Alzheimer Disease And Related Dementias Adrd

Who Qualifies for Chronic Care Management Services

Per MLN Chronic Care Management Services, the following patients are eligible: “Patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, are eligible for CCM services.”

Examples of chronic conditions include, but are not limited to, the following:

● Alzheimer’s disease and related dementia
● Arthritis (osteoarthritis and rheumatoid)
● Asthma
● Atrial fibrillation
● Autism spectrum disorders
● Cancer
● Cardiovascular Disease
● Chronic Obstructive Pulmonary Disease
● Depression
● Diabetes
● Hypertension
● Infectious diseases such as HIV/AIDS

NOTE: Do not report a complex and non-complex session in the same calendar month.

Although care coordination did not decrease overall acute health services use, coordination improved clinical documentation of patients’ memory impairment. ED visits may have begun to decrease among patients. Finally, stress levels may have fallen among caregivers.

Conclusions: Although care coordination did not decrease overall acute health services use, coordination improved clinical documentation of patients’ memory impairment. ED visits may have begun to decrease among patients. Finally, stress levels may have fallen among caregivers.
Effect of Care Coordination on Patients With Alzheimer Disease and Their Caregivers
November 3, 2020
Brian Chen, JD, PhD , Xi Cheng, MPH , Blaiz Streetman-Loy, PhD, MSW , Matthew F. Hudson, PhD, MPH , Dakshu Jindal, MA , Nicole Hair, PhD
Volume 26, Issue 11

Takeaway Points

Care coordination and caregiver support remain the primary intervention to meet the growing challenge of caring for patients with Alzheimer disease and related dementias (ADRD). Few studies, however, assessed their impact on objective measures of health care utilization. We studied patients and caregivers enrolled in the Memory Program in Greenville, South Carolina, and found strong evidence that the program led to better documentation of patients’ AD diagnosis. We also found evidence suggestive of a reduction in emergency department (ED) utilization among patients with AD and a potential reduction in urgent medical utilization for depression among caregivers.

Existing literature on ADRD interventions often focused on feasibility and self-reported outcomes.
Our studies assessed the impact of the Memory Program on objective measures of health care utilization for patients with AD.
The immediate impact may be better clinical documentation of AD even when patients seek care for other medical conditions.
There is suggestive evidence that the intervention reduced ED utilization among patients and acute medical service use for depressive symptoms among caregivers.