ManagedCareSupplement3

GENERATIONS – Journal of the American Society on Aging

A Profile in Population Health Management : The Sandra Eskenazi Center for Brain Care Innovation

By Malaz Boustani, Lindsey Yourman, Richard J. Holden, Peter S. Pang, and Craig A. Solid

This care model emphasizes social, behavioral, and environmental determinants of health when treating dementia.

A lzheimer’s disease and related dementias (ADRD) impose significant challenges upon older adults and their caregivers (Friedman et al. 2015; Alzheimer’s Association, 2017), who often provide unpaid care. Most physicians providing treatment know that effective care for ADRD and supporting unpaid caregivers requires a more sophisticated framework than is offered by the traditional primary care model. Such a frame- work values biomedical aspects of health, but places as much emphasis on social, behavioral, and environmental determinants of health, recog- nizing them as major players in the health of indi- viduals and the population as a whole (Taylor et al., 2016). Social, behavioral, and environmental deter- minants influence health directly and indirectly, manifesting as individual behaviors and habits, but also as disparities in access to care (Galea et al., 2011). Through targeted efforts, beginning

in 2007, to improve ADRD care for underserved populations in central Indiana, we established the Sandra Eskenazi Center for Brain Care Inno- vation (SECBCI)—which is affiliated with Indiana University in Indianapolis—in collaboration with Eskenazi Health and community-based organi- zations such as the Central Indiana Council on Aging Area Agency on Aging and the Greater Indianapolis Chapter of the Alzheimer’s Associa- tion. This article describes how key aspects of our care model can inform the development of new models of population health management. Creating a Successful Population Health Management Model The Eskenazi Health System is a safety-net healthcare system serving a diverse, low-income population in Marion County, Indianapolis. In 2007, SECBCI used strategies that would ulti- mately become the Agile Implementation model

abstract This article describes how key aspects of the Sandra Eskenazi Center for Brain Care Innovation’s (SECBCI) care model can inform other entities on the development of new models of population health management, through a framework that emphasizes social, behavioral, and envi­ ronmental determinants of health, as well as biomedical aspects. The SECBCI is a collaboration with Eskenazi Health and community-based organizations such as the Central Indiana Council on Aging Area Agency on Aging and the Greater Indianapolis Chapter of the Alzheimer’s Association in Central Indiana. | key words : Sandra Eskenazi Center for Brain Care Innovation, Alzheimer’s, dementia, social determinants of health

68 | Spring 2019

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