Care EcoSystem: Ochsner Health System

The Dementia Care EcoSystem: The Feasibility of a Care Management Program Addressing Healthcare Quality, Access, and Cost for Patients With Dementia and Their Caregivers

1. To determine the feasibility and acceptability of the Care Ecosystem program in the Ochsner clinical setting.

2. To assess the effect of the Care Ecosystem program on health care cost and quality care quality as measured by primary outcome variables.

   • Adapted from the Care Ecosystem, memory.ucsf.edu/Care-Ecosystem

Inclusion Criteria:

• Male or female ≥55 years of age at baseline

• Probable dementia diagnosis as evidenced by one or more of the following criteria:

  • Dementia listed on medical record problem list as of January 1, 2015 or later, or, in the opinion of the referring provider has dementia
  • Prescribed with any of the following: donepezil, memantine, galantamine HBR, rivastigmine, or tartrate; or, in the opinion of the referring provider, could take such medication

• Lives in community

Exclusion Criteria:

• Documented history of Multiple Sclerosis, ALS, Traumatic Brain Injury, Huntington's Disease, Schizophrenia, Bipolar Disorder, or current Substance Abuse Disorder
• Lives in a nursing home or assisted living facility
• Unable to complete monthly telehealth or phone visits