The USC GWEP partnered with Eisner Health, serving a primarily immigrant, Spanish-speaking, low education level, urban older adult population, to build a sustainable workflow to identify older adults with cognitive impairment and provide case management with ongoing program evaluation. Additional efforts focused on EHR optimization and alignment of existing clinical resources.
There is an estimated 65,000 LGBT older adults in LA and the Los Angles LGBT Center is the only location that provides primary care specifically to this population. Our partnership with the LGBT Center has been focused on dementia identification and management as well as integrating dementia screening into the annual wellness visits.
Key Learning: Recognition of opportunities for alignment with existing FQHC resources and use of data driven strategies to build sustainable, team-based workflows is essential to increasing detection of cognitive impairment and dementing illness in older adults.
Engagement all levels of facility employees (C-Suite to front office workers) is critical to support culture change.