Lynda A. Anderson, PhD Director, Healthy Aging Program Division of Population Health

1. The Healthy Brain Initiative Road Map Lynda A. Anderson, PhD Director, Healthy Aging Program Division of Population Health National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Community Conversations October 30, 2014

2. CDC’s Healthy Brain Initiative • In 2006, Congress appropriated funds to CDC’s Healthy Aging Program to “address brain health with a focus on lifestyle issues” • Goals of The Healthy Brain Initiative: • Better understand the publics’ perceptions about cognitive health and burden of cognitive impairment through public health surveillance systems • Build a strong evidence base for policy, communication, and programmatic interventions • Translate that foundation into effective public health practice by public health departments and their partners in states and communities

3. 2007 HBI Road Map • 2007 HBI Road Map served as a catalyst for numerous accomplishments* on the part of multiple stakeholders • Healthy People 2020, “Dementias, including Alzheimer’s disease” • To increase the proportion of persons with diagnosed Alzheimer’s disease and other dementias, or their caregiver, who are aware of the diagnosis. • To reduce the proportion of preventable hospitalizations in persons with diagnosed Alzheimer’s disease and other dementias. *2011 Progress Report of CDC’s accomplishments available at www.cdc.gov/aging/healthybrain/resources.htm

4. Awareness of Dementia Diagnosis, Adults 65+ Years, 2007—2009* HP2020 Target: 38.3% Increase desired Percent *2014 HP2020 Progress review; available at www.cdc.gov/nchs/healthy_people/hp2020/hp2020_OA_DIA_progress_review.htm NOTE: = 95% confidence interval. Categories of black/white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I SOURCE: Medicare Current Beneficiary Survey (MCBS), CMS. 4

5. The Healthy Brain Initiative: The Public Health Road Map for State and National Partnerships, 2013–2018 • Used a participatory method to invite input from more than 280 experts • 35 actions public health community can do over next 5 years • Released July 2013

6. 2013 Healthy Brain Initiative Road Map • Actions for state and local public health agencies and their partners to: • Promote cognitive functioning, • Address cognitive impairment for individuals living in the community, and • Help meet the needs of care partners

7. 2013 Road Map Domains • Monitor and evaluate • Educate and empower • Develop policy and mobilize partnerships • Assure a competent workforce

8. CDC Select HBI Activities • Monitor • Behavioral Risk Factor Surveillance System (BRFSS) Cognitive Decline and Caregiver Modules • Funded the Alzheimer’s Association to work with states and territories to include the modules in their 2015 questionnaires • Educate and Empower • 2015 CDC Healthy Brain Initiative Research Network • Thematic network of CDC’s Prevention Research Centers • A new project on developing and testing public health messages about cognitive health and impairment • IOM study on “Public Health Dimensions of Cognitive Health”

9. http://www.nbcnews.com/video/nightly-news/51836163/#51836163

10. CDC Select HBI Activities • Policy and Partnerships • Fund key partnerships through cooperative agreements: • Alzheimer’s Association • Public Health website: www.alz.org/publichealth/ • National Association of Chronic Disease Directors • Opportunity Grants – select HBI Road Map actions • Association of State and Territorial Health Officials • Increasing awareness and incorporating cognitive health in public health efforts • Provide data and support to HP 2020 DIA topic area and objectives • Workforce • Collaborate on efforts with the Health Resources and Services Administration

11. Implementing HBI Road Map Actions in States  

12. For more information about the Healthy Aging Program: Visit www.cdc.gov/aging Telephone: 770 488-5360 Lynda Anderson, PhD at laa0@cdc.gov