered (age-in-place, quality of life, reduce caregiver burden) Proactive and pragmatic Platform to connect the dots for medical, social and supportive care and services, technology
Pilot studies Phase 1 Tested a dementia case finding method Developed needs assessment tool Initial prevalence unmet needs Developed protocol Phase 2 Pilot RCT of MIND on aging in place among community-living persons with memory disorders (18m, n=303) PTs: Delayed transition from home, improved quality of PT life, reduced unmet needs CGs: time savings (i.e. fewer hrs per wk with PT), reduced burden Samus et al., American Journal of Geriatric Psychiatry, 2014 4
MIND at Home Model (Streamlined, PLUS) Home Setting Person with Dementia/ Family Caregiver Primary Care and Specialty Care Provider Educate/Navigate/Support Social and supportive care services Community Resources Direct Consultation on Complex Issues/ Full Needs Assessments Memory Care Coordinator Facilitate/Coordinate Aging Services Regular clinical expert support Other community resources Geriatric Psychiatrist Registered Nurse Occupational Therapist
MIND at Home minimum core (Streamlined) 1. Initial JHDCNA needs assessment (PT & CG) 3. Monitoring and revision of care plan MCC direct encounter every 30 days Quality reviews, every participant, every 60 days by clinical supervisor Weekly care team rounds (challenging/complex cases) Tracking encounters in Dementia Care Management System 2. Individualized need-based care planning and standardized MIND service delivery Written care plan (family and Primary care provider) Implement core care strategies per standardized protocol Disorder education Referrals and Linking Specific skills/strategies/problem solving-DICE Emotional support Symptom screening/ Needs Assessment Caregiver resource binder 4. Full JHDCNA In-Home Reassessment (every 9 months) 5. Critical Events protocols PRN telehealth visits within 1 week of discharge Transitions/discharges 6
How MIND works Care Needs Proximal outcomes Cognitive Reduce unmet needs Behavioral Primary outcomes Assess Home Safety Maximize QOL Medical care Delay transition from home Activity/Daily Living Reassess revise Plan Legal/Adv. Care Reduce behavior problems Care Financing Reduce NH expenditures/ total health care cost CG education Appropriate use of health services CG Skills Training Medical care Monitor Implement Mental health care Reduce CG burden Informal supports Legal
Stories from the field Working with a Physician Assistant to discuss a MOLST with a critically ill participant, who later died peacefully in own how, according to his wishes. Helping a family caregiver recognize symptoms of a urinary tract infection, who promptly called the PCP and obtained outpatient labs and treated potentially avoiding a ED or worse, a hospitalization. Providing emotional support and empowerment to a family caregiver, who at the initial home visit, was so overwhelmed that she was tearful through most of the interview, and 9 months later is now a Caregiver Advocate for the Alzheimer s Association. Assisting with overseas travel preparation for a person with mild dementia (recommended contacting PCP for advice on flying and blood clot prevention, creation of an ID pouch in case of getting lost) Assisting with calling Maryland Health Connection, after patient lost health insurance coverage, and was initially declined to have it re-instated. Assistance led to re-instating health insurance coverage so that the participant could obtain her medications. Assisting with ordering a bedside commode to prevent entering a nursing home. Now PT can make it to the toilet in the middle of the night instead of inappropriately urinating and ruining the hardwood floors. Helping to secure an Alzheimer s Association Caregiver Grant for a weekend get-a-way for a caregiver who had gone 8 years of daily caregiving without a full night respite.
Importance of working in the Home Over 90% of MIND PTs had safety unmet needs at baseline 10
What Families are Saying They are somebody. They are somebody. They have the right to be cared for. He is a good man [Thank you] for the practical assistance and moral support we re receiving from Mind at Home. In a rather bleak time for our family, this program has been a ray of hope. You are my angel. You lift me up .my emotions. All other programs are to help him. You help me. Photo: QMS with permission 11
2 Active research studies (RCT , CMMI project) Enrollment closing soon for MIND clinical trial Call 410-550-6744 or email mindathome@jhmi.edu Sustainability, scalability and dissemination, with well matched partners
The MIND at Home Team 2016 Coordinators, nurses, doctors, OTs, evaluators, and researchers Special thanks Co-Investigators: Deirdre Johnston, MD, Betty Black, PhD, Karen Davis, PhD, and Laura Gitlin, PhD 13
Thank you! Quincy Samus, PhD, MS Associate Professor Department of Psychiatry, JHU qmiles@jhmi.edu
