First Innovation: I-HEAL's Cognitive Flag Decision Support Tool

A systems intervention designed to cue providers to include healthcare proxies to compensate for cognitive disabilities.

CHALLENGE

Traumatic brain injury (TBI) is a leading cause of long-term disability, affecting over 2.8 million individuals annually in the United States and over 458,000 military personnel since the year 2000. TBI has been described as an invisible disability because TBI causes substantial cognitive impairments without overt physical evidence of injury. 45 During the chronic recovery stage, 48%-50% of Veterans and Service Members (V/SM) needed assistance with coordinating and accessing medical services. The need for a health care proxy to help access and coordinate health services is likely influenced by unmet need for cognitive assistance, reported by 61-70% of V/SM followed 1-5 years post-TBI. Cognitive functioning and supervision needs of persons with TBI are not stagnant, and indeed fluctuate over time, which further complicates healthcare service delivery. Environmental factors, such as institutional policies and clinical provider attitudes, serve as barriers to addressing health care access and coordination needs.

Research shows that the involvement of a health care proxy (often a family member) has been found to improve access to services and health outcomes among cognitive impaired persons with TBI. However, outside these settings, family or other health care proxies may be excluded from healthcare encounters when providers are unaware that TBI-related cognitive impairments limit the patient’s ability to independently engage, retain information, and adhere to treatments. Unfortunately, 37% of caregivers of persons with TBI reported they were excluded from health care to the detriment of their loved ones. Consequently, other providers are unaware of these needs, placing the burden of identifying and accommodating cognitive impairment on clinicians with limited time and resources.

word cloud describing I-heal

INNOVATION

This innovation will develop an electronic medical record (EMR) flag (i.e. “Cognitive nudge”) to cue providers to include health care proxies during health encounters when recommended by TBI specialists. This Cognitive Nudge will be developed using a community-based participatory approach in partnership with key stakeholders, including health care clinicians, administrators, and persons with lived TBI experience, and pilot testing in a V/ SM health care setting.

picture of a finger pointing to a good idea.

Aims & Objectives:

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    Discover: Engage healthcare providers, persons with TBI, and their families to identify content, processes, and procedures to develop a cognitive nudge clinical support tool.
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    Define & Develop: Co-design a cognitive nudge clinical decision support tool with healthcare providers, persons with TBI, and their families.
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    Validate: Pilot implementation and evaluate outcome of the cognitive nudge at a major VA medical and polytrauma rehabilitation center.

Meet I-HEAL's First Innovation Team

Photograph of Dr. Dams-O'Connor

Kristen Dams O’Connor, PhD

Principal Investigator

Clinical Neuropsychologist and Neurotraumatologist, Subject Matter Expert incivilian and Veteran/Service Members TBI, prognostic modeling and chronic TBI outcomes; comorbid disease management in chronic TBI; cognitive assessment and neurorehabilitation interventions; research translation.

Photograph of Dr. Silva.

Marc A. Silva, PhD

Principal Investigator

Rehabilitation Neuropsychologist, Subject Matter Expert in Veteran/Service Members TBI, chronic rehabilitation needs; health and behavioral interventions that accommodate TBI impairments; cognitive and neurobehavioral assessment; pilot study and feasibility designs.

photograph or Dr. Richardson

Risa Nakase-Richardson, PhD, FACRM, FNAN

Co-Principal Investigator

Dr Richardson has published extensively on the neurobehavioral consequences of TBI resulting in two position statements defining clinical phenotypes at risk for maladaptive behaviors and competency standards for inpatient rehabilitation teams. She developed team-based learning programs for managing maladaptive behaviors after brain injury and has mentored early career professionals in collaborative projects examining patient and healthcare system impacts of maladaptive behaviors including access to care.

Photograph of Ms. Coulter.

Jill Coulter, Lived Experience Partner

Principal Investigator

Subject Matter Expert in lived experience as a health care proxy for her spouse, a retired Navy Veteran who sustained a severe TBI in 2010; navigating military and civilian health systems, chronic care management, peer support in caregiving, disability support for those with TBI.