USA - Advocate Aurora

USA - Advocate Aurora

Advocate Aurora Health

Description

Context and Project Goal

In the United States, a significant proportion of patients with neurocognitive disorders remain underdiagnosed, misdiagnosed or experience delayed diagnosis. Barriers to diagnosing patients include challenges faced by primary care providers (PCP), such as limited time, expertise, and inadequate resources. To address those challenges, Advocate Aurora provided PCPs with education and resources to enhance the efficiency and quality of care for patients with neurocognitive disorders.

Project Description

Primary care providers received multiple supports for managing patients with abnormal cognitive screens. They had access to brief educational tools on their continuous medical education (CME) website, participated in case-based learning conferences (Project ECHO Memory Care Conference), and were linked to experts from within the health system for consultations (eConsult). Additionally, they had access to simple order sets and templates built into the electronic health record system.

What are the key lesson learned for the site?

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Site Leads

Darren Gitelman, MD, PI

Darren Gitelman, MD, PI

Dr. Gitelman is a behavioral neurologist who serves as the Director of cognitive disorders for the Advocate Medical Group, the Neurosciences Medical Research Director, and the Senior Medical Director of the Advocate Memory Center.

Michael Malone, MD, Co PI

Michael Malone, MD, Co PI

Dr. Michael Malone is an academic geriatrician who serves as Medical Director for Aurora Senior Services and Aurora at Home.

Jennifer Mishos, Director

Jennifer Mishos, Director

Jennifer Mishos is the Director of the Neuroscience service line.

Cristybelle Canda, Project Coordinator

Cristybelle Canda, Project Coordinator

Cristybelle Canda was responsible for guiding development of the educational modules, and for keeping the project components on track.

Lisa Dimitris, RN, Clinical Nurse Educator

Lisa Dimitris, RN, Clinical Nurse Educator

Lisa Dimitris was responsible for working with Drs. Gitelman and Malone to develop educational content, and EHR tools, and participating in educational seminars and training sessions.

Anna Kallal, NP, Advanced Practice Clinician

Anna Kallal, NP, Advanced Practice Clinician

Anna Kallal will be responsible for working with Dr’s Gitelman and Malone to develop educational content, and EHR tools, and participating in educational seminars and training sessions as well as implement expanded use of digital testing and eConsults. Anna will also enhance referral capabilities by seeing some patients.

Key Partners

USA - Advocate Aurora

USA - Advocate Aurora

Advocate Aurora Health

Context and Project Goal

In the United States, a significant proportion of patients with neurocognitive disorders remain underdiagnosed, misdiagnosed or experience delayed diagnosis. Barriers to diagnosing patients include challenges faced by primary care providers (PCP), such as limited time, expertise, and inadequate resources. To address those challenges, Advocate Aurora provided PCPs with education and resources to enhance the efficiency and quality of care for patients with neurocognitive disorders.

Project Description

Primary care providers received multiple supports for managing patients with abnormal cognitive screens. They had access to brief educational tools on their continuous medical education (CME) website, participated in case-based learning conferences (Project ECHO Memory Care Conference), and were linked to experts from within the health system for consultations (eConsult). Additionally, they had access to simple order sets and templates built into the electronic health record system.

Impact

As of December 12, 2023, 58 providers participated in the project, performing an average of 20 assessments per week. The case-based conferences attracted an average of 25-30 attendees, and there were 26 eConsult requests made by providers.

Site Leads

DG

Darren Gitelman, MD, PI

Darren Gitelman, MD, PI

Dr. Gitelman is a behavioral neurologist who serves as the Director of cognitive disorders for the Advocate Medical Group, the Neurosciences Medical Research Director, and the Senior Medical Director of the Advocate Memory Center.

MM

Michael Malone, MD, Co PI

Michael Malone, MD, Co PI

Dr. Michael Malone is an academic geriatrician who serves as Medical Director for Aurora Senior Services and Aurora at Home.

JM

Jennifer Mishos, Director

Jennifer Mishos, Director

Jennifer Mishos is the Director of the Neuroscience service line.

CC

Cristybelle Canda, Project Coordinator

Cristybelle Canda, Project Coordinator

Cristybelle Canda was responsible for guiding development of the educational modules, and for keeping the project components on track.

LD

Lisa Dimitris, RN, Clinical Nurse Educator

Lisa Dimitris, RN, Clinical Nurse Educator

Lisa Dimitris was responsible for working with Drs. Gitelman and Malone to develop educational content, and EHR tools, and participating in educational seminars and training sessions.

AA

Anna Kallal, NP, Advanced Practice Clinician

Anna Kallal, NP, Advanced Practice Clinician

Anna Kallal will be responsible for working with Dr’s Gitelman and Malone to develop educational content, and EHR tools, and participating in educational seminars and training sessions as well as implement expanded use of digital testing and eConsults. Anna will also enhance referral capabilities by seeing some patients.

Key Partners

Publications