{"id":49808,"date":"2014-07-03T00:00:00","date_gmt":"2014-07-03T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2014\/07\/03\/unmc-will-collaborate-in-web-based-dementia-study\/"},"modified":"2022-09-02T20:31:14","modified_gmt":"2022-09-03T01:31:14","slug":"unmc-will-collaborate-in-web-based-dementia-study","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2014\/07\/03\/unmc-will-collaborate-in-web-based-dementia-study\/","title":{"rendered":"UNMC will collaborate in web-based dementia study"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\"><p>The University of California San Francisco and UNMC have been awarded a $10 million grant from the Centers for Medicare &amp; Medicaid Innovation to create a new web-based model of dementia care.<\/p>\n<p>It will provide around the clock consultations for patients and their families, online education and, for a subset of patients, remote monitoring with smart phones and home sensors.<\/p>\n<p>UNMC&#8217;s Steven Bonasera, M.D., Ph.D., an associate professor of geriatrics who did his fellowship at UCSF, will collaborate with UCSF researchers on the project.<\/p>\n<p>The Dementia Care Ecosystem will not replace clinicians, but rather bring educational resources developed over the past decade by <a href=\"http:\/\/memory.ucsf.edu\/\">UCSF&#8217;s Memory and Aging Center<\/a> (MAC) to patients and their families, while enabling clinicians to monitor their patients from afar.<\/p>\n<p>&#8220;Our hope is this is going to radically improve the way dementia patients are cared for,&#8221; said Katherine Possin, Ph.D., assistant professor of neuropsychology at UCSF. &#8220;We hope we&#8217;ll show this works, and that it can be adopted nationwide.&#8221;<\/p>\n<p>Each patient will have a navigator, who will check in by telephone or with a personal visit, as well as monitor communication with patients and their families through an Internet dashboard, created with the help of Salesforce. Navigators will be people without a formal medical degree and will be supervised closely by nurses, social workers and pharmacists with expertise in dementia care.<\/p>\n<p>Dr. Bonasera&#8217;s portion of the study will involve the use of smart phones and electronic wristbands to record the patient&#8217;s activity levels, count the number of steps they take and measure how far they range from home. A small number of patients will have sensors placed inside their homes to detect behavior changes that could signal the onset of a health problem, like being up all night, staying in bed all day or going to the bathroom more than usual.<\/p>\n<p>&#8220;If someone, instead of getting up two times a night, is getting up four or five times a night, we might send a nurse the next morning to their home to get a urine sample, and if it&#8217;s bad, start the patient on antibiotics,&#8221; said Dr. Bonasera. &#8220;We&#8217;re going to be monitoring people who are a seven- or eight-hour drive from my office in Omaha.<\/p>\n<p>&#8220;We won&#8217;t know exactly what is wrong, but we&#8217;ll know something is. If we can identify common causes and head these infections off, we can reduce hospitalizations.&#8221;<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>UNMC&#8217;s Steven Bonasera, M.D., Ph.D., will collaborate with University of California San Francisco researchers to create a web-based model of dementia 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