Mission and Plan of Work

Mission

The mission of the West Virginia Alzheimer’s Outreach and Registry Program (AORP) is to provide the West Virginia health care provider community with diagnostic and therapeutic tools to improve diagnosis, treatment and care of persons with Alzheimer’s disease and related dementias (ADRD) in West Virginia. The program’s intensified education effort, lead to the creation of two Continued Medical Education (CME) sessions; CME 1, is geared for physicians on diagnosis and treatment and CME 2, to help physicians, other healthcare providers and social service professionals to connect caregivers to local resources, education and support.. The Alzheimer’s Disease Registry will be detailed at the CME sessions and follow-up will take place by BRNI. Each program will consist of the two CME classes (1 and 2) with each class running one hour. The total time per program is 2 hours.

The Alzheimer’s Association reports that more than 44,000 West Virginians (aged 65 and over) have Alzheimer’s disease (AD). In fact, 5.3 million Americans currently suffer from AD. Today, the inevitable outcome for each of these patients is terminal. Every 70 seconds another American contracts the disease. It has become the 6th leading cause of death in America and is the fastest growing cause of death among the top 6 diseases.

More than any other disease, the socio-economic impact of AD is profoundly disturbing. This year, nearly 85,000 West Virginians will be caregivers for AD patients at a cost of over $800 million in direct costs and lost wages. These family members and friends struggle to tend to loved ones and balance the other requirements of raising families and work. This struggle combined with the costs for caregivers will last for years, even decades. Nationally, these numbers underscore similar urgency: 9.8 million caregivers at a cost of nearly $95 billion. The Alzheimer’s Association estimates the total annual cost to Americans of this disease (patients and caregivers) at $148 billion. The psychological and physical strain of care giving can sometimes unravel families. Bathing, incontinence, confusion, disorientation, agitation, physical resistance and violence leave their toll on both patient and caregiver.

Like the disease itself, diagnosis, treatment and care giving can sometimes be confusing. Today, there is no reliable early diagnosis for the disease and there is no cure or reliable treatment. Families are sometimes embarrassed to admit that a loved one is going through the disease until later in the progression, and more often than not, they don’t know who to turn to for information, guidance and help. This gap in understanding how to diagnose and treat the patient and how to empower the care giver is one of the most important challenges in our understanding of AD and its impact.

Goals of CME 1

  • Assess current physician practices regarding diagnosis, treatment and care of Alzheimer’s disease and related dementias utilizing a survey methodology
  • Convene an Advisory Board subcommittee of physicians to review currently published Best Practices in the diagnosis and treatment of Alzheimer’s disease with resultant recommendation of adoption of best practices for West Virginia physicians
  • Develop ongoing Continuing Medical Education programming distributing via Web, Paper, state and local medical society lectures, Telemedicine, and CD/DVD as appropriate
  • Develop and disseminate to healthcare providers semi-annual updates describing developments in clinical trials and treatment in Alzheimer’s disease and related dementias



Goals of CME 2

  • Reach physicians, other healthcare providers and social service professionals with a eye toward educating patients and caregivers who turn to physicians first for answers
  • Focus on the psychological need for a diagnosis for both the patient with the disease as well as the families and caregivers; connecting physicians, other healthcare providers and social service professionals to local resources, education and support throughout the disease progression and ensure a better link between treatment and care.
  • Provide Information and strategies concerning challenging behaviors and limited communication; such as disorientation of time and place, including the potential for wandering;
  • Provide a primary support network for physicians and families for all psychosocial issues concerning Alzheimer’s as well as the conduit to additional community resources.

Advisory Board

BRNI’s Advisory Board (AB) in the development of the initial physicians outreach program acted as a sounding board and continues to provide advice regarding the strategic direction of the program. The AB is constituted of representatives from organizations that provide training to healthcare professionals involved in the screening/diagnosis/treatment/management of Alzheimer’s disease and related dementias (ADRD); those that represent healthcare professionals managing ADRD persons; and those that provide services to patients with ADRD or their caregivers. By working in concert with others, BRNI ensures that valuable resources are not wasted in duplication of efforts.


Members


Deatra Adkins, RN
Director of Clinical Services
West Virginia Health Care Association

Barbara C. Edmonds
Senior Program Specialist
Bureau Behavioral Health and Health Facilities

Richard J. Ham, MD
Professor of Geriatric Medicine and Psychiatry
West Virginia University

Hilda R. Heady, MSW
Executive Director, WVRHEP
West Virginia University Health Sciences Center

Samuel A. Hickman, ACSW, LCSW
Executive Director
National Association of Social Workers, West Virginia Chapter

Gary L. Knepp, DO
Professor of Geriatrics
West Virginia School of Osteopathic Medicine

Jane Marks
Executive Director
Alzheimer's Association – West Virginia Chapter

Thomas G. McCleary, III DO
West Virginia School of Osteopathic Medicine

Lance McCoy, MD
Medical Director
Integrated Geriatric Care, PLLC

Gaylene A. Miller
Associate State Director
AARP West Virginia

Shirley M. Neitch, MD, FACP
Professor of Medicine
Chief, Section of Geriatrics
Department of Internal Medicine
Marshall University/Joan C. Edwards School of Medicine

James Stevenson, MD
Professor and Chair
Department of Behavioral Medicine and Psychiatry
West Virginia University

Gerry D. Stover
Executive Vice President
West Virginia Academy of Family Physicians

Amy N. Tolliver, MS
Director/Treasurer
West Virginia State Medical Association

Sandra K. Vanin, Ed.D.
Commissioner
West Virginia Bureau of Senior Services

John Young, MD
Department of Behavioral Medicine and Psychiatry
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