[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-428824-105":59,"doc-detail-428824-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","cms-guide-model-lessons-learned-by-an-established-track-program-action","CMS GUIDE MODEL - LESSONS LEARNED BY AN ESTABLISHED TRACK PROGRAM - Action","","A CMS Innovation Center pilot program, GUIDE, implemented in January 2024 as an alternate payment model, used an interprofessional team approach to deliver comprehensive dementia care for people living with dementia and their caregivers. First-year implementation in a large integrated health system enrolled 158 beneficiaries and caregivers, with 19% low, 73% moderate, and 8% high complexity. Successes relied on structured recurring meetings, weekly data review, care coordination, and scheduled monitoring, while challenges included workflow adjustment, system constraints, evolving requirements, and building external partnerships. Providing resources requires a true multidisciplinary, interprofessional strategy.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cms-guide-model-lessons-learned-by-an-established-track-program-action/428824/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cms-guide-model-lessons-learned-by-an-established-track-program-action/428824.png","ImageObject",300,407,{"name":92,"@type":93},"jay","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the GUIDE CMS pilot program and when was it implemented?","Question",{"text":112,"@type":113},"GUIDE is a CMS Innovation Center pilot program implemented in January 2024 as an alternate payment model for interprofessional teams to deliver comprehensive dementia care.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How many beneficiaries and caregivers were enrolled after one year?",{"text":117,"@type":113},"The program enrolled 158 beneficiaries and their caregivers.",{"name":119,"@type":110,"acceptedAnswer":120},"What strategies supported program success during year one?",{"text":121,"@type":113},"Structured recurring meetings, weekly review of data and submissions, care coordination, and scheduled monitoring of required care-delivery services supported success.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},428824,1790774156,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},3985747858866,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","1058 Innovation in Aging, 2025, Vol. 9, No. S2  \nbeneficiaries have utilized respite services. Approximately 9% have disenrolled, the majority (64%) expired/hospice. An adaptable team-based approach has been a critical strategy for success. Helpful processes that have evolved include structured recurring meetings, weekly review of data and submissions, care coordination and scheduled monitoring of required care-delivery services. Education and outreach with all stakeholders (e.g. interprofessional healthcare providers, lay community) is essential. Internal challenges have included need for ongoing adjustment of workflows and processes, and system constraints on structuring database/submission/reporting. Additional challenges include changing program requirements, recognizing and addressing the need to supplement internal resources (e.g. home visits, respite care), and identifying and establishing partnerships with external entities. These successes and challenges may significantly impact effectiveness of this pilot model program. Providing additional resources for this vulnerable population requires a true interprofessional, multidisciplinary approach.  \nAbstract citation ID: igaf122.3561  \nCMS GUIDE MODEL: LESSONS LEARNED BY AN  \nESTABLISHED TRACK PROGRAM AT END OF  \nYEAR ONE  \nJessica Mongelli1, Kaitlin Tangredi2, Marzena Gieniusz1, Christian Nouryan3, Christie Ulbricht1, Megan Carroll1, Maria Carney4, and Edith Burns5, 1. Northwell Health, New Hyde Park, New York, United States, 2. Northwell Health, New Hyde Park, New York, New York, United States,  \n3. Northwell Health, Great Neck, New York, United States,  \n4. Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York, United States, 5. Zucker School of Medicine Hofstra-Northwell, Manhasset, New York, United States  \n‘Guiding an Improved Dementia Care Experience’(GUIDE) is a CMS Innovation Center pilot program implemented January 2024, as an alternate payment model for interprofessional teams to provide comprehensive dementia care for people living with dementia and their caregivers. Program criteria encompass screening and recruitment, comprehensive and home safety assessment, ongoing beneficiary monitoring, data collection/ management/reporting, respite, caregiver supports, etc. We report first-year implementation and evolution as an ‘Established Track’program in a large integrated health system in a major metropolitan area. To date, the program has enrolled 158 beneficiaries and their caregivers; 19% low, 73% moderate, 8% high complexity. Average age of beneficiaries 79 years, caregiver relationship 53% child, 35% spouse, 10% other. Over 35% of eligible","cbCaibJEvVvHQW4X","https://ap.wps.com/l/cbCaibJEvVvHQW4X","pdf",936033,"English","# First-Year Implementation Overview\n## GUIDE Program Model and Criteria\n## Enrollment, Complexity, and Demographics\n# Lessons Learned\n## Effective Processes and Monitoring\n## Education and Stakeholder Outreach\n## Challenges and Partnership Needs\n# Implications for Scaling Support","[{\"question\":\"What is the GUIDE CMS pilot program and when was it implemented?\",\"answer\":\"GUIDE is a CMS Innovation Center pilot program implemented in January 2024 as an alternate payment model for interprofessional teams to deliver comprehensive dementia care.\"},{\"question\":\"How many beneficiaries and caregivers were enrolled after one year?\",\"answer\":\"The program enrolled 158 beneficiaries and their caregivers.\"},{\"question\":\"What strategies supported program success during year one?\",\"answer\":\"Structured recurring meetings, weekly review of data and submissions, care coordination, and scheduled monitoring of required care-delivery services supported success.\"}]","CMS GUIDE MODEL - LESSONS LEARNED BY AN ESTABLISHED TRACK PROGRAM - Action | PDF",1790647792]