Name
Cognitive Screening in Primary Care – A pilot program aimed to increase screening and management of dementia.
Description
Evaluation and process improvement project to increase competence and improve workflow for integrated primary care behavioral health providers in cognitive screening and management.
Speakers
Lindsay Moore PhD, Clinical Psychologist/Behavioral Health Provider, Providence Medical Group Oregon, Portland, OR
Co-Authors
Katie McCulloch, PhD
Laura Braunstein, PsyD
Rupinder Heer, PhD
Elisa Rudd, PsyD
Tyson Payne, PsyD
Content Level
Intermediate
Tags
Geriatrics, Primary Care Behavioral Health Model, Team-based care
Session Type
Concurrent
Objective 1
Identify Barriers to Dementia Diagnosis and Management – Identify key challenges faced by primary care providers (PCPs), including inadequate training, lack of confidence in addressing patient concerns, and underdiagnosis trends.
Objective 2
Describe the Quality Improvement Project – Outline the objectives, structure, and implementation of the pilot interdisciplinary workflow designed to enhance dementia assessment, diagnosis, and follow-up care in a family medicine clinic.
Objective 3
Review Best Practices for Dementia Care – Discuss the role of structured workflows, screening tools, and interdisciplinary collaboration in improving dementia detection and management in primary care settings.
Content Reference 1
Valcour VG, Masaki KH, Curb JD, Blanchette PL. The detection of dementia in the primary care setting. Arch Intern Med. 2000 October 23;160(19):2964–8. doi: 10.1001/archinte.160.19.2964.
Content Reference 2
Alzheimer’s Association. (2024). 2024 Alzheimer’s disease facts and figures. In Alzheimers Dement (Vols. 20–5). https://www.alz.org/media/documents/alzheimers-facts-and-figures.pdf
Content Reference 3
Nasreddine Z.S., Phillips N.A., Bédirian V., Charbonneau S., Whitehead V., Collin I., et. al.: The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J. Am. Geriatr. Soc. 2005; 53: pp. 695-699.
Content Reference 4
Galvin, J.E., Roe, C.M., Coats, M.A., & Morris, J.C. (2007b). Patient’s rating of cognitive ability: using the AD8, a brief informant interview, as a self-rating tool to detect dementia. Archives of Neurology, 64(5), 725-730.
Content Reference 5
Abd Razak, M. A., Ahmad, N. A., Chan, Y. Y., Kasim, N. M., Yusof, M., Ghani, M. A., ... & Jamaluddin, R. (2019). Validity of screening tools for dementia and mild cognitive impairment among the elderly in primary health care: a systematic review. Public health, 169, 84-92.