Improving quality measurement for dementia care
April 15, 2025
Abstract
Nearly 7 million Americans are living with Alzheimer’s disease or a related dementia (ADRD). Timely detection, quality of care, and access to services for people with ADRD remain poor. Broad acceptance and implementation of quality standards may help improve care processes, outcomes, and inequities in ADRD care. We review existing quality measures for ADRD and identify care domains that lack well-developed measures or for which uptake of existing measures is low. Increasing the use of existing evidence-based ADRD quality measures for health system performance improvement, pragmatic research, and Alternative Payment Models like the Centers for Medicare & Medicaid Services Guiding an Improved Dementia Experience (GUIDE) Model, launched in 2023, may promote changes in care delivery and help address disparities in dementia care.
