Dementia Care System Redesign - Key Components

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With input from a broad range of stakeholders, the Department of Health Services developed a Dementia System Redesign Plan for Wisconsin. The Plan provides a foundation for building a more dementia-capable system of care, one which will move us closer to achieving a vision of providing the highest possible quality of life for all Wisconsin residents with dementia. There are five main focus areas of the Redesign Plan:

 

Community Awareness and Services

Community Awareness and Services

Community support is critical in sustaining a high quality of life for people with dementia and their caregivers and in helping to delay or prevent the need for institutional care. This component of the System Redesign Plan includes strategies to:

  • Increase understanding and awareness of dementia.
  • Expand early identification and intervention.
  • Provide support for family caregivers.

Facility-Based Long-Term Care

Facility-Based Long-Term Care

Approximately one in four Wisconsin residents with dementia are cared for in a facility based setting - a nursing home, community based residential facility (CBRF), or adult family home (AFH). People generally enter a facility when they can no longer be cared for in the home setting. These residents tend to be those whose care needs are higher. This component strives to:

  • Address barriers that deter some residential care facilities from admitting and providing ongoing care for residents with dementia related behaviors who require extra care and attention.
  • Continue to improve the quality of dementia care in facility settings.
  • Promote dementia-friendly facility designs.
  • Provide consumers with information about dementia care services.

Crisis System

Crisis System

Care for people with dementia can be difficult, especially if the person becomes self-injurious, aggressive or violent towards others. These kinds of behavior, which are often an attempt to communicate an unmet need, occurs in a small proportion of people with Alzheimer's disease or related dementias. Appropriate response is critical in helping avoid a crisis situation and mitigating a crisis that has developed. This component of the System Redesign Plan is focused on methods to:

  • Expand capacity of crisis response and stabilization.
  • Clarify procedures for emergency protective placement.
  • Improve Long Term Care for People with Challenging Behaviors.

Dementia Care Guiding Principles and Training

Dementia Care Guiding Principles and Training

In order to have a dementia-capable system of care, it is essential to have a shared understanding of what constitutes appropriate and high quality care for people with dementia and to have knowledgeable and supported professional and family caregivers to provide the care. The System Redesign Plan includes the following efforts to develop a shared vision of quality dementia care and to enhance training opportunities:

  • Develop guiding principles for dementia care provided by family caregivers, professionals, care facilities, and other service providers.
  • Encourage voluntary adoption of guiding principles.
  • Catalog and publicize existing dementia care training programs.
  • Provide additional dementia care training opportunities.

Research and Data Collection

Research and Data Collection

To measure the success of the System Redesign Plan efforts, information sources are being revised and updated. The System Redesign Plan includes the following strategies to enhance relevant research and data collection:

  • Develop and implement a data collection plan to facilitate quality measurements related to dementia care.
  • Conduct an inventory of dementia care providers.

 

Last Revised: July 11, 2016

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