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P2‐479: ADOPTION OF TECHNOLOGY‐ASSISTED COGNITIVE ASSESSMENT IN CLINICAL PRACTICE
Author(s) -
Cuyler Robert N.,
Soto Karina
Publication year - 2019
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2019.06.2886
Subject(s) - cognition , neurocognitive , neuropsychological assessment , dementia , medicine , cognitive test , reimbursement , neuropsychology , psychology , health care , psychiatry , disease , pathology , economics , economic growth
Background: Dementia is an escalating disease. It is very important to create a multiple network including primary care, acute hospitals, community and nursing homes. We describe the development of an operational protocol in acute setting to create an Integrated Care Pathway (ICP) for people with dementia (PWD). Methods: A panel of 11 experts (neurologists, social workers, radiologists, neuropsychologist and statisticians of “Carlo Poma Hospital”) have designed this protocol. For validation of preliminary draft, a modified Delphi technique was employed. A responsible of quality verified the final draft that finally was approved by the Head Health Manager After four Delphi rounds, five topical moments in this pathway have reached a consensus: 1)Early symptoms identification 2)Assessment process 3) Diagnostic disclosure and Integration of Treatment’s Plan 4) Follow-ups 5) Post-diagnostic support and appropriate interventions until the end-life stage. For any crucial phase, we have codified the “4 W”: Who does What, Where and When. Results: When a complete consensus was reached, this project was integrated in the acute setting of "Carlo Poma” hospital. A center staffed by some clinical providers social workers and volunteers ( named multiservice center) was organized to give social and financial support to PwD. Our ICP connects primary care, acute setting, community and other services thanks to a multiple action plan where all steps are defined a priori. Furthermore, thanks to a whole cooperation among providers, it is possible improve the transition between community and acute care with a positive impact on care provision. Conclusion: Our operational protocol was formulated with the aim to provide global support for PWD and their family. It is a first temptative to implementing the ICP in the acute setting with a close connection to community services. If the ICP for dementia is a useful method for care process or not, it still has to be evaluated. It is very important to promote further PwDcentered studies exploring the best method for an ethical and sustainable healthcare utilization. P2-479 ADOPTION OF TECHNOLOGY-ASSISTED COGNITIVE ASSESSMENT IN CLINICAL PRACTICE