Section 2004-A. Coordinating council for services related to Alzheimer's disease and other dementia


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  • 1. There is hereby created in the department
      of health a coordinating council for  services  related  to  Alzheimer's
      disease  and  other  dementia,  to  facilitate  interagency planning and
      policy, review specific agency initiatives for their impact on  services
      related  to  the  care  of persons with dementia and their families, and
      provide a continuing forum for concerns and discussion  related  to  the
      formulation  of  a  comprehensive  state  policy relating to Alzheimer's
      disease and services for persons with incurable dementia.
        2. The council shall be comprised of twenty-one  members  as  follows:
      the  commissioner  of  health,  the director of the state office for the
      aging,  the  commissioner  of  children   and   family   services,   the
      commissioner  of  education,  the  commissioner of mental health and the
      commissioner of mental retardation and  developmental  disabilities  who
      shall  serve  ex officio and who may designate representatives to act on
      their behalf.   The governor shall  appoint  seven  other  members  with
      expertise  in  Alzheimer's disease, other dementia or elder care issues,
      at least two of whom shall represent not-for-profit  corporations  whose
      primary  purpose  is to provide access to experts in the care of persons
      with Alzheimer's disease and  related  dementia,  that  are  part  of  a
      statewide    network    of   not-for-profit   corporations   established
      specifically to respond at the local and regional level to the needs  of
      this population and that provide family intervention services related to
      Alzheimer's  disease  in  order  to  postpone  or  prevent  nursing home
      placements of individuals with Alzheimer's disease  or  other  dementia.
      Eight  members  shall be appointed by the governor on the recommendation
      of the legislative leaders as follows: the temporary  president  of  the
      senate  and  the  speaker  of  the  assembly  shall each recommend three
      members to the council. One of the  three  members  recommended  by  the
      temporary  president  and  one  of  the three members recommended by the
      speaker shall be a clinical or research expert in the field of  dementia
      and  one of the three members appointed by each shall be a family member
      or caregiver of a person suffering from  Alzheimer's  disease  or  other
      dementia.  One  member  shall  be appointed on the recommendation of the
      minority leader of the senate and one member shall be appointed  on  the
      recommendation  of the minority leader of the assembly. The commissioner
      of health and the director of the office for the aging shall  serve,  ex
      officio, as co-chairs of the council. Administrative duties shall be the
      responsibility  of  the  department.  The  members  of the council shall
      receive no compensation for their services.
        3. Within one year after the  effective  date  of  this  section,  the
      council  shall  establish community forums to gain input from consumers,
      providers, key researchers in the field and other interested parties  to
      provide  input and direction on developing a New York state plan for the
      identification and treatment of Alzheimer's disease in the community.  A
      community forum shall be established in each of the following regions of
      the  state:  Long Island, New York city, Northern Metropolitan New York,
      Northeastern New York, Utica area, Central New York, Rochester area  and
      Western  New  York.  Such state plan shall include but not be limited to
      identifying best practices in  working  with  persons  with  Alzheimer's
      disease,  best  interventions  for  caregivers  to help reduce caregiver
      burnout, best approaches to training doctors, nurses and  other  medical
      and   non-medical   professionals   and  paraprofessionals  to  identify
      Alzheimer's disease, a community assessment of  strengths  and  gaps  in
      community  support  services, ways in which to coordinate services among
      various systems, different financing approaches  to  pay  for  community
      support services and any other recommendations.
    
        4.  (a)  The  council  shall  meet quarterly or more frequently if its
      business shall require. The  community  forums  in  the  first  year  of
      implementation  count as a formal meeting of the council. The members of
      the council shall receive no compensation but shall  be  reimbursed  for
      travel  and  other  expenses  actually  and  necessarily incurred in the
      performance of their duties. The council shall provide  reports  to  the
      governor  and  the legislature on or before June thirtieth, two thousand
      nine and by June thirtieth of every other year thereafter. Such  reports
      shall  include recommendations for state policy relating to dementia and
      a review of services initiated and coordinated among public and  private
      agencies to meet the needs of persons with Alzheimer's disease and other
      dementia and their families.
        (b)  The  council shall additionally review and report upon the use of
      clinically  recognized,  scientifically  based,   cognitive   impairment
      screening  tools  used  to identify signs of and individuals at-risk for
      cognitive impairment, including Alzheimer's disease or other  dementias,
      in  all  settings  of the health continuum. Such tools shall include but
      not be  limited  to  tools  approved  and/or  recognized  by  the  Joint
      Commission  on Accreditation of Healthcare Organizations (JCAHO), Agency
      for Healthcare Research and Quality (AHRQ), the Centers for Medicare and
      Medicaid Services (CMS), and others as determined by the  council  which
      are  used  by  health  care providers, across all settings of the health
      continuum. The council shall also review and report on best practices of
      providers concerning early identification  of  at-risk  individuals  and
      referral  practices,  the  range of interventions and services available
      for the cognitively impaired, and shall report  its  assessment  of  the
      need  and  presence  of  such  tools and practices in each sector of the
      health continuum. The council shall further include in its  reports  any
      findings  concerning  potential  gaps of identification and intervention
      for the cognitively  impaired,  the  need  for  public  education  about
      cognitive  impairment,  and  recommendations  to  address that education
      need.
        5.  The  department  shall  serve  as  the  focal  point  to   develop
      comprehensive  coordinated  responses of the various state agencies with
      regard to Alzheimer's disease and related  dementia  and  thus  help  to
      assure  timely  and  appropriate  responses  to issues and problems. The
      department shall collaborate with the state  office  for  the  aging  on
      issues  related  to  nonmedical  support  services  for individuals with
      Alzheimer's  disease  and  other  dementia  and  their  caregivers.  The
      department  shall  collaborate  with other appropriate state agencies to
      establish a simplified coordinated assessment  procedure  for  obtaining
      needed services for persons with Alzheimer's disease and other dementia.
        6.  The  department,  in  consultation with the council, shall utilize
      data and information compiled and maintained pursuant to this article to
      coordinate state funded research efforts to ensure  the  most  efficient
      use of funds available for this purpose.