Preparing Kentucky for Meeting the Alzheimers Challenge Gregory - - PowerPoint PPT Presentation

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Preparing Kentucky for Meeting the Alzheimers Challenge Gregory - - PowerPoint PPT Presentation

Dec 14, 2022 154 likes •299 views

Preparing Kentucky for Meeting the Alzheimers Challenge Gregory A. Jicha, MD, PhD Keith R. Knapp, PhD Alzheimers & Dementia Workforce Assessment Task Force 10/3/2019 Historical State Investment at UK In 1972 , as a result of a

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Preparing Kentucky for Meeting the Alzheimer’s Challenge

Gregory A. Jicha, MD, PhD Keith R. Knapp, PhD

Alzheimer’s & Dementia Workforce Assessment Task Force 10/3/2019

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Historical State Investment at UK

In 1972, as a result of a grant from the Eleanor and John Y. Brown, Jr. Foundation, funding was obtained for the construction of the current Sanders- Brown Research Building and, with additional funding from the Commonwealth of Kentucky, a program in biomedical research was implemented within the University of Kentucky Chandler Medical Center

A single $1 million investment, 47 years ago… No wonder we have a problem!

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Current Status @ UK: No Coordinated Internal Plan

Centers of Excellence

– Sanders-Brown Center on Aging (Medicine) – Neurology (Medicine) – Internal Medicine (Medicine) – Graduate Center for Gerontology (Public Health) – PT/OT/Speech Therapies (Health Sciences) – Ky Cooperative Extension Svc (Ag/Food/Env) – Creative Arts Therapies (Fine Arts)

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Current SBCOA Training Activities

  • ADC Training

– Neurology, Psychiatry, IM, Social work, Grad students, Gerontology, Undergrads

  • TRIAD NIH T32

– Dementia/TBI/CVD

  • TACK (HRSA-funded)
  • KEEN-CDC (Medicare CMP-funded)
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Telemedicine/CECentral Web-Based

TACK: Telemedicine based Assessment of Cognition in KY

  • Over 2000 trainees!

KEEN-CDC: KY Enduring Education Network for Collaborative Dementia Care

  • 400 trainees to date!
  • KY OIG oversight!
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Innovative Solutions?

1) Development of a NIH-Funded Pepper Center for Training in Aging & Dementia 2) Focus on Recruitment & Retention 3) Hub & Spoke Training Model 4) Project ECHO

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NIH-funded Pepper Center

  • SBCOA Clinic: Natural Operations Site for

Multidisciplinary Training

  • Current Space (6,000 sf) = Inadequate
  • House Bill 268 (2019):

$8M for New State-of-the-Art Facility

  • ROI: Pepper Center

 Beeson Career Training Grants

  • Need: State Stimulus to Get Moving!
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Innovations: High-Impact Practices

Recruitment

Careers

– Transportation Assistance – Online Access: Public Libraries & Public Schools – Non-Traditional Target Audience

  • Unemployment

 Immigrants (Language/Culture)

  • Medicaid

 Recently Retired

  • Drivers: Bus/Cab/Uber  Veterans

Family/Informal

  • Spouse/Other

 Clergy (Seminarians)

  • Neighbor

 First Responders & 911 Operators

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Innovations: High-Impact Practices

Retention

Careers – Care “Enterprise Zones”  Student Loan Forgiveness – State Incentives

  • Tax Credits: Employee

 Scholarships

  • Tax Credits: Employer

Family

  • Tax Advantage/Reward  Respite
  • Home Modification

 Meals/Food

Delivered

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Hub & Spoke Training Model

  • Successful Indiana Program: Austrom MG, Carvell

CA, Alder CA, Gao S, Boustani M, LaMantia M. Workforce development to provide person-centered

  • care. Aging Mental Health 2015:1-10.
  • APP & SWs
  • Designed to train

in disparate areas

  • Each spoke will

eventually become a hub.

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Project ECHO

  • Nationally Acclaimed Program

– Hep C Program @ UK Funded by the State

  • Proven Adult Learning Techniques & Interactive Video

Technology: ECHO Model™ Connects Groups of Community Providers with Specialists at Centers of Excellence in Regular Real-Time Collaborative Sessions

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Action Items

1. KY AD-Specific Workforce Development Plan

– State Alzheimer’s Plan – 2020 Update

(Cross-reference in State Health Plan 2020)

2. Elevate & Drive Training Expectations

– Pepper Center for Training in Aging & Dementia

  • Hub & Spoke Training Model
  • Project ECHO
  • Broaden Training Target Audiences & Delivery

– Licensure & Renewal: Health Profession CME/CNE/CE

3. Incentivize Recruitment, Retention & Distribution

– Scholarships & Loan Forgiveness – Tax Deductions: Family Caregivers

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Questions?

Greg Jicha, MD, PhD Professor of Neurology College of Medicine & McCowan Endowed Chair in Alzheimer’s Research University of Kentucky (859) 323-5550 Gregory.Jicha@uky.edu Keith Knapp, PhD Associate Professor of Health Mgt & Policy College of Public Health University of Kentucky (859) 562-2619 Keith.Knapp@uky.edu