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...

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Published in:Journal of the American Geriatrics Society Vol. 73; no. 11; pp. 3548 - 3555
Main Authors: 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
Format: Article
Published: Wiley-Blackwell Nov2025
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Nov2025
      vid: 73
      iid: 11
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      pub: Wiley-Blackwell
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        189568744
        10.1111/jgs.70107
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        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
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