North Carolina


Build a Dementia-Capable Workforce

Advancing Dementia Competency In North Carolina: Geriatric Healthcare Professionals Taking Flight

As the 9th most populous state, NC is a retirement destination. As a result of the aging population, NC is making dementia training a priority in hospitals and nursing home across our great state. North Carolina needs standardized dementia training for all direct care employees in skilled nursing, as over 40% of all patients have a cognitive impairment related to dementia or Alzheimer's. Currently, we have an existing bill in the House (HB 456) which needs to be amended to include new dementia competency based training measures and requirements. Building legislative support for this bill, is critical as we advance and bolster dementia training in North Carolina. We are also partnering with the Dementia Friendly Hospital Initiative through UNC Hospitals to help build their four hospital pilot program that will eventually launch statewide to train all hospital staff that has patient contact, in addition to the targeted training at the ER level. This initiative will be seeking state funding through legislative engagement as support builds, to ensure a wide distribution of these necessary measures.

North Carolina State Plan Overview

In 2014 language was included in North Carolina's budget bill, Senate Bill 744, calling for the development of a state Alzheimer's plan. In March 2015, the North Carolina Institute of Medicine convened a Task Force to develop an Alzheimer's disease strategic plan at the direction of the state department of health. The Task Force was comprised of health care providers, advocates, and other stakeholders who worked together to determine the needs of those with Alzheimer's and other dementias in the state. Dementia-Capable North Carolina: A Strategic Plan for Addressing Alzheimer's Disease and Related Dementias was published in March 2016.


North Carolina State Advocacy Day

March 14, 2019

Please join your fellow North Carolinians as they share their stories with the legislature on March 14, 2019 at our North Carolina State Advocacy Day. There are over 170,000 people with Alzheimer's currently in our growing state, and they need your voice. At this year's day, you can be that voice and help champion Alzheimer's as a public health crisis, and the need to expand resources to train professionals that deal with our loved ones with dementia and Alzheimer's.

2020 Advocacy Forum

March 22-24, 2020

As an Alzheimer's advocate, you've worked to advance critical public policy, making a difference in the lives of all those impacted by Alzheimer's. Together we've achieved great increases in federal Alzheimer's research funding and secured critical advances in care and support. But we can't take our successes for granted — we need to keep the pressure on.

Join us in Washington for an inspiring three-day event filled with networking, training and education.

Be part of the movement that's making a difference in the fight against Alzheimer's.

Sign Up to Learn More About Advocacy Opportunities in North Carolina

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

State Affairs Contact Scott Herrick | 3363270438 | [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 North Carolina

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
2019 29,000 76,000 67,000 170,000
2025 35,000 100,000 77,000 210,000

Percentage change from 2019




Medicaid costs of caring for people with Alzheimer's (2019)


change in costs from 2019 to 2025



per capita Medicare spending on people with dementia (in 2018 dollars)

HOSPICE (2016)



of people in hospice have a primary diagnosis of dementia


of people in hospice with a primary diagnosis of dementia

Hospitals (2015)



of emergency department visits per 1,000 people with dementia


dementia patient hospital readmission rate



Number of Caregivers


Total Hours of Unpaid Care


Total Value of Unpaid Care


Higher Health Costs of Caregivers

Number of Deaths from Alzheimer's Disease (2017)


6th leading cause of death in North Carolina
149% increase in Alzheimer's deaths since 2000

For more information, view the 2019 Alzheimer's Disease Facts and Figures report at

U.S. Statistics

Over 5 million Americans are living with Alzheimer's, and as many as 14 million will have the disease in 2050. The cost of caring for those with Alzheimer's and other dementias is estimated to total $290 billion in 2019, increasing to $1.1 trillion (in today's dollars) by mid-century. Nearly one in every three seniors who dies each year has Alzheimer's or another dementia.