AdventHealth, Florida

The U.S. Florida Flagship site was located at AdventHealth, which is the largest not-for-profit Protestant healthcare system in the United States. AdventHealth executed their study in two phases: the first phase included outreach to patients via primary care providers, and the second phase included a direct-to-consumer campaign (via social media). Both phases allowed for the digital cognitive assessment (DCA) tool to be self-administered online from home, with a potential follow-up screening in a clinic, which was in the Translational Research Institute. They also created a new role to manage and facilitate patient navigation, a Neuroscience Patient Nurse Navigator referred to as a Brain Health Nurse Navigator.    

The AdventHealth site existed within a multi-payer healthcare model with various private insurance companies and government programs (e.g., Medicare, Medicaid). AdventHealth is one of the largest Medicare billing institutions in the country.

See Key Lessons

Site Leads

Magda Baksh

Magda Baksh

Senior Manager Research Participant Recruitment, AdventHealth

Richard Pratley

Richard Pratley

MD, Medical Director AdventHealth Diabetes Institute and Senior Investigator and Diabetes Program Lead, AdventHealth Translational Research Institute

Steven R. Smith

Steven R. Smith

MD, Senior Vice President and Chief Scientific Officer, AdventHealth

Key Partners

  • Alzheimer’s Disease Resource Center (ADRC)
  • Florida Chapter of the Alzheimer’s Association
  • Memory Advocate Peers (MAP)

What are the key lessons learned from the site?


Identifying the challenges and benefits of patient recruitment approaches.

AdventHealth engaged in social media and digital campaigns, and community outreach initiatives. This approach aimed to reduce the burden on primary care providers and empower the public through an online DCA. Significantly more participants enrolled via the direct-to-consumer approach versus the primary care provider pathway.

Goal 12: Develop a patient recruitment plan.


Increasing access to cognitive screening with an at-home DCA.

By using an at-home, digital cognitive assessment, AdventHealth aimed to broaden their patient reach while putting less burden on the clinical team. In using this DCA, they learned about important accessibility requirements such as the need for a tablet, laptop or desktop computer, and customizing their website for an older, less digitally savvy audience.

Goal 12: Develop a patient recruitment plan.


Addressing your target population by creating culturally-appropriate materials.

By creating outreach materials and utilizing cognitive assessment tests in both English and Spanish, the AdventHealth team was able to reach a broader audience, and address health equity challenges within their community. AdventHealth was committed to addressing health disparities within African American and Latino populations within their locale. Having a bilingual team was a valuable tool in building community trust and spreading awareness through mobilizing outreach events, media interviews, and facilitating community discussions.

Goal 12 Develop a patient recruitment plan.