GUIDE and Beyond: Strategies for Comprehensive Dementia Care Integration.
The Centers for Medicare & Medicaid Services' (CMS) Guiding an Improved Dementia Experience (GUIDE) Model represents a landmark opportunity to improve outcomes for persons with dementia and their caregivers and scale comprehensive dementia care through a structured service delivery and alternative p...
| Published in: | Journal of the American Geriatrics Society Vol. 73; no. 11; pp. 3548 - 3555 |
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| Main Authors: | , , , , , , , , , , , , , , |
| Format: | Article |
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Wiley-Blackwell
Nov2025
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=189568744&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 189568744 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: Nov2025 vid: 73 iid: 11 pid: 480 pub: Wiley-Blackwell artinfo: ui: 189568744 10.1111/jgs.70107 ppf: 3548 ppct: 7 formats: tig: atl: GUIDE and Beyond: Strategies for Comprehensive Dementia Care Integration. aug: au: Haggerty, Kristin Lees Reuben, David B. Stoeckle, Rebecca Bass, David Boustani, Malaz Clevenger, Carolyn Kremer, Ian Lee, David R. Johnson, Madelyn Minyo, Morgan J. Possin, Katherine L. Samus, Quincy M. Spragens, Lynn Jennings, Lee A. Epstein‐Lubow, Gary affil: Education Development Center, Inc., Waltham Massachusetts,, USA Department of Emergency Medicine, Weill Cornell Medicine/New York‐Presbyterian Hospital, New York New York,, USA Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles (UCLA), Los Angeles California,, USA Benjamin Rose Institute on Aging, Cleveland Ohio,, USA Indiana University Center for Aging Research at Regenstrief Institute, Indianapolis Indiana,, USA Center for Health Innovation & Implementation Science, Indiana University School of Medicine, Indianapolis Indiana,, USA Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta Georgia,, USA Integrated Memory Care Clinic, Emory University, Atlanta Georgia,, USA LEAD Coalition (Leaders Engaged on Alzheimer's Disease), Panama City Florida,, USA Veterans Affairs, Los Angeles Healthcare System, Los Angeles California,, USA Alzheimer's Disease Research Center, University of California, San Francisco (UCSF), San Francisco California,, USA Global Brain Health Institute, University of California, San Francisco (UCSF), San Francisco California,, USA School of Nursing, Johns Hopkins University, Baltimore Maryland,, USA School of Medicine, Johns Hopkins University, Baltimore Maryland,, USA Spragens & Associates, Durham North Carolina,, USA Division of Geriatrics and Palliative Medicine, University of Oklahoma Health Campus, Norman Oklahoma,, USA Alpert Medical School, School of Public Health, Brown University, Providence Rhode Island,, USA su: Centers for Medicare & Medicaid Services (U.S.) Public health surveillance Human services programs Communication Treatment of dementia Medical care standards Health insurance reimbursement Dementia patients Integrated health care delivery Health care teams sug: subj: Public health surveillance Human services programs Communication Centers for Medicare & Medicaid Services (U.S.) Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Treatment of dementia Medical care standards Health insurance reimbursement Dementia patients Integrated health care delivery Health care teams keyword: comprehensive dementia care evidence‐based programs GUIDE model health systems integration implementation science comprehensive dementia care evidence‐based programs GUIDE model health systems integration implementation science ab: The Centers for Medicare & Medicaid Services' (CMS) Guiding an Improved Dementia Experience (GUIDE) Model represents a landmark opportunity to improve outcomes for persons with dementia and their caregivers and scale comprehensive dementia care through a structured service delivery and alternative payment approach. The National Dementia Care Collaborative (NDCC), a coalition of scientific and clinical leaders in evidence‐based dementia care, works to promote comprehensive dementia care. Drawing from the experiences of six previously tested programs—Aging Brain Care, Alzheimer's and Dementia Care, BRI Care Consultation, Care Ecosystem, Integrated Memory Care, and MIND at Home—we describe a four‐step approach to enable successful adoption and implementation: identifying key leaders and partners, preparing a tailored value proposition, initiating program start‐up, and ensuring sustainable implementation. Our guidance also emphasizes leveraging existing community assets, aligning efforts with organizational priorities, and using both storytelling and data to make the case for change. We highlight practical tools and resources to address operational challenges, including electronic health record integration, reimbursement strategies, and staff training. By focusing on evidence‐based models, health systems and other providers can accelerate implementation, reduce costly emergency and institutional care, and deliver high‐quality, person‐centered support. This approach can help to empower GUIDE participants and others to build effective, durable, scalable comprehensive dementia care systems, ultimately advancing the goal of establishing such care as a permanent Medicare benefit. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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