11 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 The Healthy Brain Initiative Road Map

22 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 communi ties

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

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

5 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 The Healthy Brain Initiative: The Public Health Road Map for State and National Partnerships, 2013–2018

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

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”

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10 CDC Select HBI Activities Policy and Partnerships Fund key partnerships through cooperative agreements: Alzheimer’s Association Public Health website: 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 please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone, CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. For more information about the Healthy Aging Program: Visit Telephone: Lynda Anderson, PhD at