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A Large Health System Quality Improvement Intervention Providing Training and Tools to Improve Detection of Cognitive Impairment in Primary Care.

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Title: A Large Health System Quality Improvement Intervention Providing Training and Tools to Improve Detection of Cognitive Impairment in Primary Care.
Authors: Gaster, Barak, Zigman Suchsland, Monica, Liao, Joshua M., McKiddy, Sarah, Fitzpatrick, Annette L., Belza, Basia, Hsu, Amy P., Raetz, Jaqueline
Source: Journal of the American Geriatrics Society. Sep2025, Vol. 73 Issue 9, p2886-2892. 7p.
Subjects: Cognition disorders diagnosis, Alzheimer's disease diagnosis, Diagnosis of dementia, Community health services, Elder care, Medical quality control, Research funding, T-test (Statistics), Primary health care, Educational outcomes, Descriptive statistics, Pre-tests & post-tests, Electronic health records, Quality assurance, Comparative studies, Data analysis software
Abstract: Background: Primary care providers (PCPs) are at the forefront of evaluating cognitive concerns and detecting Alzheimer's disease and related dementias (ADRD), but they generally lack the training and tools to do so. Methods: We performed a 2‐year pragmatic intervention across a large health system of 14 community‐based primary care clinics (94 PCPs). The intervention consisted of an education series integrated with workup tools in the exam room to assist PCPs in evaluating cognition. Electronic health record (EHR) data was extracted for 9 months before and 9 months after the intervention. Outcome measures were the number of cognitive assessments that PCPs recorded as discrete results in the EHR and the number of patients who PCPs newly diagnosed with an ADRD‐related diagnosis. Results: Comparing EHR data from the 9 months before the intervention to the 9 months after the intervention, the number of cognitive assessments documented in the EHR increased from 2.8 per month to 19.8 per month (p < 0.001), and the number of new ADRD‐related diagnoses made by PCPs increased from 6.2 per month to 14.6 per month (p = 0.012). Conclusions: An intervention integrating tools for PCPs to use in the exam room, together with concise continuing education, increased the number of cognitive evaluations and the number of ADRD‐related diagnoses in a large primary care health system. Such interventions are essential for building age‐friendly ambulatory health systems and connecting patients to improved and innovative models of ADRD care. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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PubTypeId: academicJournal
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  Data: A Large Health System Quality Improvement Intervention Providing Training and Tools to Improve Detection of Cognitive Impairment in Primary Care.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gaster%2C+Barak%22&quot;&gt;Gaster, Barak&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zigman+Suchsland%2C+Monica%22&quot;&gt;Zigman Suchsland, Monica&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Liao%2C+Joshua+M%2E%22&quot;&gt;Liao, Joshua M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McKiddy%2C+Sarah%22&quot;&gt;McKiddy, Sarah&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Fitzpatrick%2C+Annette+L%2E%22&quot;&gt;Fitzpatrick, Annette L.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Belza%2C+Basia%22&quot;&gt;Belza, Basia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hsu%2C+Amy+P%2E%22&quot;&gt;Hsu, Amy P.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Raetz%2C+Jaqueline%22&quot;&gt;Raetz, Jaqueline&lt;/searchLink&gt;
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– Name: Abstract
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  Group: Ab
  Data: Background: Primary care providers (PCPs) are at the forefront of evaluating cognitive concerns and detecting Alzheimer&#39;s disease and related dementias (ADRD), but they generally lack the training and tools to do so. Methods: We performed a 2‐year pragmatic intervention across a large health system of 14 community‐based primary care clinics (94 PCPs). The intervention consisted of an education series integrated with workup tools in the exam room to assist PCPs in evaluating cognition. Electronic health record (EHR) data was extracted for 9 months before and 9 months after the intervention. Outcome measures were the number of cognitive assessments that PCPs recorded as discrete results in the EHR and the number of patients who PCPs newly diagnosed with an ADRD‐related diagnosis. Results: Comparing EHR data from the 9 months before the intervention to the 9 months after the intervention, the number of cognitive assessments documented in the EHR increased from 2.8 per month to 19.8 per month (p &lt; 0.001), and the number of new ADRD‐related diagnoses made by PCPs increased from 6.2 per month to 14.6 per month (p = 0.012). Conclusions: An intervention integrating tools for PCPs to use in the exam room, together with concise continuing education, increased the number of cognitive evaluations and the number of ADRD‐related diagnoses in a large primary care health system. Such interventions are essential for building age‐friendly ambulatory health systems and connecting patients to improved and innovative models of ADRD care. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/jgs.19565
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 2886
    Subjects:
      – SubjectFull: Cognition disorders diagnosis
        Type: general
      – SubjectFull: Alzheimer's disease diagnosis
        Type: general
      – SubjectFull: Diagnosis of dementia
        Type: general
      – SubjectFull: Community health services
        Type: general
      – SubjectFull: Elder care
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Educational outcomes
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Electronic health records
        Type: general
      – SubjectFull: Quality assurance
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Data analysis software
        Type: general
    Titles:
      – TitleFull: A Large Health System Quality Improvement Intervention Providing Training and Tools to Improve Detection of Cognitive Impairment in Primary Care.
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          Dates:
            – D: 01
              M: 09
              Text: Sep2025
              Type: published
              Y: 2025
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