{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T11:32:25Z","timestamp":1789039945127,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000909","name":"John A. Hartford Foundation","doi-asserted-by":"publisher","award":["2023\u20100347"],"award-info":[{"award-number":["2023\u20100347"]}],"id":[{"id":"10.13039\/100000909","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1K01AG076992\u201001A1"],"award-info":[{"award-number":["1K01AG076992\u201001A1"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The Centers for Medicare &amp; 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\u2010based dementia care, works to promote comprehensive dementia care. Drawing from the experiences of six previously tested programs\u2014Aging Brain Care, Alzheimer's and Dementia Care, BRI Care Consultation, Care Ecosystem, Integrated Memory Care, and MIND at Home\u2014we describe a four\u2010step approach to enable successful adoption and implementation: identifying key leaders and partners, preparing a tailored value proposition, initiating program start\u2010up, 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\u2010based models, health systems and other providers can accelerate implementation, reduce costly emergency and institutional care, and deliver high\u2010quality, person\u2010centered 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.<\/jats:p>","DOI":"10.1111\/jgs.70107","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T12:45:16Z","timestamp":1761914716000},"page":"3548-3554","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["<scp>GUIDE<\/scp>\n                    and Beyond: Strategies for Comprehensive Dementia Care Integration"],"prefix":"10.1111","volume":"73","author":[{"given":"Kristin Lees","family":"Haggerty","sequence":"first","affiliation":[{"name":"Education Development Center, Inc.  Waltham Massachusetts USA"},{"name":"Department of Emergency Medicine, Weill Cornell Medicine\/New York\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"Reuben","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine, David Geffen School of Medicine University of California, Los Angeles (UCLA)  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Stoeckle","sequence":"additional","affiliation":[{"name":"Education Development Center, Inc.  Waltham Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Bass","sequence":"additional","affiliation":[{"name":"Benjamin Rose Institute on Aging  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malaz","family":"Boustani","sequence":"additional","affiliation":[{"name":"Indiana University Center for Aging Research at Regenstrief Institute  Indianapolis Indiana USA"},{"name":"Center for Health Innovation &amp; Implementation Science Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3247-7017","authenticated-orcid":false,"given":"Carolyn","family":"Clevenger","sequence":"additional","affiliation":[{"name":"Nell Hodgson Woodruff School of Nursing Emory University  Atlanta Georgia USA"},{"name":"Integrated Memory Care Clinic Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Kremer","sequence":"additional","affiliation":[{"name":"LEAD Coalition (Leaders Engaged on Alzheimer\u2018s Disease)  Panama City Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2052-6192","authenticated-orcid":false,"given":"David R.","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine, David Geffen School of Medicine University of California, Los Angeles (UCLA)  Los Angeles California USA"},{"name":"Veterans Affairs, Los Angeles Healthcare System  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3879-1589","authenticated-orcid":false,"given":"Madelyn","family":"Johnson","sequence":"additional","affiliation":[{"name":"Education Development Center, Inc.  Waltham Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6182-3172","authenticated-orcid":false,"given":"Morgan J.","family":"Minyo","sequence":"additional","affiliation":[{"name":"Benjamin Rose Institute on Aging  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine L.","family":"Possin","sequence":"additional","affiliation":[{"name":"Alzheimer\u2018s Disease Research Center University of California, San Francisco (UCSF)  San Francisco California USA"},{"name":"Global Brain Health Institute, University of California, San Francisco (UCSF)  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quincy M.","family":"Samus","sequence":"additional","affiliation":[{"name":"School of Nursing Johns Hopkins University  Baltimore Maryland USA"},{"name":"School of Medicine Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Spragens","sequence":"additional","affiliation":[{"name":"Spragens &amp; Associates  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9524-6921","authenticated-orcid":false,"given":"Lee A.","family":"Jennings","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine University of Oklahoma Health Campus  Norman Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Epstein\u2010Lubow","sequence":"additional","affiliation":[{"name":"Education Development Center, Inc.  Waltham Massachusetts USA"},{"name":"Alpert Medical School, School of Public Health Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"\u201cGuiding an Improved Dementia Experience (GUIDE) Model \u201dCenters for Medicare & Medicaid Services accessed July 11 2025 https:\/\/www.cms.gov\/priorities\/innovation\/innovation\u2010models\/guide."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.4101"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16062"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18227"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16595"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2023.0226"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.5579"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1377\/forefront.20231120.826884"},{"key":"e_1_2_9_10_1","unstructured":"Aging Brain Care (ABC) Program (Indiana University School of Medicine) accessed August 5 2025 https:\/\/medicine.iu.edu\/internal\u2010medicine\/specialties\/general\/geriatrics\/programs\/image\/aging\u2010brain\u2010care."},{"key":"e_1_2_9_11_1","unstructured":"The Alzheimer's and Dementia Care (ADC) Program (John A. Hartford Foundation) accessed August 5 2025 https:\/\/www.adcprogram.org\/."},{"key":"e_1_2_9_12_1","unstructured":"Benjamin Rose Institute (BRI) Care Consultation (Benjamin Rose Institute on Aging) accessed August 5 2025 https:\/\/institute.benrose.org\/evidence\u2010based\u2010and\u2010informed\u2010programs\/bri\u2010care\u2010consultation\/."},{"key":"e_1_2_9_13_1","unstructured":"Care Ecosystem (University of California San Francisco Weill Institute for Neurosciences Memory and Aging Center) accessed August 5 2025 https:\/\/memory.ucsf.edu\/healthcare\u2010professionals\/care\u2010ecosystem."},{"key":"e_1_2_9_14_1","unstructured":"Integrated Memory Care Clinic (Emory Healthcare) accessed August 5 2025 https:\/\/www.emoryhealthcare.org\/centers\u2010programs\/integrated\u2010memory\u2010care\u2010clinic\/."},{"key":"e_1_2_9_15_1","unstructured":"Maximizing Independence (MIND) at Home (Johns Hopkins Medicine) accessed August 5 2025 https:\/\/www.hopkinsmedicine.org\/news\/articles\/2022\/02\/mind\u2010at\u2010home."},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17887"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010019\u20101369\u20107"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igy017"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70107","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.70107","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T15:51:09Z","timestamp":1770911469000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.70107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":17,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/jgs.70107"],"URL":"https:\/\/doi.org\/10.1111\/jgs.70107","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,31]]},"assertion":[{"value":"2025-07-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}