As many as 50 percent of all people in the United States living with Alzheimer’s disease and related dementias (ADRD) never receive a formal diagnosis. This compromises the wellbeing of persons living with ADRD and family care partners and increases health services utilization and costs of programs that fund ADRD care. Wider screening for ADRD may increase access to supportive care, improve allocation of medical care, and foster the use of interventions that prevent or delay disease progression.
This pilot will involve administering the Telephone Interview for Cognitive Status (TICS) to 160 Medicare enrollees 65 years of age and older two-weeks post-discharge from the Oregon Health Science University (OHSU) emergency department (ED) in Portland, Oregon. The PROMIS Cognitive Function Measures of Mental Clarity will also be administered to participants. The pilot is proof of concept for carrying out cognitive assessments with the ED population, linking utilization to the electronic health record (EHR), and ultimately providing a platform for future research on the impact of un-diagnosed ADRD on health outcomes, utilization, and costs.