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Symposium

Health Sciences

Into the Wild: Embedding a Complex, Home-Based Dementia Care Program Into Diverse Practice Settings

Friday, November 15, 2024
10:00 AM – 11:30 AM PST
Location: Room 617
CE: 1.5

MIND at Home® is a well-researched comprehensive care management program for community-living persons with dementia and cognitive impairment. Developed at Johns Hopkins University, the goal of the program is to provide holistic, family-centered care management by assessing and addressing a broad range of medical, social, and supportive care needs that place people with dementia and their care partners at risk for poor outcomes, institutionalization, and high care costs. Delivered by an interdisciplinary, dementia-proficient team, the program focuses on the home as the nexus of care and consists of specialized assessments, tools, and staff training. Memory Care Coordinators (MCCs) serve as the primary point of contact for program recipients and use a comprehensive needs assessment to develop individualized care plans. MCCs implement and monitor care plans and provide resource referrals, help with navigation and coordination of services and supports, teach problem-solving strategies, and provide dementia education, coaching, and emotional support to care partners. Managed care plans and advanced primary care are well positioned to implement this low-cost, high touch program. This session includes an introduction to the MIND at Home program and features three individual presentations by diverse implementation partners showcasing how the program was adapted and implemented in different health care environments (2 managed care plans-Texas and Pennsylvania; 2 large multispecialty clinics-Iowa and North Carolina). The session will wrap up with a summary of learnings from implementing the program “in the wild”, highlighting partner and stakeholder contributions to the evolution and successful implementation of the program in practice.

Learning Objectives:

  • describe the key components of the MIND at Home dementia care model, the characteristics of the care team, core training elements, and summary of research evidence
  • describe the experience, lessons learned, and outcomes from adaptation and implementation of the model within managed care organizations and primary care settings
  • summarize key cross-cutting learnings about the experience of implementing the model in different settings including key partner and stakeholder contributions to the evolution and successful implementation of the program in practice.

Presentations:

  • 10:00 AM – 11:30 AM PST
    An Introduction to the Maximizing Independence at Home (MIND at Home) Program

    Individual Symposium Abstract First Author: Quincy M. Samus, PhD, MS, MS (she/her/hers) – Johns Hopkins University

  • 10:00 AM – 11:30 AM PST
    Flexibility Meets Complexity: Lessons From Practice-Based Implementation of a Dementia Care Model

    Individual Symposium Abstract First Author: Halima Amjad, MD, PhD, MPH (she/her/hers) – Johns Hopkins University School of Medicine

  • 10:00 AM – 11:30 AM PST
    Meeting People Where They Are: Implementation of an Academic Dementia Care Model in a Texas Health Plan

    Individual Symposium Abstract First Author: Noemi Smithroat, BSN, RN, CCM, CMCN (she/her/hers) – Superior HealthPlan

  • 10:00 AM – 11:30 AM PST
    Experiences Embedding MIND at Home Dementia Care Coordination Program in Primary Care

    Individual Symposium Abstract First Author: Elizabeth L. Ciemins, PhD, MPH, MA (she/her/hers) – American Medical Group Association

  • 10:00 AM – 11:30 AM PST
    Heather Bernd Clarke, MBA, LCSW, PA Health & Wellness, Mechanicsburg, PA, United States

    Individual Symposium Abstract First Author: Heather Clarke, LCSW, MBA – PA Health & Wellness