Care Ecosystem
The Care Ecosystem model was designed to help address the unmet needs of persons with dementia and their caregivers.

What is the Care Ecosystem?

The Care Ecosystem is a model of dementia care designed to provide personalized, cost-efficient care for persons with dementia (PWD) and their caregivers. This telephone and web-based intervention was developed and studied across California, Nebraska and Iowa via an award from the Center for Medicare and Medicaid Innovation (CMMI grant number 1C1CMS331346) from 2014–2018 and continues to be studied with funding from the National Institute for Health (NIH grant number RO1 AG056715) from 2018–2022.

The Care Ecosystem model includes:

  • Care team navigators (CTNs)
  • Clinicians with dementia expertise (nurse, pharmacist, social worker)
  • Care protocols

The CTN is the main point of contact for patients and caregivers in the Care Ecosystem. They are unlicensed yet trained to screen for dementia-related needs and provide support and information. Their work is guided by care protocols and they are supported and supervised by a clinician (nurse or social worker).

Who is the Care Ecosystem for?

The Care Ecosystem was designed to enable health systems and clinics to provide dementia-capable care to the growing population affected by dementia and their caregivers.

The Care Ecosystem Toolkit includes:

  • Care protocols
  • Educational materials
  • Staffing considerations
  • Billing mechanisms to guide implementation

This toolkit provides an overview of the Care Ecosystem model and how to implement it in your institution.

Download the Toolkit

How Can the Care Ecosystem Toolkit be Used?

The Care Ecosystem Toolkit was developed using public funds and is available free of charge with attribution to the Regents of the University of California. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit creativecommons.org/licenses/by/4.0 or send a letter to Creative Commons, PO Box 1866, Mountain View, CA 94042, USA.

For more information, please email Sarah.Dulaney@ucsf.edu.