District of Columbia

DISTRICT OF COLUMBIA 2020 STATE POLICY PRIORITIES

Increase Public Awareness, Early Detection And Diagnosis

Support the Collection and Dissemination of Cognitive Decline and Caregiver Data

The D.C. Department of Health now receives annual funding to include the Cognitive Decline and Caregiver Modules in the Behavioral Risk Factor Surveillance Study (BRFSS) survey to understand the impact and burden of Alzheimer’s disease and cognitive decline on the state level in the District. It is critical that stakeholders work with D.C.'s public health officials to evaluate efforts at the local level and to disseminate the data to ensure timely solutions are implemented to meet the current and future needs of people living with Alzheimer's.

Build a Dementia-Capable Workforce

Support the Adoption of Dementia Training Standards

Individuals with Alzheimer’s have needs that often make care delivery challenging and more demanding. Care workers often do not have sufficient dementia-specific knowledge to effectively support those with Alzheimer’s and other dementias. A cornerstone of providing quality dementia care is to ensure that all professional care staff involved in the delivery of care to people with dementia receive dementia-specific training. Dementia-specific training is essential to ensure a better skilled and more capable workforce to care for those with Alzheimer's. Legislation has been introduced before D.C.'s Council that aims to require training standards for all direct care workers including assisted living, nursing home, and home health care workers. It is critical that these dementia training standards are adopted to improve the quality of care and experiences for individuals with Alzheimer’s and other dementias.

Advance Alzheimer's Policy

Support the District's First-Ever Dementia Services Coordinator

The growing impact of Alzheimer's on the District emphasized the need for a point person within city government to ensure active coordination between all city agencies, the mayor, the council, and community stakeholders, addressing Alzheimer’s as a public health crisis and reducing the long-term impact of the disease on the city's budget while improving the lives of people with dementia and their caregivers. In 2019 the city enacted legislation that established a dementia coordinator position with D.C.'s Department of Health implement and update D.C.'s Alzheimer's Plan. It is critical that D.C.'s Department of Health fills this position as soon possible.

Advance Alzheimer's Policy

Update the District's Plan for Alzheimer's

49 states and the District of Columbia have put Alzheimer's State Plans into place. D.C.'s first plan to address Alzheimer's was published in 2014 and expired in 2019. Once D.C.'s Department of Health fills the newly established Dementia Services Coordinator position to oversee the update of the District's Alzheimer's Plan it is critical that stakeholders convene to collaborate with the council, the mayor, and city agencies on setting a course for how we address Alzheimer's in the District for the next five years.



District of Columbia State Plan Overview

In 2012 the District of Columbia Office on Aging (DCOA) established a workgroup of community partners and stakeholders throughout the District to develop an Alzheimer's plan. In 2013, the District of Columbia State Plan on Alzheimer's Disease 2014-2019 was published to mitigate the effects of Alzheimer's disease and improve access to benefits for those affected within the District.



ADVOCACY EVENTS

District of Columbia State Advocacy Day

April 21, 2020

Join us for the Alzheimer's Association DC Advocacy Day! Advocate! Take the opportunity to engage members of the City Council and their staff about public policy issues related to Alzheimer’s, and how we can affect change to find Alzheimer’s first survivor.


Sign Up to Learn More About Advocacy Opportunities in District of Columbia


Sign me up to participate in the upcoming State Advocacy Day!

State Affairs Contact Eric Colchamiro | 202-365-6612 | [email protected]



Elected Officials

Enter your address here to see your elected officials' positions on Alzheimer's and ways you can contact them to support the Alzheimer's community.



Alzheimer's Facts and Figures in District of Columbia

Number of People Aged 65 and Older With Alzheimer's by Age

Year 65-74 75-84 85+ TOTAL
* Totals may not add due to rounding
2020 1,000 4,000 4,000 9,000
2025 1,000 4,000 4,000 9,000

Percentage change from 2020

Medicaid

$126

MILLION

Medicaid costs of caring for people with Alzheimer's (2020)

6.8%

change in costs from 2020 to 2025


Medicare

$31,993

per capita Medicare spending on people with dementia (in 2019 dollars)


HOSPICE (2017)

263

#

of people in hospice have a primary diagnosis of dementia


18%

of people in hospice with a primary diagnosis of dementia

Geriatricians

37

Number of geriatricians in 2019


-24%

increase needed to meet Alzheimer's population needs in 2050

Hospitals (2017)

1,699

#

of emergency department visits per 1,000 people with dementia


26.8%

dementia patient hospital readmission rate


15.8%

increase in emergency deparment visits since 2007

Caregiving

29 Thousand

Number of Caregivers



33 Million

Total Hours of Unpaid Care



$433 Million

Total Value of Unpaid Care


Number of Deaths from Alzheimer's Disease (2018)

105 total deaths in District of Columbia

For more information, view the 2020 Alzheimer's Disease Facts and Figures report at alz.org/facts.

U.S. Statistics

Over 5 million Americans are living with Alzheimer's, and as many as 13.8 million will have the disease in 2050. The cost of caring for those with Alzheimer's and other dementias is estimated to total $305 billion in 2020, increasing to $1.1 trillion (in today's dollars) by mid-century. Nearly 1 in 3 seniors who dies each year has Alzheimer's or another dementia.



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