In 2023, CMS announced the GUIDE model, or “Guiding an Improved Dementia Experience”. This voluntary model aims to improve the quality of life for dementia patients and their informal caregivers with an approach to care delivery that prioritizes care coordination and caregiver support.
If you’ve applied to GUIDE and are looking for a partner to help meet various aspects of the program’s requirements, we’re here to help. We’re happy to meet 1-on-1 with you and your team to dive deeper into the caregiver support requirements and how we can help your organization meet the full spectrum of GUIDE’s caregiver support requirements.
Includes an office or in-home visit to assess the beneficiary’s clinical, behavioral, psychosocial, and advance care planning needs as well as caregiver needs and capabilities *
Care plans are continuously monitored and adjusted to reflect the beneficiary’s current level of care to identify unmet needs and avoid preventable emergencies proactively.
Ensure seamless care transitions with comprehensive coordination among providers, caregivers, and support services.
Develop, implement, and regularly update patient-specific care plans that evolve with the patient’s needs, ensuring comprehensive and personalized care
On-demand access to educational content and support groups on dementia caregiving, including ad hoc support calls
Referral and coordination of in-home respite care, including referrals to adult day centers or facility-based respite providers.
* ianacare does not support clinical aspects of this requirement (clinical, behavioral, psychosocial assessments)
“We are thrilled to collaborate with ianacare to enhance our GUIDE model services and extend greater support to our dementia patients and their caregivers. Together, we can build a more complete system of care that centers families and caregivers as integral parts of the care team.”
On-demand, concierge expertise and coaching to coordinate support in the home including care planning and research
Ensuring all documents (POS, DNR, etc.) are in place and guidance of options and critical decisions
Training & resources for dementia caregivers including fall prevention, wound care, medication management, & education on when to go to the ER
User-friendly national database of local and community resources to support all aspects of care including food security, transportation, financial aid, and more.
Scheduling and management of appointments, care shift coordination with family, and logging of key care events
On-demand, concierge expertise and coaching to coordinate support in the home including care planning and research
Ensuring all documents (POS, DNR, etc.) are in place and guidance of options and critical decisions
Training & resources for dementia caregivers including fall prevention, wound care, medication management, & education on when to go to the ER
User-friendly national database of local and community resources to support all aspects of care including food security, transportation, financial aid, and more.
Scheduling and management of appointments, care shift coordination with family, and logging of key care events
On-demand, concierge expertise and coaching to coordinate support in the home including care planning and research
Ensuring all documents (POS, DNR, etc.) are in place and guidance of options and critical decisions
Training and resources for dementia caregivers including fall prevention, wound care, medication management, and education on when to go to the ER
User-friendly national database of local and community resources to support all aspects of care including food security, transportation, financial aid, and more.
Scheduling and management of appointments, care shift coordination with family, and logging of key care events
On-demand concierge support and coaching to coordinate support in the home
Coordinating friends and family for everyday support (meals, transportation, respite care, etc.)
Notes on key events and symptoms to be shared with a provider
Database search of over 650k + local resources including food, transport, financial aid, etc.
Expert-led training sessions on key topics relevant to dementia caregivers
Beneficiaries and caregivers can easily track and manage medications on the platform
