What is the MIND at Home Program?
阿尔茨海默病及相关痴呆是一种高患病率、高费用、复杂的慢性病. 大多数痴呆症患者在家中接受照顾，无法获得痴呆症护理管理，尽管已有有效的疾病管理战略证明可以改善结果并降低医疗保健费用.
MIND at Home® is comprehensive, 在过去的15年里，约翰霍普金斯大学的研究人员和痴呆症专家开发并测试了一个以家庭为中心的护理协调项目，该项目针对社区生活的痴呆症和认知障碍患者及其家人. Delivered by an interdisciplinary team, 该计划系统地评估和解决了广泛的与痴呆症相关的护理需求，这些需求使人们面临过早和不受欢迎的住院护理安置的风险, poor quality of life, health disparities, hospitalizations, 家庭照顾者也有倦怠和其他负面健康影响的风险.
MIND at Home已在社区组织中实施, health plans, health systems, home care, and primary care clinics with diverse locations, staffing and patient populations. 我们经验丰富的临床和运营领导团队为收养者提供支持, 从程序启动和适应到维护. We adapt our program tools, assessments, 和支持材料，以满足每个组织的独特设置, needs, and program goals.
What are the features of MIND at Home?
由全套程序工具和培训资源支持, MIND at Home采用基于协作团队的护理管理方法，提供以家庭为中心的痴呆症护理协调服务. The program features:
- Detailed family-centered needs assessment that considers medical and non-medical needs of both the person and their caregiver (60-90 minute initial assessment; in-home or telephonic/virtual)
- 个性化护理计划，根据患者和护理伙伴的护理目标优先考虑需求
- Implementation of care plan, care strategies, 以及由记忆护理协调员使用标准化的居家最佳实践、基于需求的协议和跨学科团队咨询为护理人员提供支持
- Monitoring and revision of care plan over time
- Program graduation (when indicated)
Value proposition of MIND at Home
该计划的总体目标是解决与痴呆症相关的需求和挑战，帮助人们在家中保持健康. 研究和项目评估结果证明了在不同的社区和实践环境中提供项目的可接受性和可行性, 以及使痴呆症患者能够在家里呆得更久的好处, fewer unmet care needs, better quality of life, reduced acute health care utilization (e.g., Emergency Department visits, hospitalizations), and lower family care partner burden, at a lower cost of health care. The potential value proposition includes:
- Increase patient/member longevity in home/community
- Reduce unmet care needs/improve care quality
- 改善临床和健康相关结果(减少未满足的需求，提高生活质量)
- Reduce burden for care partners
- Better patient satisfaction metrics
- 增加临时护理的使用和适当的LTSS使用
- Reduced Medicaid and Medicare spend
- 减少疗养院、急症护理和急诊科(ED)的使用
- 增加了供应商在许可证上执业的能力
- 为风险分担协议或狭窄的网络定位