Article Figures & Data
Figures
- Figure 1.
Cumulative Percentage of Unique Eligible Patients Within Scope Who Completed a DCA Screening Between June 1, 2022 and May 31, 2023, Overall and by Clinic
DCA = digital cognitive assessment.
Tables
Clinic Locationa No. of patients aged ≥65 yearsb No. of clinicians Patient race and ethnicity, % Patient insurance, % Patient ADI national percentilec Black/African American Hispanic/Latino Medicare Medicaid Commercial None 1 Suburban 1,690 5 7.1 2.8 37.3 15.1 45.9 1.5 59 2 Suburban 1,930 7 2.3 2.4 37.3 15.1 45.9 1.5 59 3 Urban 314 3 39.0 1.0 42.6 9.3 46.5 1.3 79 4 Suburban 1,697 3 8.7 2.5 90.7 0.1 9.1 0.1 24 5 Urban 1,324 71 51.4 7.1 13.0 50.0 13.0 17.0 66 6 Suburban 1,547 10 5.4 1.7 17.2 10.0 71.3 1.3 24 7 Urban 3,000 9 28.6 3.0 31.7 13.8 52.8 1.4 66 ADI = Area Deprivation Index.
↵a Clinics 3 and 4 were value-based clinics; clinic 5 was an academic medical center clinic with a residency program, located in a Health Professional Shortage Area; and clinic 7 was an academic medical center clinic located in a Health Professional Shortage Area.
↵b Number of unique patients in this age group seen per year.
↵c Possible values range from 1 to 100; higher values indicate greater socioeconomic disadvantage.
Stakeholder group Criteria assessed by stakeholder group Relative weight within stakeholder group criteriaa Research Demonstrated accuracy of primary care physician result interpretation 0.219 Access to aggregate data reporting for all patients to whom the DCA is administered 0.213 Demonstrated evidence base for methodologic approach behind the DCA 0.201 Ability to link DCA results to clinical data 0.189 Promotes or supports research work across Indiana University ADRD research portfolio 0.177 Clinical Ease of report acquisition (eg, portal delivery) 0.235 Ease of setup (getting patient ready to use the DCA) 0.220 Types of platforms and devices that can be used 0.212 Ease of report interpretation 0.197 Duration of DCA screening (how long it takes) 0.136 Patient and medical assistant Ease of use for patients 0.330 Expected patient willingness 0.330 Ability to integrate into clinic workflow for staff 0.330 ADRD = Alzheimer disease and related dementias; DCA = digital cognitive assessment.
↵a Possible values range from 0 to 1.0, with values within each group summing to 1.0. Higher values indicate greater perceived importance of the criterion relative to others in the group.
Development and dissemination of succinct training videos for the independent instruction of medical assistants in the administration of DCA
Extension of the BHN’s duties to include the calculation of anticholinergic burden scores
Establishment of a backup system to ensure BHN’s reliable communications of results
Customization of screening workflows, using the digital tool’s configurability, offering options from a comprehensive 15-minute DCA inclusive of a lifestyle survey to a brief 3-minute assessment
Enhancements to the result display, to improve interpretation of results for clinicians
Streamlining of the referral process to geriatrics, neurology, and research studiesBHN = brain health navigator; DCA = digital cognitive assessment.
