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alzheimer's association® Innovation and Impact: Effective Lessons Learned from the Disparities Demonstration Project Alzheimer’s Association, Hudson Valley Chapter 1

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Page 1: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Innovation and Impact: Effective Lessons Learned from the

Disparities Demonstration Project

Alzheimer’s Association, Hudson Valley Chapter

1

Page 2: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Disparities Demonstration Project

• Two-pronged approach to reach the

underserved population of African

American and Hispanic communities

• Physician outreach and education

• Outreach to houses of worship

through the Purple Sunday initiative.

2

Page 3: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Disparities Demonstration Project

• Three major components

–Physician outreach and education

–Outreach through faith-based

organizations

–Support services of individuals

diagnosed

3

Page 4: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Physician Outreach

• Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities.

• Expand the rapid referral program.

• Educate about the importance of clinical trials. 4

Page 5: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Physician Outreach

• Focus groups held to establish a baseline of the healthcare professional’s knowledge and identify gaps regarding cultural challenges.

• Develop a webinar that addresses the gaps in the awareness that were identified at the focus groups.

• Begin outreach to the larger medical

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practices.

Page 6: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

“The Clinical and Cultural Challenges of Dementia in the African American and Hispanic Communities”

www.Albany.edu/sph/cphce/phl_116.shtml

Page 7: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Learning Objectives • List at least three barriers in the diagnosis of

Alzheimer’s disease in Hispanics and African

Americans

• Explain the principles of a dignified

Alzheimer’s disease diagnosis relative to Hispanic and African American communities

• Identify the educational resources available to

caregivers/families for understanding

Alzheimer's disease in African American and

Hispanic patients

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Page 8: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Physician Outreach

• Provide informational sessions to the

larger medical practices in the chapter

territory.

• Participate in Grand Rounds at the larger

hospitals in our chapter territory.

• Host a seminar for medical professionals

with a nationally known expert on

Alzheimer’s disease and disparities.

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Page 9: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Barriers or Lessons Learned

• Rapid referral pads

• Grand Rounds

• Three month follow up evaluation

to the webinar

• Have a succession plan

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Page 10: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Major Takeaways . . .

• Speak with staff and board members

about possible connections they have

in the medical field.

• Thank the physicians who have

referred their patients to us.

• Physicians prefer to listen to other

physicians.

10

• Offer CMEs.

Page 11: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Purple Sunday

• Partner with inner-city churches within

chapter territory to increase awareness

about Alzheimer’s disease, and the

importance of early diagnosis and

treatment.

• Desired outcomes: information and

referral, connect to support services,

enhanced health literacy.

• “LOW COST, BIG IMPACT”

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Page 12: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association® 12

NON-TRADITIONAL VOLUNTEERS

• Understand your audience

• Learn to think like a volunteer

• You are a visitor

• Respect local culture

• Be present – Be a good listener

Page 13: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

RECRUIT CHURCHES

• Church Mission

• Church features

• Assess demographics

• Be mindful of the church calendar

IDENTIFY

AMBASSADORS

• Personal connection

• Identify the “cultural broker” • Secure “buy-in” • Capacity Development

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MAINTAIN

ENGAGEMENT

• Cultivate

• Communicate

• Facilitate

Page 14: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

Recruitment, Marketing, Cultivation l PS Kick-Off

I Toolkit distribution Educational program

Planning Assessment

Timeline for 12 months

J F M A M J J A S O N D

PS LIVE

Page 15: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

Puti4e in Purple

N omcge> Chapter of Alpha ICoppo A!pho SorOrifY,

Sponsored by the z~:. :nd ,VY$ oeportment of He,;,lrh

alzheirner's ~ association"

Ambassador:

-display sign

-giveaways for congregation

-educational material

Caregivers:

-caregiver resources

-helpline card

-educational material

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Page 16: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

llllllllllllll

alzheirner's ~ association" 16

Page 17: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheirner's ~ association" 17

Page 18: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

IDENTIFY AMBASSADORS PUSH THE PURPLE WALK THE WALK

http://www.alzhudsonvalley.org/purplesunday.html

alzheirner's ~ association"

How to get Involved

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Page 19: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Barriers or Lessons Learned ▪ Consistent follow up with faith

leaders

▪ Promote the program as a straightforward outreach initiative

▪ Utilize civic groups to leverage the program

▪ Difficulty collecting demographic information.

▪ Caregiver may not self-identify.

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Page 20: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Program Evaluation • Implementation

–The number of PS events and follow up educational programs.

• Impact –The number of AA and Hispanic

individuals referred for further information.

• Reach –Number of individuals who attend PS

events and follow up educational programs.

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Page 21: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

Major Takeaways . . . .

• Staff reflect the cultural diversity of

the community served

• Ensure sustainability of program

through consistent connection

• Recognize the church as an ally

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Page 22: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

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Page 23: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

The Proof is in the Pudding • Physician Outreach Results: • Westchester, Orange, and Rockland

• 150% increase from 2015 to 2016

• 220% increase from 2016 to 2017

• 700% increase from 2015 to 2017

• 7 Counties in chapter territory

• 205% increase from 2015 to 2016

• 157% increase from 2016 to 2017

• 800% increase from 2015 to 2017

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Page 24: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

The Proof is in the Pudding

• Purple Sunday results: • Westchester, Orange, and Rockland

–64% increase from 2015 to 2016 –130% increase from 2016 to 2017 –277% increase from 2015 to 2017

• 7 Counties in chapter territory: –48% increase from 2015 to 2016 –109% increase from 2016 to 2017 –209% increase from 2015 to 2017

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Page 25: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the

alzheimer's ~ association®

As a Pastor in Newburgh stated:

“This project has

opened the door and

we will not let it

close.” 25

Page 26: Innovation and ImpactPhysician Outreach • Increase awareness about the medical and cultural challenges in working with the African American and Hispanic communities. • Expand the