Innovations in Risk Assessment and Cognitive Screening of Older Adults: Methods and Measures for use in Primary Care Settings 

With Americans living longer and a large proportion of our population reaching ages 65 and beyond, there is a risk of people experiencing impaired cognition that impacts their health care and independence. This has led to the suggestion that optimal care should include systematic screening for cognitive impairment in order to enable early detection of dementia, initiate interventions that may delay of progression of cognitive decline, and opportunities for patients and families to make decisions regarding care. 
To address this growing the need to identify cognitive disorders among geriatric patients, NAN convened a Summit on Innovations in Risk Assessment and Cognitive Screening of Older Adults: Methods and Measures for use in Primary Care Settings on November 3-4, 2022. Below are links to the presentations that occurred at the Summit. 

• William Perry, PhD, Executive Director, National Academy of Neuropsychology
  Welcome & Opening Remarks

• Nina Silverberg, PhD, National Institute on Aging, NIH
  Current State of The Problem of Cognitive Impairment   

• Michael Barry, MD, US Preventive Services Task Force 
  Benefits and Harms of Cognitive Screening 

• Shari Ling, MD, Center for Medicare and Medicaid Services (CMS) 
  Cognitive Screening at Annual Wellness Visit  

• Raj Shah, MD, Rush Alzheimer's Disease Center
  Current Approaches for Identifying Older Adults at Risk for Cognitive Decline 

• Kimberly Roaten, PhD, UT Southwestern Medical Center
  Lessons Learned from Suicide Risk Screening and Assessment  

• Grant Iverson, PhD, Harvard Medical School/Massachusetts General Hospital
  Classification Accuracy of Cognitive Screening Tools  

• Robin Hilsabeck, PhD, The University of Texas at Austin Dell Medical School
  Cognitive Screening Approaches Recommended for Primary Care Settings   

• Soo Borson, MD, University of Southern California Keck School of Medicine and University of Washington School of Medicine
Detecting Dementia in Primary Care – Who Are We Kidding?  

• James Galvin, MD, University of Miami Miller School of Medicine
Care Pathway Following a Positive Screen  
 

Leaders from the following organizations and associations participated: 

• Alzheimer's Association - Rade Vukmir, MD, JD & Morgan Daven, MA 
• American Association of Geriatric Psychiatry (AAGP) - Pallavi Joshi, DO, MA
• American Association of Nurse Practitioners (AANP) - Abby Luck Parish, DNP, AGPCNP-BC, GNP-BC, FNAP
• American College of Emergency Physicians (ACEP) I GEAR - Geriatric Emergency Care Applied Research 2.0 - Advancing Dementia Care Group - Ula Hwang, MD, MPH
• American Academy of Family Physicians - Julie K. Wood, MD, MPH
• American Psychological Association (APA) - Stephen Gillaspy, PhD
• Collaborative Family Healthcare Association (CFHA) - Laurie Ivey, PsyD
• Epic Systems - Dan Wortmann
• Inter Organizational Practice Committee (IOPC) - Jonathan Woodhouse, PsyD, ABPP-CN
• Preventative Services Task Force - Michael J. Barry, MD

National Academy of Neuropsychology Representatives:

• William Perry, PhD, Robin Hilsabeck, PhD, ABPP, Laura Lacritz, PhD, ABPP, Peter Arnett, PhD 

This Summit is a follow-up to a 2017 Summit on Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients. Access the presentations that occurred at the Summit and helped inform the proceedings.