Patients living with dementia often need a unique kind of care. They can also benefit from extra help managing their dementia symptoms as well as other chronic conditions. And while not every provider has the time or flexibility to offer this level of comprehensive care, the Emory Healthcare Integrated Memory Care Clinic does.
Emoryâ€™s Integrated Memory Care Clinic is a level 3 patient-centered medical home that provides the kind of individualized, complete care dementia patients need, yet so often cannot find. Their team has extensive experience and expertise working with dementia patients. They understand the effects dementia can have on patients, their other potential illnesses and medical issues.
In the primary care clinic, patients receive comprehensive, team-based health care services. Nurse practitioners collaborate with geriatricians and neurologists to manage dementia and other chronic conditions. By managing medications, taking a palliative care approach, providing caregivers with support and education, and coordinating community services, the Emoryâ€™s Integrated Memory Care Clinic is changing care for people living with dementia and their families. Emoryâ€™s Integrated Memory Care Clinic leverages the resources of the Emory Healthcare system.
Nationally recognized, patient-centered care
In 2016, the Emory Integrated Memory Care Clinic earned the National Committee for Quality Assurance’s (NCQA) highest level of recognition. This Patient-Centered Medical Home Level 3 Recognition demonstrates Emoryâ€™s ability to coordinate care among all health care providers and other community-based resources.
Being a Patient-Centered Medical Home (PCMH) is more than a name. Research shows this approach to care delivers markedly improved results. Patients in PCMHs report increased access to care, lower costs, and higher quality care.Â¹
In fact, at less than 1%, the Emory Integrated Memory Care Clinic’s rate for ambulatory sensitive hospitalizations is well below the national average of 13%. The patient satisfaction rate for its providers was 97% for the period of September 2016 through August 2017.
Working as a team for an individual
Approaching care as a team, a nurse practitioner, a registered nurse, a clinical social worker, and a patient care coordinator work alongside the patient, their family members and caregivers to achieve the best outcome for the patient.
The Emory Integrated Memory Care Clinic team replaces the patient’s primary care physician and manages their chronic conditions to ensure patients reach and stay at their most well. The Clinic develops individualized treatment recommendations and offers several additional services to established patients. The Emory Integrated Memory Care Clinic solicits ongoing feedback from their patients and families. The Emory Integrated Memory Care Clinicâ€™s Patient and FamilyÂ Advisory Council drives the design and delivery of care.
A Caregiver’s Experience
Leah Humphries was struggling to find adequate care for her mother, Carol. “Our lives changed from the moment we connected with the Emory Integrated Memory Care Clinic,” Leah said. “Dad was scared, but the support the Clinic provided, especially the Savvy Caregiver class, really empowered him.”
- Chronic Care Management – Eligible patients are enrolled in Medicare’s chronic care management in order to coordinate services outside of clinic visits.
- Care Coordination â€“ the Emory Integrated Memory Care Clinic provides recommendations and referrals to community-based resources. The team also coordinates referrals to other healthcare services.
- Caregiver Classes – Social worker offers educational classes for caregivers covering common difficult behavioral symptoms, end-of-life concerns, and other relevant topics.
- Family Meetings – the clinic offers opportunities to discuss care goals with family members and caregivers.
- Transition of Care – Staff can coordinate transitions to higher levels of care and post-hospitalization discharge.
- After Hours Call – Established patients have access to nurse practitioners during evenings, holidays and weekends.
Learn More or Refer a Patient
If you’d like to learn more about Emoryâ€™s Integrated Memory Care Clinic or think one of your patients could benefit from the services, please call 404-712-6929 or learn more at emoryhealthcare.org/imcc.