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Access to Care for Alzheimer's Disease

Access to Care for Alzheimer's Disease

Released Thursday, 11th January 2024
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Access to Care for Alzheimer's Disease

Access to Care for Alzheimer's Disease

Access to Care for Alzheimer's Disease

Access to Care for Alzheimer's Disease

Thursday, 11th January 2024
Good episode? Give it some love!
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Episode Transcript

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0:12

Hello everyone and welcome to Access for

0:17

Care to Alzheimer's Disease, an event that we are hosting

0:19

with the Alzheimer's Association.

0:22

I am Steven Collens, the CEO of MATTER.

0:25

We are a healthcare technology

0:25

incubator and innovation hub.

0:29

Built on a belief that collaboration

0:29

between entrepreneurs and industry leaders

0:34

is the best way to develop

0:34

healthcare solutions.

0:37

Our mission is to accelerate the

0:37

pace of change of healthcare,

0:40

and we do three things in service of this

0:40

mission. First, we incubate startups.

0:45

We launched in 2015, and since then we've worked with more

0:47

than 850 companies that range from very

0:52

early to growth stage startups, and we

0:52

have a suite of services to help them.

0:56

At every stage of development, our member companies have raised more

0:58

than $5 billion to fuel their growth.

1:03

Second, we work with large organizations like

1:04

health systems and life sciences companies

1:07

and payers to help them strengthen

1:07

their innovation capacity. We help them

1:12

find value in emerging

1:12

technology solutions,

1:15

unlock the full potential of

1:15

their internal innovators,

1:19

and create a more human-centered

1:19

healthcare experience through system level

1:23

collaborations. And third matter is a nexus for those

1:24

who are passionate about healthcare

1:28

innovation. We bring people together to be inspired

1:29

and learn and connect with each other.

1:33

And we put together forums like

1:33

the one we're here for today.

1:38

This is our second year working with

1:38

the Alzheimer's Association to advance

1:42

innovation to improve the lives of

1:42

those living with Alzheimer's disease or

1:47

related dementias. Last year,

1:49

the pitch competition focused on early

1:49

detection in primary care settings.

1:53

And this year the focus is on solutions

1:53

that increase access to quality

1:58

person-centered care for people living

1:58

with Alzheimer's disease in underserved

2:03

communities, inequities in access to care for

2:04

people with Alzheimer's disease,

2:08

STEM from socioeconomic disparities,

2:12

limiting resources and healthcare

2:12

options for those in those communities.

2:16

These disparities manifest

2:16

in delayed diagnosis,

2:20

inadequate support services, and a lack of tailored interventions

2:22

perpetuating a cycle of unequal treatment

2:26

and outcomes for individuals

2:26

affected by Alzheimer's.

2:31

Today we've brought together leaders

2:31

who are working in this space to discuss

2:34

these barriers, to care

2:34

how to improve access,

2:37

how our healthcare system can and

2:37

should collaborate and opportunities for

2:42

innovation. Dr. Jay Bott leads the Deloitte

2:43

Center for Health Solutions and the

2:48

Deloitte Health Equity Institute, and he is a practicing

2:51

internist and geriatrician.

2:56

Ashley Alexander is CEO of the

2:56

Kelsey Research Foundation.

3:00

Ashley also co-chairs the Alzheimer's

3:00

Association Innovation Roundtable.

3:06

Katie Evans is the Chief Mission

3:06

Engagement Officer of the Alzheimer's

3:10

Association, and our moderator

3:10

today is Laura McIntyre,

3:15

senior Director of Health Systems

3:15

at the Alzheimer's Association.

3:18

She works with health systems and health

3:18

plans to increase early detection and

3:23

enhance quality of care for those at

3:23

risk of Alzheimer's disease and related

3:28

dementias. If you have questions

3:28

for any of the panelists,

3:32

please drop them into the chat and Laura

3:32

will weave them into the conversation

3:36

as we go. And following

3:36

the panel discussion,

3:41

my colleague Casey Sheridan will

3:41

provide a brief overview of the second

3:45

annual Alzheimer's

3:45

Association pitch competition.

3:50

Thank you all for joining us today. I'm

3:50

looking forward to the conversation.

3:53

And with that, Laura, I will turn

3:53

it over to you to get started.

3:58

Thank you, Steven. So I'm so grateful to be here

4:00

today and talk about really

4:05

how we can improve access to

4:05

care and to introduce you to this

4:10

amazing panelist. So we'll

4:10

start with Dr. Bhatt.

4:14

Tell us a little bit about your role

4:14

and how you're currently working with

4:17

people living with Alzheimer's

4:17

disease and related dementias.

4:22

Thank you, Laura, and just real gratitude to the Alzheimer's

4:22

Association of your leadership and

4:27

for collaborating with matter.

4:29

I've just been fortunate to work with

4:29

matter over the years and tremendous value

4:34

that creates for the innovation ecosystem.

4:34

So I'm a primary care physician,

4:39

internist, geriatrician at a community health

4:39

center on the south side of Chicago.

4:42

So I directly care for those

4:42

with dementia or cognitive

4:46

impairment and delirium and with work with

4:51

their caregivers. So that experience is humbling

4:53

and it's just an honor to care for

4:58

patients with their

4:58

families and caregivers.

5:02

I also lead our Deloitte

5:02

Health Equity Institute,

5:05

which advances health equity as an

5:05

outcome. We do that through research,

5:09

through social impact with

5:09

community investments,

5:12

as well as building the capacity and

5:12

capabilities of people in our firm and

5:16

giving them experiences to engage

5:16

in purpose-based client and social

5:21

impact work as it

5:21

relates to health equity.

5:24

And so this issue has come

5:24

up through new care models,

5:29

thinking about biopharma and the

5:29

treatments and the drug discovery

5:33

process. Think about how do we

5:34

advance both treatment and

5:39

support for those that may be on their

5:39

way to dementia or have dementia.

5:44

And then our Center for Health Solutions

5:44

at Deloitte does research across the

5:48

industry in life sciences and

5:48

healthcare. And so I also personally,

5:54

my father has got mild cognitive

5:54

impairment on his way to

5:58

potentially dementia at a various continuum.

6:01

And so family experience as well.

6:08

Thank you. Thank you. Dr. Bhatt. Ashley,

6:11

tell us about your role and how

6:11

you're working with Alzheimer's.

6:14

Absolutely. I'm Ashley Alexander, president and CEO of Kelsey Research

6:16

Foundation in Houston, Texas.

6:21

We are the research affiliate of a large

6:21

multi-specialty physician group here in

6:25

Houston and oversee and implement all

6:25

research for their patient population and

6:30

for their physicians. And we've had the honor and privilege

6:32

of partnering with the local chapter in

6:36

the National Alzheimer's Association on

6:36

a variety of research projects over the

6:40

years. Most recently for Focus on Brain

6:41

Health with the US Pointer study,

6:45

we serve as part of the Houston

6:45

team implementing the US Pointer

6:50

study for our 455

6:50

participants here in Houston.

6:55

We also, in the future, are hoping to be part of some real

6:57

world clinical trials on the use of the

7:01

therapeutics that have been developed. And in a similar standpoint

7:03

on a personal front,

7:07

both my husband and I have lost our

7:07

maternal grandmothers to Alzheimer's and

7:12

dementia. And so there is a personal drive to

7:12

be involved and see advances in these

7:17

areas. Thank you. Thank you. Ashley and Katie.

7:21

Hi everyone. Katie Evans. I am the Chief Mission Engagement

7:23

Officer of the Alzheimer's Association.

7:27

And really just to ground everyone on

7:27

who the Alzheimer's Association is,

7:31

we're leading the way to end

7:31

Alzheimer's and all other dementia,

7:35

and that's by accelerating

7:35

global research,

7:37

driving risk reduction in early detection, and of course maximizing that

7:39

quality of care and support.

7:43

So in my current role, I have the

7:43

honor and privilege of leading a team,

7:48

and we're developing new products and

7:48

solutions for healthcare systems for

7:53

the long-term and community-based

7:53

organizations, the scientific community,

7:57

and then as well as people who are

7:57

of course living with Alzheimer's and

8:00

dementia and their care partners. So we're really trying to provide

8:02

that support and those resources for

8:07

these audiences so that we can both

8:07

accelerate research but then transform

8:11

clinical and care practice. And similar theme to the other panelists,

8:16

I actually lost my father

8:16

this summer to Alzheimer's,

8:19

so I'm in it in the fight

8:19

and ready to see what we can

8:24

do more together. Well, as you can see,

8:27

we have an amazing panel today

8:27

to talk about barriers to care

8:32

and then potential solutions. I

8:32

echo everything we've heard today.

8:37

I too have a father living with vascular

8:37

dementia entering the middle stage.

8:42

So not only do I live the work every day,

8:46

I live it when I leave this job to

8:46

care and provide the best care for

8:50

him. And so thinking about Alzheimer's,

8:53

we know that the number of the Americans

8:53

living with Alzheimer's today is

8:58

growing rapidly. More than 6 million Americans of

9:00

all ages have Alzheimer's and is the

9:05

size of the US population age

9:05

65 and older continues to grow.

9:09

So will the number and proportions of

9:09

Americans living with Alzheimer's and

9:13

other dementia. It's projected by 2050 that the

9:15

number of people living with

9:20

them, assuming that we don't have breakthroughs

9:20

to prevent or cure this disease will

9:25

likely be around 12.7 million.

9:29

And so as we think about that care and

9:29

how we will care for our older adults,

9:34

thinking about innovation, thinking about their current barriers

9:36

and how to overcome them are really

9:39

critical. And so Ashley,

9:42

what are the main barriers that come

9:42

to mind today that individuals who are

9:46

living with Alzheimer's are facing

9:46

when accessing quality care and support

9:51

services? So a couple of things that I hear about

9:53

from our participants in the US Pointer

9:58

study, many of which have

9:58

served as caregivers,

10:02

it is access and availability to care

10:02

teams and the coordination of those

10:07

care teams. A lot of challenges,

10:11

and we all know this

10:11

and are aware of it, but

10:17

the need for more neurologists

10:17

within our care continuum,

10:21

but also access to get

10:21

into primary care as well.

10:25

And then the coordination often for

10:25

these individuals of primary care in one

10:30

system and then subspecialists,

10:30

neurologists, et cetera,

10:33

and other systems and making

10:33

sure that you are having a

10:37

reconciliation of that medication of

10:37

the conditions that are happening.

10:41

And I also think to go expand

10:41

into the support services,

10:46

it's understanding what support services

10:46

exist within your community and then

10:50

gaining access to those support services.

10:50

You don't know what you don't know,

10:55

and you get into this and face a lot

10:55

of challenges and become overwhelmed.

10:59

And what can caregivers do and provide

10:59

and what can the individuals provide

11:03

or ask for and advocate for as well?

11:06

Yes, I agree. Ashley, Jay, what about you?

11:10

We know you're a practicing physician.

11:12

What barriers are you seeing for the

11:12

patients and the caregivers in accessing

11:16

quality care and support? So thank you so much Laura. And

11:24

just building on Ashley's comments,

11:28

which I think are spot on, one of the things I wanted to say is

11:29

that this is not just a moral imperative,

11:33

it's an economic imperative as well. And we see more frequent

11:35

hospital admissions, higher

11:39

more days in nursing home facilities,

11:42

nearly 55,000 yearly total cost

11:42

per person and poor quality of

11:47

life for both personal dementia and

11:47

they're typically unpaid caregivers.

11:50

So one is lack of information, education caregivers may be

11:52

unaware of available resources,

11:56

support groups and educational materials, but it's also the literacy levels

11:58

that various people may be at.

12:02

I typically take care of historically

12:02

underserved and historically marginalized

12:07

vulnerable and literacy

12:07

levels are quite variable.

12:11

So with a limited amount of time,

12:14

it requires a team that

12:14

coordinates around this

12:18

limited access to specialized cares. Kelsey had suggests. I think this can

12:20

lead to delays in diagnosis and inadequate

12:25

treatment. And then the others

12:25

fragmented healthcare system,

12:28

lacking coordination between

12:28

different clinicians,

12:32

team making it difficult for caregivers

12:32

to navigate through various services,

12:36

coordinate the care of their loved ones,

12:36

emotional and psychological stress,

12:41

feelings of isolation,

12:41

anxiety, depression.

12:44

And so the caregivers may need mental

12:44

health support, counseling, respite care,

12:48

and other peer support groups. The

12:48

financial burden as alluded to,

12:53

can be a challenge. And then lack of

12:53

this respite care and support services.

12:58

So caregivers that may need time off from

12:58

their responsibilities or need to work

13:03

something out with their

13:03

occupational responsibilities.

13:07

But by addressing these barriers,

13:09

I think caregivers can receive the

13:09

support they need to provide the best

13:12

possible care for their

13:12

loved ones with Alzheimer's.

13:15

Yes, I completely agree. And I

13:15

think about workforce as well.

13:20

And so even if we make those caregivers

13:25

aware, then we need a

13:25

well-trained workforce.

13:27

And so I think that's

13:27

an additional barrier.

13:29

So thinking about workforce and in

13:29

thinking about the healthcare ecosystem,

13:34

Katie, what are your thoughts around how

13:34

is the healthcare ecosystem currently

13:39

addressing these barriers? That's a good question, Laura.

13:41

I would say that better.

13:45

Alzheimer's disease care really

13:45

requires conversations about memory

13:50

at the earliest point of concerned and

13:50

having a knowledgeable and accessible

13:55

care team to diagnose,

13:55

monitor disease progression,

13:59

and then of course treat when appropriate. And we do know what effective

14:02

dementia care looks like. In fact,

14:06

there are some models of care

14:06

that have even been developed.

14:10

They've demonstrated both effectiveness

14:10

and proven out some cost savings.

14:14

So right now, we're

14:14

fortunate Laura and her team,

14:19

they're actually working with health

14:19

systems across the country to help each

14:23

system build their own

14:23

dementia care program.

14:26

But I'd also say that more needs to

14:26

be done to address these barriers,

14:30

especially for the rural

14:30

and underserved communities.

14:34

So for us to encourage and implement

14:34

more coordinated care models across

14:39

the country for people living with

14:39

Alzheimer's and other dementia.

14:42

We did launch this summer a dementia

14:42

care navigation round table.

14:48

And this round table is

14:48

supporting very broadly

14:52

implementation of

14:52

dementia care navigation,

14:55

and it's an effort to convene

14:55

experts where they can share best

15:00

practices, build and

15:00

disseminate resources.

15:04

The experts are really from across

15:04

the entire healthcare ecosystems.

15:09

So that includes systems,

15:09

clinicians, payers, researchers,

15:13

and just other stakeholders who are

15:13

really committed to advancing the delivery

15:17

of high quality person-centered

15:17

dementia care navigation.

15:21

And that's something else to note is

15:21

an important cornerstone for this work,

15:25

really centered on guiding principles

15:25

for dementia care navigation,

15:28

which were developed by a

15:28

group of dementia care experts

15:33

and convened by the

15:33

Alzheimer's Association.

15:35

And these guidelines were

15:35

recently published in the journal,

15:39

Alzheimer's and Dementia,

15:39

the Translational Research

15:44

Thank you, Katie. And that's really

15:44

a great update on where we are,

15:48

but we have a ways to

15:48

go. So I'm curious, Jay,

15:51

because of your role with Deloitte

15:51

and you think about the healthcare

15:55

ecosystem, how do you think

15:55

they are addressing barriers?

15:59

What is your perspective on that? Knowing the answer may be sometimes

16:01

they're not. And so I'm just curious,

16:05

what are your thoughts about how the

16:05

healthcare ecosystem is addressing them?

16:10

Yeah, I think the ecosystem

16:10

and the various players,

16:14

then I recognize this as a critical

16:14

issue and it's being addressed

16:18

in variable ways by

16:18

different stakeholders.

16:22

But the reality is that all

16:22

stakeholders need to come together.

16:25

And we're seeing some of

16:25

this play out with the guide

16:30

model, which is a new

16:30

model launched by CMS.

16:33

We've also seen this through collaborative

16:33

evidence-based collaborative care

16:37

models, Dr. Mel Bai and others

16:38

have driven this forward.

16:42

You have a scalable dementia care

16:42

coordination team that then has access,

16:47

coordinate delivery and monitoring

16:47

with the family caregiver,

16:50

patient counseling, self-management. You have memory care mental

16:52

health practitioners,

16:55

you have community resources

16:55

and primary care providers,

16:57

but that model also needs

16:57

supportive reimbursement.

17:01

Often we think about the

17:01

payment model and then, okay,

17:04

how do we box the care

17:04

into the payment model?

17:08

But it's really about what

17:08

is the care that people with

17:12

dementia and their caregivers need

17:17

with dignity and respect, and then how do we pay for that

17:18

effectively and where the various

17:23

approaches are going to be. So I

17:23

think there's certainly technology and

17:27

innovation that can help support

17:27

this using those solutions

17:32

as enablers to augment the work of care

17:32

teams that can improve the condition and

17:36

integration of care services for

17:36

individuals. Alzheimer's disease,

17:40

whether it's telemedicine,

17:40

voice activation,

17:43

predicting needs that may be necessary.

17:48

We're seeing this some with

17:48

around drug discovery as well as

17:53

artificial intelligence. But I

17:53

think that addressing health equity,

17:58

supporting innovation and addressing

17:58

affordability is really the pillars of the

18:02

CMS Innovation Center strategy

18:02

that the guide model supports.

18:06

And I suspect that more will

18:06

come on board, but we've seen

18:12

U-C-S-F-U-C-L-A and a number

18:12

of other academic centers

18:17

take these collaborative dementia care

18:17

models and move them into clinical

18:21

programs. And so we need

18:21

more of that happening.

18:24

We know there's evidence

18:24

about model today that works,

18:27

and we should test how we can

18:27

enhance those models that create

18:33

AAD a support for the dyad, those suffering from the DS and the

18:34

disease and those caring for 'em.

18:38

And I'm excited to see what emerges.

18:41

And we too are very

18:41

excited about guide and

18:46

implementing the models.

18:46

So thinking about that,

18:49

thinking about even the

18:49

potential solutions,

18:52

you had talked earlier Dr.

18:52

B about those underserved

18:56

populations. So what are

18:56

some unique barriers?

18:59

We know that African-Americans

18:59

and Hispanics are

19:04

disproportionately

19:04

affected by this disease.

19:06

And so what are some unique barriers? We're going to talk a little

19:09

about solutions in a little bit,

19:12

but what are some unique barriers that

19:12

we have to consider when we're developing

19:16

out innovations and solutions? So what's the barriers for

19:18

underserved populations?

19:22

I think one, as we think about

19:22

building on just the care model,

19:25

it's one in which the workforce

19:25

and the caregivers can

19:30

operate reliably and effectively.

19:30

And often if I see a patient,

19:35

it's 15 to 30 minutes the followup's,

19:35

15 new patient's, 30 minutes,

19:40

imagine how we are to get what

19:40

we need done in that time.

19:43

So you've got to think about what is the

19:43

continuum, what do you focus on there?

19:47

How do you have other players

19:47

on the team play a role?

19:50

How does technology enable

19:50

some of the support?

19:53

So I think you've got to think through

19:53

that model for your population.

19:57

One of the things is digital literacy. So we kind of think about what's

19:59

our own genius bar for patients that

20:04

need support with various

20:04

tools and the support for

20:09

caregivers. I think the other piece around treatment,

20:13

clinical trial diversity,

20:17

we know that we got to

20:17

continue to advance that,

20:21

although black Americans are twice as

20:21

likely as white Americans have Alzheimer's

20:24

and Hispanics, but 1.5 times likely we see

20:25

the clinical trial participants

20:31

don't reflect that.

20:31

I think in some of the more recent ones,

20:35

we've seen the Hispanic

20:35

community be represented better,

20:38

but still tough for the black community. And to the point made earlier

20:40

about rural communities,

20:42

I think that's a really

20:42

important issue as well.

20:45

And so as think about care models

20:45

got to account for the rural

20:50

needs as well. So I think when I think

20:50

about equity and inequities space,

20:55

it's racial and ethnic, certainly

20:55

disproportionately impacted,

20:58

but it's place-based

20:58

too. And it's veterans.

21:01

It's people that have had experiences

21:01

that may put them at higher

21:06

risk for dementia, and then it's the

21:06

social support and the caregivers,

21:10

which is a barrier. Some of them may not have the ability

21:11

to have caregiver support and if it's

21:15

unpaid even harder. So I think these are ones that

21:17

we've got to have the model and

21:22

stakeholders solve for. Yeah, absolutely. So Ashley,

21:27

when you mentioned clinical

21:27

trials and even participating,

21:30

I wondered to the US Pointer study, which really focused on

21:32

underserved communities,

21:35

what were some of the barriers that

21:35

really stood out to you all as you were

21:38

trying to not only recruit them

21:38

but then offer some of those

21:43

solutions? Absolutely. So we were lucky here in Houston for

21:45

the US pointer study and the US pointer

21:49

study overall to achieve over,

21:52

for the study overall 30%

21:52

participants of color in Houston,

21:55

we achieved 45% participants

21:55

of color for the US pointer,

21:58

which is focused on a lifestyle

21:58

intervention to reduce those at high risk.

22:04

But you enroll them in the study, how do you ensure that they still

22:06

participate and still make it to required

22:11

appointments and meetings and

22:11

transportation was a big issue for us,

22:15

and especially living in a

22:15

community that is a car based or

22:20

with limited great strong

22:20

public transportation.

22:23

So we were creative with

22:23

Ubers or with helping.

22:29

We often took meetings or

22:29

took appointments out to

22:33

home. And this was one benefit of

22:33

having our affiliation with our

22:38

medical group is their clinics are in

22:38

the communities so we could see patients

22:43

at the clinics that were closest to them

22:43

to reduce that transportation barrier.

22:49

These were little pieces

22:49

that we put in place,

22:51

but I agree the rural health is

22:51

something that I hope that we

22:56

can be innovative on. That was my

22:56

grandmother in a very rural setting.

23:00

And how do you get the care to her and

23:00

how do you get the diagnosis to her or

23:05

the ability to diagnose to her as well?

23:08

There's conversations we had at a meeting

23:08

yesterday of care at home or assessing

23:13

and testing people at home

23:13

where they are more comfortable,

23:18

but also where you have an opportunity

23:18

to assess their social determinants of

23:21

health that may be playing a role

23:21

in both their current care and

23:26

future care. And that kind of brings me to kind of

23:29

the other barrier that we think about.

23:32

And so Katie, what barriers come to mind?

23:35

And she mentioned social

23:35

determinants of health,

23:38

but what are other barriers that come

23:38

to mind among these diverse communities?

23:42

So when you think about these.

23:44

Older adults, they of course have some nuanced

23:45

healthcare needs that are really often

23:49

compounded by complex social issues.

23:51

And so if diagnosis occurs later,

23:55

it is typically what I just said

23:55

in the later stages of the disease.

23:59

And these individuals are more

23:59

cognitively and physically impaired

24:04

and therefore in need of more

24:04

medical care. So as a result,

24:08

the populations really are at a

24:08

greater risk, poor health outcomes,

24:13

they may receive inadequate care

24:13

or encounter barriers to care,

24:18

and they also face some staggering

24:18

treatment and care expenses.

24:23

So I know we're not

24:23

talking about solutions,

24:27

but I'm excited to get to that part. Yeah, absolutely. And it's actually

24:29

a great time to pivot to that.

24:33

And so we've identified and we've thought

24:33

about the barriers, transportation,

24:38

location, finances, language,

24:38

culturally competent,

24:43

all those things. But let's think about and pivot

24:44

to opportunities to improve

24:49

access. So Ashley, with a

24:49

complex healthcare system,

24:54

what have you seen actually

24:54

improves access to care.

24:59

With the system we're affiliated with, I've seen the leveraging

25:00

technology for virtual care,

25:05

both video visits and

25:05

also just virtual eVisits

25:10

or email-based visits

25:10

that you can conduct,

25:13

but that allows individuals

25:13

to have access to their

25:17

subspecialists and their primary care

25:17

in a more convenient timeframe in their

25:22

setting that is comfortable to them

25:22

and allow them to reduce some of those

25:27

transportation barriers. Now

25:27

you reduce transportation,

25:30

but you also increase technology,

25:30

potential technology barriers.

25:34

So what are we going to do there

25:34

and how do you address that?

25:36

And that is something that I think

25:36

is an ongoing question for all of us

25:40

today. So those are the pieces.

25:43

And then also taking care to the home. The facility we're affiliated with has

25:47

a care team that goes into the home of

25:51

individuals that those that are high risk

25:51

to help reduce those readmissions and

25:55

to ensure some of the coordination occurs

25:55

in particular after a discharge from a

26:00

hospital. Certainly.

26:02

And that's a great way to think

26:02

about going to the patient,

26:07

meeting them where they are. So we know that collaboration

26:10

in healthcare is key. In fact,

26:14

Dr. Bott has made reference

26:14

to that several times, right?

26:17

That the system is fragmented, but

26:17

there's opportunity for collaboration.

26:22

So Dr. Bott, what strategies can be implemented to

26:22

improve the coordination and integration

26:26

of care? You alluded to guide earlier.

26:29

And so thinking about navigating

26:29

multiple care systems,

26:33

you mentioned guide earlier, but what does that look like

26:35

in a solution for this care?

26:39

How do we improve that? And what are other thoughts about getting

26:41

this type of solution integrated into

26:46

the healthcare ecosystem? I would say that we have

26:48

evidence-based models,

26:52

the collaborative care model

26:52

that's been in play, that work.

26:57

The question is whether

26:57

there's will and desire to

27:03

implement those and scale 'em. Some of them may require

27:05

additional resources or investment,

27:08

but you could take the existing

27:08

approach of where you are

27:14

in a care setting and think

27:14

about what are the needs

27:19

that individual may have and

27:19

organize the workflows around that.

27:22

So there are alerts and various tools to help

27:25

early identification. And so I had

27:33

a few years ago, a high school

27:33

math teacher and I said,

27:39

tell me about how work is. Is it you feel like you're

27:41

operating at the same pace,

27:44

you're doing things appropriately, or

27:44

is it taking you longer or is it not?

27:48

And you can do a mini

27:48

mental status or the exam,

27:51

but asking people about what's happening

27:51

in their life elicits like, oh no,

27:55

actually it's slower. I need help for using spreadsheets

27:57

that once I really knew how to use.

28:03

So that signals, okay, I got to get this person

28:05

into an evaluation process

28:09

help you in that. So I think that one is figuring out

28:10

helping people work at the top of their

28:15

training. And medical assistants can play a role

28:15

as they do in our situation where we have

28:19

limited time and capacity. Our

28:19

care coordinators play a role.

28:22

If you have Medicaid managed care, the

28:22

care coordination can be supported there.

28:27

If it's with duals and Medicare,

28:30

there are other supports as well. And then I would say one of the recent

28:32

studies we launched was around employers

28:36

and that employers could catalyze

28:36

initial 20 years of health span.

28:40

So that's healthier life and longer

28:40

life for everyone and disproportionately

28:44

more for Alaska natives,

28:46

American Indians and the black community.

28:46

And part of it was using the

28:51

prevention methods, the science and

28:51

the approaches we already have today.

28:56

So there's a difference between

28:56

lifespan, which is longer life,

28:58

but maybe poor quality

28:58

of life and health span,

29:01

which is longer and healthier life.

29:03

And so we've got to address some of the

29:03

drivers of health that Ashley and Katie

29:07

have alluded to as part of that model.

29:12

And I also think that we're seeing

29:12

some technology approaches how to AI to

29:16

predict how the condition will affect

29:16

the brain physically over time or predict

29:20

how symptoms will change over time. So then that allows you to plan more

29:21

effectively for the future or genetic

29:26

profiles and create models of predict

29:26

who might more likely to develop later in

29:29

life this condition so that along with

29:29

sensors and technology to understand how

29:34

a person's behavior is

29:34

shifting or changing.

29:36

Are they doing something that's more

29:36

risky or signs that the health is

29:40

deteriorating? Absolutely. Thank you. Ashley.

29:45

How can healthcare professionals be

29:45

better equipped and trained to provide

29:48

culturally competent and person-centered

29:48

care for individuals living with

29:53

Alzheimer's disease? I personally believe that this

29:55

is something that in Houston

30:00

with the local chapter of

30:00

the Alzheimer's Association,

30:03

our organization has done well.

30:06

And I think it is partnering with

30:06

organizations within the community that

30:10

understand the cultural

30:10

barriers of groups.

30:14

So beyond just the Alzheimer's Association, working with specific groups in your

30:16

community and those members of the

30:21

leadership that can explain

30:21

how those communities

30:26

approach different aspects of healthcare

30:26

because everyone is different.

30:30

But I feel that the partnership that we

30:30

have with Alzheimer's Association has

30:34

done a wonderful job of training the

30:34

physicians through continuing education,

30:38

the nursing staff, et cetera. Absolutely.

30:42

And that's one of the reasons why Katie's

30:42

here today because that is really the

30:46

goal of the mission engagement

30:46

division is to really focus

30:51

on not only creating that, but

30:51

really learning from the field.

30:56

We will go out to the health systems,

30:59

we hear from their needs around training

30:59

and then really provide that so we can

31:04

develop that in real time. So Katie,

31:07

any other additional information that

31:07

you'd like to share about how we're

31:12

really supporting the

31:12

training and equipping

31:18

our folks out there that

31:18

are delivering this care?

31:21

Yeah, sure. So everybody

31:21

on this call knows

31:28

that Alzheimer's is a

31:28

complex brain disease.

31:30

So we do believe it's very likely that

31:30

there's going to need to be multiple

31:34

strategies that can reduce risk and

31:34

address the disease in several different

31:39

ways along an individual's life course and

31:44

underrepresented and underserved

31:44

communities we discussed or

31:48

disproportionately impacted,

31:50

and they're less likely to be diagnosed

31:50

and less likely to be recruited to

31:55

participate in research and

31:55

clinical trials like we've shared.

31:58

They're less likely to have access

31:58

to that care and support services.

32:03

And I think Javin mentioned that

32:03

this has got to change and we must do

32:08

better. And so the conversation we believe

32:08

starts with your patients about brain

32:13

health. And just as with

32:13

other chronic conditions,

32:15

the best way to reduce risk

32:15

and detect problems early

32:20

and improve safety and quality of

32:20

care is really to act now. So as

32:25

individuals are managing

32:25

other chronic conditions,

32:28

it is critical to be

32:28

aware of dementia risk.

32:33

And so the Alzheimer's Association, we've been partnering with payers and

32:34

health plans and systems across the

32:38

country really to identify strategies

32:38

and solutions that can provide people

32:43

living with dementia and their caregivers

32:43

just access to these providers and

32:47

systems that prioritize diagnosis and

32:47

care. And for us, that comes in many,

32:52

many forms. It could be

32:52

new digital toolkits,

32:55

it could be continuing education,

32:58

it could be us building

32:58

out recognition programs

33:02

or coaching products and

33:02

building out assessments to help

33:07

people understand where they

33:07

are and where they need to go.

33:10

So really this education for providers,

33:13

we're trying to heighten awareness and

33:13

access to detection and diagnose and of

33:18

course enhanced care coordination,

33:18

the management and access,

33:21

and then ultimately really reduce

33:21

that economic burden of this just

33:25

devastating disease, both for

33:25

people living with the disease,

33:30

the caregivers and healthcare systems,

33:32

and I want to say in all communities

33:32

and really emphasize in all

33:37

communities. Absolutely. And we know, and you

33:39

all have alluded to it already,

33:43

that probably innovation is going

33:43

to be a really critical role to

33:48

help overcome this. So if we think about entrepreneurs

33:49

who may be here today as they think

33:54

about innovation, let's talk about how innovation

33:55

is going to play a role.

34:01

And so I'm wondering, Katie,

34:01

do you have any more comments?

34:04

Would you think about

34:04

technology or innovation,

34:07

how it can be leveraged in specific ways?

34:11

Sure. Currently half of all primary care

34:13

physicians in the United States

34:17

report that they feel unprepared

34:17

to treat patients with dementia.

34:22

And so to respond to this

34:22

challenge in particular,

34:24

the association launched Project Echo,

34:27

which connects leading dementia care

34:27

specialists with care providers in

34:31

communities with high need. And ECHO stands for extension

34:33

in community health outcomes.

34:38

And it's through a knowledge

34:38

sharing that Project Echo is able to

34:43

bring these dementia care

34:43

expertise to local community.

34:46

So it's based on a model created

34:46

at the University of New Mexico

34:51

and Project Echo is really bringing

34:51

mentoring and support from teams of

34:55

specialists to primary care and long-term

34:55

providers in underserved communities.

35:00

So we are trying to increase early

35:00

and accurate diagnosis of dementia

35:06

and that grows affordable high quality

35:06

care and support in these underserved

35:11

areas. We've got some interesting

35:11

statistics too because since

35:15

20 18, 70 2% of long-term care

35:20

respondents strongly agreed or agreed

35:20

that Project Echo improved the quality of

35:25

care. Another stat is 427

35:26

providers have completed

35:30

Project Echo, and I think the one that we're all

35:31

really proud of is almost half a

35:36

million covered lives have been impacted.

35:39

So we know that Project Echo is

35:39

just one example of how innovation

35:43

and technology can be leveraged

35:43

to improve not only clinical

35:48

education but also quality of care

35:48

and then of course health outcomes.

35:54

Thank you. And yes, we have seen a lot of impact

35:55

from our dementia project Echo,

35:59

which is focused on primary

35:59

care. Dr. Bra, what about you?

36:03

When you think about technology and

36:03

innovation and leveraging it to improve

36:08

access to care, what

36:08

comes to mind for you?

36:14

I think there's what already talked about

36:17

around virtual and digital care.

36:20

So that's sort of one

36:20

around just care delivery.

36:25

There's other elements to consider

36:25

around practical and reliable tools to

36:28

identify and monitor the person's

36:28

cognitive, functional, behavioral,

36:32

psychological needs and certainly

36:32

the typically unpaid caregiver

36:37

stress. So there's opportunities to use

36:38

technology in those areas as well.

36:44

How do you continuously evaluate and

36:44

modify a personalized dementia care plan

36:48

That is something can be

36:48

done by the caregiver or with

36:53

other clinical team members.

36:53

Doesn't always need to be

37:01

a clinician that's delivering care that's a nurse practitioner

37:04

or a physician or a pa.

37:07

I mean the other is implementation of

37:07

psychosocial interventions aimed at

37:12

preventing or reducing the diet's

37:12

burden related to cognitive,

37:16

functional and behavioral needs. And then I would say tools to help

37:19

navigate the system and the community of

37:23

resources and needs that individuals

37:23

may have. And then we already see

37:28

technology oriented around

37:28

supporting patients with social

37:32

needs. So there are a number of

37:33

solutions around social

37:38

needs that you can refer,

37:40

navigate people through and then close

37:40

the loop that they've been delivered.

37:45

I would say the other is around some

37:45

of the areas I alluded to earlier

37:49

about the use of AI machine

37:49

learning and sensors

37:55

as well. And then I think voice

37:56

activated tools to generate,

38:00

provide information or guidance or

38:00

even for a caregiver to check in

38:06

on a patient with

38:06

Alzheimer's or other things.

38:08

And I would say that I think we've got

38:08

to do more around managing the agitation

38:13

and the behavioral change that Alzheimer's

38:13

patients experience and how that has

38:17

an impact in their life and

38:17

the life of the caregiver.

38:21

And then the think about the environment

38:21

and how do you create an environment

38:26

that's conducive to minimizing risk and

38:26

harm for those patients. Alzheimer's,

38:30

for example, falling

38:30

may be a consideration.

38:32

So I know that folks in Europe,

38:32

particularly in Denmark,

38:36

taught their patients how to

38:36

fall to minimize injury and risk.

38:41

So these are some of the areas in

38:41

addition to augmenting care models,

38:46

we know work to try to move the needle.

38:50

And I think it can seem overwhelming. So it's just picking what's the one

38:52

thing you're going to try to move in the

38:56

next six months and then six months

38:56

after that to try to have a longitudinal

39:00

plan but in bite-size, practical chunks.

39:05

Well, I appreciate all of that you said,

39:07

because the other thing that you

39:07

really identified when you think about

39:09

innovation is yes, you address

39:09

things like technology and ai,

39:14

but you also thought about

39:14

just thinking outside the box.

39:17

Teaching someone to fall and fall well

39:17

is an innovative way of thinking that

39:22

can prevent harm. And so sometimes

39:22

thinking out of the box. So Ashley,

39:27

what about you? I know you have some experience having

39:28

some new innovation in your practice.

39:32

So tell us where you see innovation

39:32

and technology play a role in improving

39:37

access. I think that it's a great

39:39

frontier and so many

39:43

opportunities are ahead for

39:43

improving access with technology.

39:48

And also this goes a little

39:48

bit to what the pitch

39:53

competition was last year in

39:53

improving testing capabilities within

39:57

primary care or earlier

39:57

detection within primary care.

40:00

And I think they work hand in hand. One of the things I would

40:03

say for organizations,

40:07

startups that are looking to innovate

40:07

in these areas and to be able to move

40:12

into health systems, it's showing the

40:12

ROI being able to demonstrate what it is.

40:16

And to Dr. Bot's point of point,

40:21

be very specific and focus on what

40:21

you can do initially and focus on

40:26

what the codes are that

40:26

are associated with your

40:31

technology or your innovation and how

40:31

that will play out within a health system.

40:35

And understanding general operations

40:35

of a health system and how different

40:39

practices work and every

40:39

organization is different,

40:42

but to get in the door is to have that

40:42

basic understanding and to be able to

40:46

clearly demonstrate the ROI and what

40:46

you value your technology or your

40:51

innovation brings not only to the patient,

40:54

but to the providers and the organization

40:54

overall I think is imperative to be

40:58

able to move forward in this area. Yeah, absolutely.

41:01

And that's part of why we created the

41:01

Alzheimer's Association Innovation

41:04

Roundtable and have our pitch

41:04

competition because we know that

41:09

more innovation is needed and it's

41:09

an opportunity to really share that.

41:12

And as Ashley said, based

41:12

on the winner last year,

41:16

she liked what she saw and she began

41:16

to put more innovation in her system.

41:21

So we have a lot of questions, so

41:21

hopefully we can get through some of them.

41:26

So first question is what

41:26

are the top low hanging fruit

41:30

opportunities that you

41:30

see that should be in the

41:34

ecosystem of startups but isn't?

41:38

So where are those gaps in that ecosystem?

41:43

And then why isn't a solution?

41:48

Let's see, a little bit of a typo,

41:48

but taking care of loved ones.

41:52

I think that's the question. So where are the low hanging fruit

41:54

opportunities for the startups

41:59

and potentially even solutions

41:59

for loved ones or caregivers?

42:04

Dr. bha, I might call on you for that one because

42:05

you've talked a little bit about that.

42:14

I think I would just reference back to

42:17

some of our earlier points on

42:22

thinking about where there's opportunity

42:22

to help coordinate services more

42:26

effectively, helping drive

42:26

navigation and care planning

42:32

tools that can help educate

42:32

more effectively caregivers

42:37

and patients earlier on in the process

42:37

about what to expect and how to

42:42

plan for it. I think this is

42:42

something that if you plan for,

42:47

it's not going to be perfect

42:47

and can still have challenges,

42:51

but can mitigate a lot of

42:51

what may happen that may

42:56

lead to suffering or poor

42:56

care or hospital visits or

43:01

acceleration of the condition. So whether it's medication support from

43:09

orienting people to familiar environments

43:09

to knowing they even think about,

43:15

we have medically

43:15

tailored meals for people,

43:19

what about medically tailored

43:19

playlists for those with dementia?

43:24

Helping people think

43:24

about what helps them stay

43:29

grounded and things that are

43:29

familiar and manage for that

43:34

agitation. So I think there's a lot

43:36

of places to start between

43:41

supporting people through

43:41

treatment, catching them earlier,

43:44

and supporting them to monitoring their

43:44

journey to supporting care coordination

43:49

and caregiver services and helping support managing

43:54

and updating a care plan.

43:58

Absolutely. Thank you. So we had one

43:58

question here about the US pointer study,

44:02

so we can send out, so I don't

44:02

know, Ashley, if you have a second,

44:05

you can drop a link in. If not,

44:05

we can certainly send out more of,

44:09

this study is actually wrapping up.

44:13

It's looking at lifestyle,

44:13

so that's coming soon.

44:16

I believe there's information even on our website, az.org around the pointer study

44:18

that you can learn more about that.

44:23

I'm kind of just going through

44:23

here. Yeah, go ahead Katie.

44:28

I wanted to say one of the first

44:28

questions I did was that I might've

44:32

accidentally deleted, but I saw

44:32

you, so I feel compelled to answer.

44:37

But it was how can the Alzheimer's

44:37

Association help startups?

44:41

And I wanted to share that

44:41

we do offer collaboration in

44:46

pre-competitive environments through

44:46

a few different round tables.

44:49

Most notably is the innovation round

44:49

table that Ashley is a chair of.

44:54

And again, this is a round table that

44:54

brings together innovators, champions,

44:59

experts, thought leaders, really

44:59

across that healthcare sector.

45:03

And they're looking at ways to

45:03

ultimately reduce risk and improve early

45:07

detection, increase access to evidence-based

45:08

person-centered care for those facing

45:12

dementia and Alzheimer's. And then we also have something called

45:14

the Alzheimer's Association Business

45:18

Consortium. And the goal with this group

45:19

is really to advance the

45:23

disease and dementia

45:23

research through innovation,

45:27

and that is through small and

45:27

medium-sized biotech diagnostics,

45:32

medical device and contract

45:32

research organizations.

45:35

So the members of the

45:35

small business consortium,

45:39

they work in areas of common interest,

45:39

again, pre-com competitively,

45:44

so that they can advance the field of

45:44

dementia research and the goals of their

45:49

organization. So the team really provides leadership and

45:52

direction to the group's area of focus,

45:57

which includes collaborations

45:57

and recognition,

46:00

visibility and knowledge and information sharing. And I know we're going to talk a little

46:02

bit later about the pitch competition,

46:05

but these round tables,

46:05

you can find it@az.org,

46:08

are other new ways we are able

46:08

to support those startups.

46:12

Thank you, Katie. Actually, I did

46:12

see that, and you're right then.

46:14

I didn't see it. It had disappeared. So I'm glad that you remembered

46:17

one question in here.

46:20

Is there a way that you can provide

46:20

support for families with members of

46:25

dementia and Alzheimer's?

46:25

Absolutely. So if you go to az.org,

46:29

there is a robust list

46:29

of resources through ALS

46:34

connected and Alz Navigator

46:34

also in your community

46:38

is nearby a local chapter

46:38

that have local in-person

46:43

support groups and education and ongoing.

46:46

Ashley alluded how closely she's been

46:46

working with our Houston chapter.

46:51

So we do have chapters all throughout

46:51

the nation, but whether it's online,

46:55

you can also call her 800 number

46:55

twenty four seven helpline with

47:01

dementia trained care and support persons

47:01

that really support those living with

47:06

the disease and their caregivers.

47:06

So we certainly can help with that,

47:09

but az.org is a great place to start

47:09

with that. Let me read through,

47:13

because we're going to kick it to

47:13

Casey in just a minute this here.

47:18

How would you encourage entrepreneurs to

47:18

make solutions that plug into existing

47:23

ecosystems of care and tech

47:23

tools instead of making countless

47:28

standalone solutions?

47:31

Anyone have a thought

47:31

or comment about that?

47:35

That's a really, I can start one.

47:35

I would say co-creation, co-design,

47:39

who's thinking about with whoever

47:39

the solution is oriented towards,

47:44

and ideally both care team

47:44

member as well as patient and

47:49

family caregiver, caregiver impacted,

47:52

that's one I would say see where

47:52

there's gaps in a geography or in a

47:57

system of care and see

47:57

where you can plug in to

48:02

help address a gap there that

48:02

then could be elsewhere and

48:07

grow. I would see where there's also,

48:13

where we don't necessarily have research

48:13

around aspects of the care model,

48:18

and I do think some of the analytics,

48:18

artificial intelligence, machine learning,

48:22

sensor voice, there's a

48:22

number of open spaces there,

48:27

and I'm not a consumer

48:27

electronics show this year,

48:30

but it'll be interesting to see

48:30

what they have brewing in terms of

48:35

emerging technology that is

48:40

enabling better, safer,

48:43

high quality care for

48:43

patients with dementia.

48:48

And then there is still

48:48

biotech, biopharma,

48:52

MedTech those communities as well.

48:57

Well, this has been an amazing

48:57

discussion and I am so grateful for the

49:02

panelists today. So now I would like to

49:04

introduce to you Casey Sheridan.

49:08

She is the partnership manager at

49:08

Matter to provide a brief overview

49:12

of the second annual

49:12

Alzheimer's Association pitch

49:17

are interested in applying.

49:17

So Casey, I'll hand it to you.

49:22

Awesome, thank you Laura, and thank

49:22

you so much, Dr. Bhatt, Ashley,

49:26

Katie, so much for your

49:26

time and expertise today.

49:29

That was a fantastic

49:29

discussion. Like Laura said,

49:34

matter is thrilled to be powering

49:34

and partnering with the Alzheimer's

49:38

Association on our second

49:38

annual pitch competition,

49:41

and I'm going to spend just a couple of

49:41

minutes here providing a few details for

49:46

those that are listening

49:46

in that are interested in

49:52

So to start off, as we mentioned earlier,

49:55

the focus for this

49:55

year's pitch competition,

49:58

our solutions that are working to

49:58

increase access to quality person-centered

50:02

care for underserved people living

50:02

with Alzheimer's disease or related

50:06

dementias. So if you are a solution

50:06

that's working towards this goal,

50:11

then you absolutely qualify and we

50:11

encourage you to apply to this program.

50:17

So this is a high level snapshot of the

50:17

timeline that we are working towards.

50:22

So applications are currently

50:22

open. My colleague Kay,

50:27

who's on the Zoom here is about to

50:27

drop the application link in the chat

50:32

so you can check out

50:32

more information there.

50:35

Applications will close a

50:35

week from Friday, so Friday,

50:38

January 19th at midnight central time.

50:42

From there we'll have a review and

50:42

selection committee that'll be carefully

50:46

reviewing all the applications and we'll

50:46

announce the top five finalists who

50:50

will be moving forward in the

50:50

program by February 7th of this year.

50:56

From there, we'll have those five

50:56

finalists participate in a

51:01

weeks long from February

51:01

12th to March 18th,

51:06

receiving expert mentorship and

51:06

exclusive resources to build their

51:10

solutions and to refine

51:10

their value propositions.

51:16

Lastly, the program will culminate in a pitch

51:16

competition that'll be in person

51:22

at matters offices in downtown

51:22

Chicago on Tuesday, March 19th,

51:27

where the five finalists will have an

51:27

opportunity to pitch their solution to

51:31

a panel of industry experts

51:31

as well as a live audience,

51:35

both in person and virtually of

51:35

key stakeholders in the room.

51:40

The first place startup will

51:40

be awarded a cash prize,

51:44

$15,000 and a six month

51:44

comp matter membership.

51:48

And the second and third place startups

51:48

will receive a cash prize of $5,000

51:53

each four submission criteria.

51:59

These are the four kind of main

51:59

boxes to check to make sure

52:04

that you are all good to apply to

52:07

the program. So again,

52:10

we're seeking entrepreneurs who are

52:10

developing solutions that are working to

52:14

increase access to quality person-centered

52:14

care for underserved people living

52:17

with Alzheimer's disease

52:17

or related dementias.

52:21

This is a global call for solutions, so it does not matter

52:23

where you are in the world.

52:26

We're accepting solutions that are

52:26

both based in the US and across

52:31

the rest of the world. Our programs also open to individuals

52:35

and teams from across the entire

52:40

healthcare innovation ecosystem. So

52:40

whether you're a university researcher,

52:44

if you're a student, if

52:44

you're an entrepreneur,

52:47

if you're already an existing

52:47

startup of any stage,

52:50

you absolutely qualify to apply to

52:50

this program ranging from early stage

52:55

concepts all the way up through marketed

52:55

solutions and full-blown businesses.

53:02

The selection criteria that the

53:02

Review and Selection committee will be

53:06

primarily focused on when reviewing

53:06

your application is detailed here on the

53:11

screen. So first and foremost,

53:13

the ability to clearly articulate

53:13

the challenge statement

53:18

addressed in the program description.

53:20

So if you can convey how

53:20

your solution is working,

53:25

the goal that we outline

53:25

in the challenge statement,

53:28

clearly in your application,

53:28

that will give you huge points.

53:32

We'll also be looking at the quality

53:32

feasibility and scale of your proposed

53:36

solution or technology. We'll be looking at the differentiation

53:38

of your solution within the competitive

53:42

landscape. We'll be assessing

53:42

the capability of you and your

53:46

team to develop and execute the

53:46

solution that you propose and

53:52

as well as the ability of your solution

53:52

to actually increase access to quality

53:56

person-centered care for underserved

53:56

folks living with Alzheimer's disease

54:03

benefit benefits of participation. So the five startups that are

54:05

accepted as finalists into

54:10

the programs will be engaging

54:10

with other cutting edge startups.

54:14

They'll be networking with peers working

54:14

within the same space and leading

54:18

influencers in the space. They'll receive expert mentorship from

54:20

industry leaders and subject matter

54:24

experts to validate their solutions

54:24

and refine their value propositions.

54:28

Accepted startups will gain exposure

54:28

to both the Alzheimer's Association and

54:32

Matter communities. They'll have the opportunity to pitch

54:34

their solution to a live audience

54:39

with potential investors, partners,

54:39

clients, and mentors in the audience.

54:45

That'll be, again, in person in

54:45

Chicago on Tuesday, March 19th,

54:49

as well as the opportunity to win that

54:49

cash prize that I detailed earlier.

54:57

So like I mentioned, the deadline

54:57

to submit is next Friday,

55:00

January 19th at midnight central time.

55:03

If you have any questions between now

55:03

and then about your application or if you

55:07

qualify to apply, please feel free

55:07

to email me. Again, my name is Casey,

55:12

C-I-S-E-Y at Matter Health,

55:15

and I'll be happy to meet with you and

55:15

answer any questions that you have.

55:20

Please visit Matter Health

55:20

slash Challenges to find

55:24

and more background information. And we're excited to read all of your

55:27

applications and get everyone back

55:31

together again at the final

55:31

Pitch Competition on March 19th.

55:36

So that is all we have for today. I want to just say thank you again to

55:38

the Alzheimer's Association for your

55:42

partnership on this

55:42

initiative and many others.

55:45

We love working with you and thank

55:45

you so much, Dr. Bhat, Ashley, Katie,

55:50

and Laura for your time for

55:50

today's program. And lastly,

55:53

thanks to you all who have

55:53

joined our call today.

55:56

We hope that you learned something and

55:56

please feel free to reach out with any

56:00

questions. Hope you have

56:00

a great rest of your day.

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