00:03:51 Jennifer Schlesinger: Hello everyone. Good afternoon. 00:04:13 Laura Rath | Archstone Foundation: Good afternoon! Thanks for joining! 00:10:51 Brooke Ehrenpreis: Please write your name and organization in the chat as well. Thank you! 00:11:27 April Joyce: April Joyce, Adult Day Health Care of Mad River 00:11:29 Jennifer Schlesinger: Jennifer Schlesinger, Alzheimer's Los Angeles 00:11:34 Bekah McLean: Bekah McLean - Health Systems Director, Alzheimer's Association. Great to see you all! 00:12:17 Anna Chodos, UCSF, Dementia Care Aware: Anna Chodosβ€” UCSF and Dementia Care Aware 00:12:25 Laura Rath | Archstone Foundation: Laura Rath - Archstone Foundation 00:12:30 Elaine Wittenberg: Elaine Wittenberg, Professor, Cal State LA - Communication training for Dementia Caregivers and Healthcare Providers 00:12:36 Carly Roman: Carly Roman - Archstone Foundation 00:12:48 Kristen Romea, LCSW (Alzheimer's San Diego): Kristen Romea- Alzheimer's San Diego 00:13:34 Patty Mouton: Patty Mouton, Alzheimer's Orange County 00:13:45 Patty Mouton: patty.mouton@alzoc.org 00:15:01 Judith Martinez: Judith Martinez, Alzheimer's Association 00:15:33 Selena Coppi Hornback, CALA: Selena Coppi Hornback, California Assisted Living Association 00:17:53 Lindsey Yourman: Lindsey Yourman- Chief Geriatrics Officer County of San Diego 00:18:37 helen chen: Helen Chen UCSF Division of Geriatrics, Assoc Chief of Staff for Geriatrics/palliative/extended care SFVAHCS 00:18:56 Chris Langston: The % of people with dementia in Assisted Living should be almost as high as in SNF ~30% but the share who are MediCal eligible will be much lower. 00:19:08 Kristen Romea, LCSW (Alzheimer's San Diego): Reacted to "The % of people with..." with πŸ‘ 00:19:26 Michelle Quiroga-Diaz: Michelle Quiroga-Diaz @ ONEgeneration 00:22:03 Jenna Littlejohn - Institute on Aging: Jenna Littlejohn - Institute on Aging 00:22:26 Jackie Buente (She/her)- UCSF: Jackie Buente, LCSW with Dementia Care Aware SF 00:26:07 Laura Rath | Archstone Foundation: Reacted to "The % of people with..." with πŸ‘ 00:32:56 Anna Chodos, UCSF, Dementia Care Aware: It is definitely hard to ID (from health record) all the people who have dementia 00:33:07 helen chen: Reacted to "It is definitely har..." with πŸ‘ 00:33:39 Bekah McLean: Well-said, Barbara! 00:33:58 Chris Langston: 100% agree we've been working on this issue. We think info from Medicare MA plans, Medicare Part D plans, and medical records are some good places to start. 00:34:44 Bekah McLean: Reacted to "100% agree we've bee..." with πŸ‘ 00:35:41 Barbra McLendon, Alzheimer's Los Angeles: I also think we should ask plans to run their ICD-10 codes and diagnosis data and see what % of their beneficiary pool is likely to have a dementia. The data demonstrate that population should be at least 20% of their Medi-Medi beneficiary pool. If it's not, then there are more fundamental questions to ask about identifying and diagnosing these people. 00:36:06 Michelle Johnston - CDA (she/her): ALW Program Care Coordination Agencies: ttps://www.dhcs.ca.gov/services/ltc/Documents/Care-Coordination-Agencies.pdf 00:36:55 April Joyce: We have found many physicians are reluctant to diagnose dementia even when it seems obvious to us when they enroll. 00:38:27 Barbra McLendon, Alzheimer's Los Angeles: Reacted to "We have found many p..." with πŸ‘ 00:38:35 Chris Langston: Replying to "I also think we shou..." It isn't clear to us that the MediCal plans have access to these data since the bills will have been on the Medicare side? 00:38:55 Bekah McLean: Reacted to "We have found many p..." with πŸ‘ 00:39:50 Barbra McLendon, Alzheimer's Los Angeles: Replying to "I also think we shou..." Data sharing is definitely an issue. Though if the plan is providing both Medicare and MediCal services, I would think there would be a way to get this data. 00:40:29 Chris Langston: ECM is also the gateway to th eCommunity supports which are otherwise very hard for families to get. 00:40:43 Barbra McLendon, Alzheimer's Los Angeles: Reacted to "ECM is also the gate..." with πŸ‘ 00:41:17 Clara Park: Reacted to "We have found many p..." with πŸ‘ 00:45:07 April Joyce: We have also found that many of our participants with dementia are in denial about how much they need additional services. 00:45:14 Lindsey Yourman: Reacted to "ECM is also the gate..." with πŸ‘ 00:45:47 Lindsey Yourman: Reacted to "We have also found t..." with πŸ‘ 00:46:35 Jennifer Schlesinger: I am sorry but I need to hop off. Thank you for this rich conversation. 00:47:34 Lindsey Yourman: Reacted to "I also think we shou..." with πŸ‘ 00:49:20 Chris Langston: the plans and the state don't know much about outreach identification of this population 00:49:38 helen chen: Reacted to "We have also found t..." with πŸ‘ 00:49:39 April Joyce: Well said Barbara - our client is the family almost more so than the person with dementia 00:51:42 Michelle Johnston - CDA (she/her): If Health Plans have trouble pulling information on the person living with dementia, it may also be difficult for them to share information on the caregivers. 00:52:26 Barbra McLendon, Alzheimer's Los Angeles: Very true. Caregiver information is not yet routinely captured. Though Cal-AIM policies will hopefully improve that situation. 00:52:37 Michelle Johnston - CDA (she/her): Reacted to "Very true. Caregiver..." with πŸ‘πŸ» 00:52:45 Bekah McLean: Reacted to "Very true. Caregiver..." with πŸ‘πŸ» 00:56:06 Lindsey Yourman: Capturing functional status information is another consideration for identification, whether it be at the plan or community level, especially since that is the essence of the criterion for ECM "at risk for institutionalization" 00:56:47 Patty Mouton: Please be sure to include me on the distribution list patty.mouton@alzoc.org 00:57:27 Carly Roman: https://archstone.org/resources/CSDLC 00:57:33 Laura Rath | Archstone Foundation: Reacted to "https://archstone.or..." with πŸ‘ 00:57:37 Bekah McLean: Reacted to "https://archstone.or..." with πŸ‘ 00:57:45 Anna Chodos, UCSF, Dementia Care Aware: Thank you!! 00:58:00 Sophia Ugarkovich: https://archstone.org/uploads/ARCHSTONE-CALAIM-WHITEPAPER-FINAL-Nov-2023.pdf 00:58:03 Lindsey Yourman: thank you!