1,227
Participants
Start Date
January 17, 2023
Primary Completion Date
August 15, 2025
Study Completion Date
August 15, 2025
Care Ecosystem
"Applying the principles of person-and-family centered and collaborative care to dementia, the Care Ecosystem (CE) offers proactive, protocol-guided phone- and web-based caregiver support, guidance, and care coordination that extends the reach of dementia primary and specialty care. Care is delivered primarily via the phone and web by unlicensed Care Team Navigators (CTNs), who are trained and supervised by a team of dementia specialists with nursing, social work, and pharmacy expertise. Care Protocols guide proactive, quality care that is documented in the electronic health record (EHR).~The CTN is an unlicensed, trained dementia care guide who served as the PWD's and caregiver's primary point of contact to the program under nurse supervision. Care team navigators respond to caregivers' immediate needs first, then screen for common problems and provide personalized support and standardized education using the care plan protocols."
HealthPartners, Saint Paul
Ochsner Medical Center, New Orleans
University of Colorado Health, Denver
LA County Harbor-UCLA Medical Center, Torrance
University of California, San Francisco, San Francisco
Providence Health, Portland
Collaborators (1)
Ochsner Health System
OTHER
Providence Health & Services
OTHER
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
OTHER
HealthPartners Institute
OTHER
University of Colorado, Denver
OTHER
National Institute on Aging (NIA)
NIH
University of California, San Francisco
OTHER