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Emergency Department Care Coordination Program for Assisted Living Residents With Dementia
Grace F Wittenberg, Peter T. Serina, Nichole E. Stetten, Ann Reddy, Ellen M. McCreedy. JAMA Network Open, 2025-08-11
Topic: Risk, prevention and care in population studies
Of 22 total CCMs, 12 participated in this study (employed as a CCM for a median [IQR] of 2 [1-3] years; 12 [100%] female) and identified populations that they perceived to especially benefit from the program, including PLWD, patients in hospice, and patients living in group homes. CCMs shared how they communicated with various ED staff, including nurses and physicians, and that receptivity varied among staff. Strengths of the program include CCM advocacy for patients and program adaptability. CCMs described areas of opportunity as lack of education about the program among ED staff and lack of 24-hour coverage for CCMs. Overall, the perception shared by the CCMs was that the program positively affected both the ED experience for patients and the facilitation of goal-concordant care. Conclusions and Relevance: In this qualitative study of a care coordination intervention, CCMs advocated for their patients remotely by filling information gaps, particularly for PLWD and patients in hospice, and perceived that the intervention was associated with improved patient care. CCMs also identified key areas for improvement, such as to increase ED staff awareness of the program and to expand program hours. This care coordination intervention may provide an opportunity to address gaps in care for individuals living in ALCs who present to the ED.
Key findings
- Of 22 total CCMs, 12 participated in this study (employed as a CCM for a median [IQR] of 2 [1-3] years; 12 [100%] female) and identified populations that they perceived to especially benefit from the program, including PLWD, patients in hospice, and patients living in group homes.
- CCMs shared how they communicated with various ED staff, including nurses and physicians, and that receptivity varied among staff.
- Strengths of the program include CCM advocacy for patients and program adaptability.
- CCMs described areas of opportunity as lack of education about the program among ED staff and lack of 24-hour coverage for CCMs.
- Overall, the perception shared by the CCMs was that the program positively affected both the ED experience for patients and the facilitation of goal-concordant care.
Why it matters
This qualitative study interviewed care coordinators about a program that helps assisted living residents with dementia when they go to the emergency department. It addresses care coordination and patient experience, not treating, curing or preventing Alzheimer's disease.
Study details
- Evidence strengthLow
How this study scored 37/100
Published in a leading specialty journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 9 / 10 | Tier 2 — leading specialty journal (JAMA Network Open) |
| Journal's citation record | 2 / 4 | JAMA Network Open: journal h-index 235 (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 | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Ellen M. McCreedy: h-index 23 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Brown University: institution h-index 1,120 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40788643) |
| Free to read | 2 / 2 | Free to read |
| Total | 37 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1001/jamanetworkopen.2025.26413
- PubMed: 40788643
- Original source →
- Free full text: JAMA Network Open →
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
Wittenberg, G. F., Serina, P. T., Stetten, N. E., Reddy, A., & McCreedy, E. M. (2025). Emergency Department Care Coordination Program for Assisted Living Residents With Dementia. JAMA Network Open. https://doi.org/10.1001/jamanetworkopen.2025.26413
Vancouver
Wittenberg GF, Serina PT, Stetten NE, Reddy A, McCreedy EM. Emergency Department Care Coordination Program for Assisted Living Residents With Dementia. JAMA Network Open. 2025. doi:10.1001/jamanetworkopen.2025.26413. PMID: 40788643.
BibTeX
@article{wittenberg2025-40788643,
author = {Wittenberg, Grace F and Serina, Peter T. and Stetten, Nichole E. and Reddy, Ann and McCreedy, Ellen M.},
title = {{Emergency Department Care Coordination Program for Assisted Living Residents With Dementia}},
journal = {JAMA Network Open},
year = {2025},
doi = {10.1001/jamanetworkopen.2025.26413},
pmid = {40788643},
url = {https://doi.org/10.1001/jamanetworkopen.2025.26413}
}
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