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The Alzheimer’s

Alzheimer’s Disease and Related Dementias Clinical Guidelines

New Information on Alzheimer’s Treatment

Disease Modifying Medications:  A webinar on the risks, benefits and use of monoclonal antibodies was live-streamed on October 19, 2023, and will be available on-demand soon.  The slide deck from this presentation is available Disease Modifying Medications 10.19.2023.

Watch the San Diego County Bioethics Commission discussion of disease modifying medications for Alzheimer’s disease, taped late 2023.

Few Early Alzheimer’s Patients Qualify for Lecanemab.  Published in MedPage Today August 16, 2023.

VA Providing Coverage of Lecanemab for Early Stage AD.  Read the press release from March 14, 2023.

NIH report on blood test to detect dementia prior to symptoms released.  Read the full article.

FDA grants accelerated approval for lecanemab, the second drug designed to remove plaque from the brain.  Read this release from the FDA.

Preventable Risk Factors:  Educating your patients.  Read this article from the New York Times published July 5, 2022.

The Alzheiner’s Project Clinical Roundtable and Guidelines

Primary care physicians and providers can screen and evaluate for Alzheimer’s disease and related dementias with more confidence and ease, and access tools to manage behavioral issues. The Alzheimer’s Project Clinical Roundtable, a group of neurologists, psychiatrists, geriatricians, and geriatric psychologists, have been working since 2015 to develop tools to assist the primary care providers who will care for the vast majority of patients experiencing cognitive decline, as well as assist their family members and caregivers.

The Alzheimer’s Project is a regional initiative established by the San Diego County Board of Supervisors to address the toll of Alzheimer’s disease and related dementias on families, communities and our healthcare systems. More information on the entire Alzheimer’s Project can be found on the County website.

While the majority of patients living with dementia can be effectively managed by primary care providers, there are cases that may need further evaluation beyond the scope the primary care provider is comfortable, and appropriate referrals are then recommended. Further, should the practitioner not be comfortable with the evaluation, disclosure or disease management of a particular patient, referral to a specialist is recommended.

Guidelines Fourth Edition (2024) Now Available!

The Physician Guidelines Fourth Edition (June 2024) booklet includes revised screening and evaluation instruments recommendations, background research and references, best practices algorithms, and expanded resource tools for caregivers.  The new edition expands information on caring for caregivers as well as assessing caregiver stress, provides updated community resources, and discusses FDA approved disease modifying medications.  The Guidelines booklet is comprehensive, and providers are encouraged to download/print/use those pages most relevant to their practice.

Physician/Provider Education

Grand Rounds, virtual and on-site education, and conferences are offered throughout the year to inform primary care providers and their staff on best practices and new resources.  To schedule a presentation for your health system or practice, contact .

Presentations are geared toward your specific clinical group.  Topics may include:

  • Screening and Evaluation of Cognitive Decline
  • Updates in Research
  • Genetics, Prevalence and Impact of ADRD
  • Behavioral Management of ADRD
  • Pharmacological Management of Behavioral Issues
  • Life Planning through the Stages of Dementia
  • Educating, Assessing & Supporting Caregivers

Webinars and content are also available through our partnership with Dementia Care Aware, a state-wide collaborative effort of universities.  Click here for a listing of other Continuing Education programs.

CME On-Demand Webinars

Champions for Health has partnered with The Doctors Company to offer a series of on-demand courses created by the Alzheimer’s Project Clinical Roundtable. The courses are available free of charge and are approved for AMA PRA Category 1 CreditsTM as well as ANCC credit for advance practice nurse practitioners and physician assistants/associates.  The courses are meant to act as training tools that can be taken at your own convenience in approximately 15-minute segments. You are encouraged to revisit as needed. Courses are available to all interested healthcare professionals; check with your specific professional continuing education guidelines for eligibility to earn credits.  Courses include:

  • Screening for Dementia
  • Evaluation and Diagnosis
  • Addressing & Managing Behavioral and Environmental Signs and Symptoms
  • Care Management through the Stages, Communications & Resources
  • Pharmacotherapy for Dementia
  • Pharmacological Management of Behavioral & Psychological Symptoms
  • Q&A: What Physicians Ask About Diagnosing and Treating Dementia
  • Disease Modifying Monoclonal Antibody Therapies:  Controversy & Patient Communications panel discussion
Doctor sitting and holding a smartphone

Mobile Apps REVISED! Provide Guidelines & Instruments in Palm of MD Hand – Download to Your Phone Today!

The AlzDxRx mobile application assists providers to walk through screening and evaluation of patients with cognitive decline while maintaining eye-to-eye contact. Access scoring instruments: MiniCog, AD8, PHQ-9, QDRS, IQCODE, MOCA and SLUMS, plus the ZBI12, a caregiver assessment. Patient identified scores can be emailed to you (HIPAA compliant) for ease in adding to EHR. The app is free and easy to use!

Download the app from your iOS or Android app store today!  If you have the app on your phone now, please delete and re-download to make sure you have the most current version.

Make sure that your email accepts mail from . In Outlook, you can set this as a Rule, and indicate a level of importance. Patient test result pdfs may otherwise end up in your Spam or Junk mail.

Have problems? Please do the following:

  1. Delete the app from your phone
  2. Turn off your phone, wait 30 seconds, and turn it on again
  3. Go to your app store (iOS or Android) and download the app AlzDxRx again
  4. Set up your account again, with your NPI and preferred password.  Create Account is in the lower left corner of the screen

For any problems, please contact

Health Professionals: RNs, NPs, PAs, & MAs

Learning to assist with screening and evaluation of individuals with cognitive issues will greatly improve patient care and the efficiency of your clinical site.  The Clinical Roundtable encourages nurses, nurse practitioners, physician assistants, and medical assistants to become knowledgeable of the 10 Warning signs of dementia, the algorithm for screening, and proficient in conducting a MiniCog screening.

The On-Demand Webinars, detailed to the left, provides CME and CE credits through The Doctors Company that fulfills professional requirements.  Webinar #1 on Screening includes a demonstration of conducting the MiniCog, as does the YouTube video linked above.  The webinar includes more detailed information to assist you in your practice.

Starting the Conversation on Memory Impairment

An annual Medicare Wellness Visit is often the time that cognitive impairment can be noticed by the provider, or the patient or family member may mention concerns. See the updated 2024 Guidelines for Starting the Conversation, educating patients on brain health and aging, and the use of listening tools.

New Exam Room Poster to Encourage Conversation on Cognitive Decline

Download and print these 8.5 x 11 posters for your exam rooms or waiting rooms to encourage patients and family members to consider symptoms and initiate a conversation with physicians and staff.

Posters available in

Clinical Trials

Providers are encouraged to discuss clinical trials with patients during early stage disease.  In San Diego County, clinical trials are currently being conducted at:

Providers can also find information at

Funding for the Alzheimer’s Project Clinical Roundtable is provided by: