Abstract Details

Title Development of a Brain Health Navigation Program in an Integrated Healthcare System

Topic Aging, Dementia, and Behavioral Neurology

Presentation(s) P5 - Poster Session 5 (11:45 AM-12:45 PM)

Poster/Presentation
Number 12-010

Objective The Brain Health Navigation (BHN) program is designed to improve the care and experience for patients and caregivers through the development of a boundary-spanning program across primary and specialty memory care in a financially sustainable model.

Background Approximately 7 million Americans aged 65 and older suffer from Alzheimer’s disease, with numbers continuing to increase. Healthcare systems are fragmented and ill-prepared for the approaching tsunami. A navigation program spanning primary and specialty is one possible solution to the need for improved identification, evaluation and coordination of care for those with dementia, as well as caregiver support.

Design/Methods In partnership with a pilot primary care practice and the Memory Center of the Norton Neuroscience Institute in Louisville, Kentucky, we developed a brain health navigation program as one of six sites participating in the Davos Alzheimer’s Collaborative Healthcare System Preparedness BHN program. Our program focused on addressing current care gaps, creating value for patients and caregivers, allowing for flexibility of practice and identifying revenue generation opportunities to ensure financial sustainability. Initial duties of the brain health navigator included coordination across sites of care, facilitation of diagnostic testing, caregiver education and support, advanced care planning, and coordination with additional resources, both internal and external. We focused on Principal Illness Navigation (PIN) and Principal Care Management (PCM) codes for reimbursement.

Results In the first 6 months of operation, 103 patients were enrolled in the navigation program. Patient and caregiver satisfaction has been high. PIN/PCM codes have been routinely reimbursed. Approximately 25% of patients have enrolled in anti-amyloid therapies.

Conclusions Brain Health Navigation is a possible solution and well accepted in facilitating more efficient diagnostic evaluation and increasing patient/caregiver satisfaction. Early experience indicates financial sustainability, particularly when considering both reimbursement of navigation services along with downstream revenues (e.g., MRI, labs, anti-amyloid therapies).

Authors/Disclosures
Elizabeth M. Leach, MS, KYCOM OMS-III PRESENTER	Ms. Leach has nothing to disclose.
Steven Patton, DO	Dr. Patton has nothing to disclose.
Deborah Lockridge, RN (Norton Neuroscience Institute)	Ms. Lockridge has nothing to disclose.
Stephanie Freeman, MSSW	Mrs. Freeman has nothing to disclose.
Deena L. Drexler, Regional Manager	Ms. Drexler has nothing to disclose.
Kendall Wasz, PA (Norton Healthcare)	Mrs. Wasz has nothing to disclose.
Gregory E. Cooper, MD, PhD, MBA, FAAPL, FAAN (Norton Healthcare)	The institution of Dr. Cooper has received research support from Lilly. The institution of Dr. Cooper has received research support from Davos Alzheimer's Collaborative. The institution of Dr. Cooper has received research support from Eisai. The institution of Dr. Cooper has received research support from Novartis. Dr. Cooper has a non-compensated relationship as a Consultant with Health & Wellness Partners, LLC that is relevant to AAN interests or activities. Dr. Cooper has a non-compensated relationship as a Consultant with CND that is relevant to AAN interests or activities.

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