Effect of a Dementia Care Co-management Program on Patient Lead Investigator: Lee Jennings Institution : University of Oklahoma Health Sciences Center E-Mail : lee-jennings@ouhsc.edu Proposal ID : 816 Proposal Description: Overview: We aim to determine if the UCLA Alzheimer???s Dementia Care (ADC) Program decreases neuropsychiatric complications of dementia as compared to a national cohort of dementia patients drawn from the NACC UDS. Using a longitudinal study design, we will compare Neuropsychiatric Inventory Questionnaire (NPI-Q) scores (a measure of psychiatric and behavioral symptoms) over a two-year period for ADC enrollees to a national cohort of people with dementia drawn from the National Alzheimer???s Coordinating Center???s (NACC) Uniform Data Set (UDS). We will include a propensity score in the models to control for baseline characteristics that may be different between the ADC and control group cohorts. Significance and Innovation: In response to the poor quality and rising costs of dementia-related care, dementia disease management programs have been developed to more comprehensively meet the needs of patients and their families. In July 2012, UCLA launched the Alzheimer???s and Dementia Care (ADC) program, a quality improvement program that uses a co-management model with nurse practitioner Dementia Care Managers partnering with primary care physicians and five community-based organizations to provide comprehensive dementia care. The program has enrolled over 1900 patients in 4 ?? years. An evaluation of the quality of care provided by the program showed high adherence to 17 quality indicators for dementia (92 overall pass rate), exceeding previous reports of physician-provided dementia care (19-41 pass rate). This evaluation of the ADC program will help determine if high quality of care for dementia translates into improved population health for patients with dementia and their caregivers. This proposal also takes advantage of a large, national longitudinal dataset of people w