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The Roger C. Lipitz Center for Integrated Health Care

New Summary Report from the National Research Summit on Care, Services, Support for Persons with Dementia and Their Caregivers

Read the new National Institute on Aging (NIA) summary report developed from the National Research Summit on Care, Services, Support for Persons with Dementia and Their Caregivers held during the summer of 2020. The summit was co-chaired by center director and summit steering committee Jennifer Wolff and David Reuben of UCLA. View the full report here.

Cost-Effective Care Coordination for People With Dementia at Home

A study led by Amber Willink and Quincy Samus, and co-authors Karen Davis, Deirdre Johnston, Betty Black, Melissa Reuland, Ian Stockwell, Halima Amjad, and Constantine Lyketsos published in Innovation in Aging suggests that hospitalization risk reduction strategies may benefit from understanding and addressing caregiving circumstances. Managed-care plans with the flexibility to engage community health workers could benefit from a low-cost, high-touch intervention to meet the needs of enrollees with dementia. Read more

Financial Presentation of Alzheimer Disease and Related Dementias

Lauren Hersch Nicholas is the lead author on a new paper published in JAMA Internal Medicine that found Medicare beneficiaries who go on to be diagnosed with dementia are more likely to miss payments on bills as early as six years before a clinical diagnosis. In collaboration with the Federal Reserve Board of Governors and the University of Michigan Medical School, the researchers also found that beneficiaries diagnosed with dementia who had a lower educational status missed payments on bills beginning as early as seven years before a clinical diagnosis as compared to 2.5 years prior to a diagnosis for beneficiaries with higher educational status. Read the full press release here and media coverage in The Washington Post, the Miami Herald, the Boston Globe, and AARP

Outcomes Associated with Home and Community-based Service Use Among Older Adults following a Nursing Home Transition

A study led by center faculty Chanee Fabius and co-authors Noreen Shugrue and Julie Robison in the Journal of Gerontological Social Work examined relationships between home and community-based services, reinstitutionalization, and choice and control in daily activities for older adults in Connecticut. The researchers found that relative to receiving traditional services, having hourly or live-in personal care attendant services was associated with having lower odds of both reinstitutionalization and choice and control. Findings can help strengthen home and community-based services delivery for older adults living in the community. Read more

Do Caregiving Factors Affect Hospitalization Risk Among Disabled Older Adults?

A study led by Halima Amjad and co-authors John MulcahyJudith KasperJulia Burgdorf, David Roth, Ken Covinsky, and Jennifer Wolff in the Journal of the American Geriatrics Society examined a nationally representative cohort of older adults with disabilities. Increased risk of hospitalization at 12 months was associated with having a primary caregiver who helped with healthcare tasks, reported physical strain, and provided more than 40 hours of care weekly. The findings suggest that hospitalization risk reduction strategies may benefit from understanding and addressing caregiving circumstances. Read more

New Center to Address Alzheimer's Disease and Related Dementias

The Hopkins’ Economics of Alzheimer’s Disease and Services (HEADS) Center is a new research center that seeks to improve the care and lives of those affected by Alzheimer’s disease and related dementias. The Center is led by Jennifer Wolff, PhD, Eugene and Mildred Lipitz Professor of Health Policy and Management and Director of the Roger C. Lipitz Center for Integrated Healthcare and Daniel Polsky, PhD, Bloomberg Distinguished Professor of Health Economics and Director of the Hopkins Business of Health Initiative.

The HEADS Center focuses on both understanding the full range of care needs and identifying and advancing solutions that address accessibility, affordability, quality, and equity of care. The Center will take a cross-school, interdisciplinary approach to build collaborations among faculty across the University and include the following initiatives:

  • Funding to support novel pilot studies to advance population-based research and attract investigators to the field,
  • The development of a high-capacity, secure computing environment to support novel population-based data analyses, and
  • Community-building activities to support use of research resources, the dissemination of scientific findings, and partnerships with key stakeholders and advocacy organizations to translate findings into policy and practice.
Stay tuned for more information on the center! 

Critical Drugs for Critical Care: Protecting the US Pharmaceutical Supply in a Time of Crisis

An editorial written by Mariana Socal and co-authors Joshua Sharfstein and Jeremy Greene in the American Journal of Public Health explains how COVID-19 has pointedly exposed the fragility of the U.S. pharmaceutical supply chain. The authors offer suggestions on how to protect the supply chain during a crisis, enhance manufacturing capacity, and improve distribution. Read more

T32 Training Program in Health Services and Outcomes Research for Aging Populations

The Health Services and Outcomes Research for Aging Populations T32 Training Program at Johns Hopkins University seeks to produce the next generation of scientists with rigorous training in person and family-centered health services and outcomes research with a focus on older adults. The program draws on the rich resources for research in health services, health economics, gerontology, nursing, health informatics, and geriatrics across the Johns Hopkins University, including its Bloomberg School of Public Health (JHSPH), School of Medicine (SOM), and School of Nursing (SON). Trainees obtain the knowledge, skill, and experience to lead multi-disciplinary, collaborative research teams. The overarching aim of the program is to identify and train pre-doctoral and post-doctoral scholars who will become leaders in person and family-oriented research relating to aging populations.

Questions may be directed to the Training Grant Co-Directors Cynthia Boyd, MD MPH (cyboyd@jhmi.edu) and Jennifer Wolff PhD (jwolff2@jhu.edu) as well as Sarah Szanton (sarah.szanton@jhu.edu).

Racial Differences in Respite Use among Black and White Caregivers for People Living with Dementia

A study by Lauren Parker and Chanee Fabius in the Journal of Aging and Health examined racial differences in respite utilization from the 2015 National Health and Aging Trends Study and National Study of Caregiving.  The research found that Black dementia caregivers were 69% less likely to use respite compared to white caregivers, highlight the need to identify strategies leading to more equitable respite use. Read More. 

Stress, Burden, and Well-Being in Dementia and Non-Dementia Caregivers: Insights from the Caregiving Transitions Study.

In a study led by Orla Sheehan and co-authors William Haley, Virginia Howard, Jin Huang, David Rhodes, and David Roth published in the Gerontologist found that dementia caregivers reported higher appraisals of stress and burden, and more depressive symptoms, but did not differ from non-dementia caregivers on mental and physical health quality of life. Clinical interventions and policy changes targeting highly burdened caregivers are needed to support them in allowing their care recipients to age in place at home. Read more