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Dissemination of the Care Ecosystem Collaborative Care Model for Dementia
Alissa Bernstein Sideman, Sarah Dulaney, Jennifer J. Merrilees, Michelle Barclay, Alma Hernández de Jesús, Katherine L. Possin. Journal of the American Geriatrics Society, 2025-01-06
Topic: Risk, prevention and care in population studies
Implementation efforts resulted in the adoption of the Care Ecosystem at 28 health systems and eight community-based organizations, including 22 participants in Medicare's Guiding an Improved Dementia Experience (GUIDE) payment model. The Implementation Meetings facilitated collaborative learning and adaptation and supported fidelity to core model elements. The Care Ecosystem's flexible approach and open-source materials enabled tailored implementations that align with local contexts and population needs. The Care Ecosystem exemplifies a scalable approach to dementia care, guided by implementation science principles to bridge the gap between research and real-world application. Its success in improving patient outcomes and reducing healthcare costs underscores its potential to enhance dementia care delivery on a broader scale. Future efforts should focus on refining implementation strategies, enhancing fidelity monitoring, and expanding partnerships to sustain and scale effective dementia care practices across diverse healthcare settings.
Key findings
- Implementation efforts resulted in the adoption of the Care Ecosystem at 28 health systems and eight community-based organizations, including 22 participants in Medicare's Guiding an Improved Dementia Experience (GUIDE) payment model.
- The Implementation Meetings facilitated collaborative learning and adaptation and supported fidelity to core model elements.
- The Care Ecosystem's flexible approach and open-source materials enabled tailored implementations that align with local contexts and population needs.
- The Care Ecosystem exemplifies a scalable approach to dementia care, guided by implementation science principles to bridge the gap between research and real-world application.
- Its success in improving patient outcomes and reducing healthcare costs underscores its potential to enhance dementia care delivery on a broader scale.
Why it matters
This paper describes how the Care Ecosystem collaborative care model was adopted at 28 health systems and eight community-based organizations. It reports on spreading the model rather than testing whether it changes patient outcomes.
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Study details
- Participants22
- Evidence strengthLow
How this study scored 48/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | 3 / 4 | Journal of the American Geriatrics Society: journal h-index 344 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 1 / 4 | 22 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 7 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 4 / 6 | Cited 8.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 1 / 4 | Cited 7 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Katherine L. Possin: h-index 57 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, San Francisco: institution h-index 1,915 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 39763029) |
| Free to read | 2 / 2 | Free to read |
| Total | 48 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1111/jgs.19363
- PubMed: 39763029
- Original source →
- Free full text: Journal of the American Geriatrics Society →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Sideman, A. B., Dulaney, S., Merrilees, J. J., Barclay, M., de Jesús, A. H., & Possin, K. L. (2025). Dissemination of the Care Ecosystem Collaborative Care Model for Dementia. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.19363
Vancouver
Sideman AB, Dulaney S, Merrilees JJ, Barclay M, de Jesús AH, Possin KL. Dissemination of the Care Ecosystem Collaborative Care Model for Dementia. Journal of the American Geriatrics Society. 2025. doi:10.1111/jgs.19363. PMID: 39763029.
BibTeX
@article{sideman2025-39763029,
author = {Sideman, Alissa Bernstein and Dulaney, Sarah and Merrilees, Jennifer J. and Barclay, Michelle and de Jesús, Alma Hernández and Possin, Katherine L.},
title = {{Dissemination of the Care Ecosystem Collaborative Care Model for Dementia}},
journal = {Journal of the American Geriatrics Society},
year = {2025},
doi = {10.1111/jgs.19363},
pmid = {39763029},
url = {https://doi.org/10.1111/jgs.19363}
}
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