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Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. I have spent about 11 years total with Optum and then worked with Aspire, but now I’m currently working with Contessa and Amedisys to help support palliative care at home programs.
The knowledge and expertise offered by a specialist can help guide care and provide information about clinical trials. GeriatricCare Specialists. Socialworkers, carecoordinators and case managers have experience and special training in working with older adults who have been diagnosed with Alzheimer’s.
Johns Hopkins Bayview Medical Center, for instance, has a team of palliative care providers “embedded” into its oncology clinic and ALS Center, according to David Wu, the program’s director. Minneapolis-based Livio Health was later acquired in 2022 by Lifespark, a senior health care company in the state.
The Peach program has cared for over 1,000 clients. The team has grown to a team of seven palliative care doctors, two nurses, two socialworkers, a peer worker, a psychiatrist, and an interprofessional roster of home care professionals who are working in non traditional home settings to deliver palliative care.
So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. How it works is that all patients will have access or encounters with the specialty trained clinician, a psychologist, a socialworker, a palliative care clinician.
The good news is that the financial case for comprehensive dementia care is changing thanks to a new Center for Medicare and Medicaid Innovation (CMMI) alternative payment model (APM) called Guiding an Improved Dementia Experience (GUIDE) Model. And these care navigator, they can be community health worker with just 12 years of education.
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