A framework for implementing high-quality dementia care navigation: recommendations from the Alzheimer's Association...

In 2023, the Alzheimer's Association launched the Dementia Care Navigation (DCN) Roundtable, a diverse group of dementia experts to provide strategic guidance to organizations implementing person- and family-centered DCN services. Three initial areas to enhance DCN and its implementation were identified: (1) improving the quality of DCN by further defining navigator duties, roles, and care pathways; (2) establishing standards for DCN training to ensure quality, consistency, and person- and family-centeredness; and (3) developing a sustainable business case to ensure its financial viability. The roundtable clarified navigator responsibilities, encouraged the use of community partners as DCN providers, and aligned DCN services with Medicare's Guiding and Improved Dementia Experience GUIDE model. The roundtable recommended that all team members undergo training to acquire the necessary knowledge to provide effective and compassionate care. Building a sustainable business case requires demonstrating both financial and non-financial value, engaging payers, and aligning DCN with healthcare performance metrics. HIGHLIGHTS: Recommendations were based on the GUIDE model and 7 Essential Principles of DCN. Dementia care team members should have defined roles across care delivery domains. Dementia care navigators should be trained in person- and family-centered care. A sustainable business case should demonstrate financial and non-financial value.