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
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 A single $1 million program in biomedical research was investment, 47 implemented within the University of years ago… No wonder we Kentucky Chandler Medical Center have a problem!
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)
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)
Telemedicine/CECentral Web-Based TACK: Telemedicine based KEEN-CDC: KY Enduring Assessment of Cognition in KY Education Network for Collaborative Dementia Care • Over 2000 trainees! • 400 trainees to date! • KY OIG oversight!
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
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!
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
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
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.
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
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
Questions? Greg Jicha, MD, PhD Keith Knapp, PhD Professor of Neurology Associate Professor of College of Medicine & Health Mgt & Policy McCowan Endowed Chair College of Public Health in Alzheimer’s Research University of Kentucky University of Kentucky (859) 562-2619 (859) 323-5550 Keith.Knapp@uky.edu Gregory.Jicha@uky.edu
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