Identification and Management of Dementia in Primary Care: Lessons learned in a safety-net healthcare system in Minneapolis, MN, USA 

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Kerry M Sheets, MD, MS1,2; Sara Lara, RN, CNP, MSN1, Samantha Downing2, Mark Linzer MD1; Anne M Murray, MD, MSc1,2

1Hennepin Healthcare Research Institute, Minneapolis, Minnesota (MN), USA; 2University of Minnesota, Minneapolis, MN

Our results suggest dementia and cognitive impairment (CI) are being identified, but diagnoses are non-specific and there are multiple quality improvement opportunities. Our early quality improvement efforts are focused on provider education and standardizing care pathways for dementia diagnosis and treatment including development of a brain health clinic.

INTRODUCTION

METHODS

Prevalence of diagnosed dementia

Barriers and facilitators

RESULTS

10.6% (640/6009) had >1 ICD-10 code for dementia

11.8% (706/6009) had > 1 ICD-10 code for dementia or CI

Key facilitators: Engaged families, longitudinal relationships, access to subspecialists, Medicare Annual Wellness Exam

Key Barriers: Stigma, language, mental health concerns, knowledge gaps, limited established diagnostic and care pathways, time limitations, limited access to social work and case management, social determinants of health

CONCLUSIONS

CONTACT