Recommendations for building a stronger, more coordinated, and patient-centered complex care evidence base.

Patients with higher ACEs scores or positive PTSD screenings felt stress when seeking medical care, but indicated trauma-informed treatment approaches would relieve this stress.

Black caregivers of people with dementia share their perspectives on a care coordination intervention.

Some person-centered care interventions are more effective than others at reducing behavioral and psychological symptoms and improving cognitive function in people with dementia.

Reveals inequities in how aging adults’ care preferences are taken into account based on race/ethnicity, income, health insurance status, and other variables.

Home-based primary care did not decrease hospitalizations for people with dementia, but it did result in more patient- and family-centered end-of-life care.

Telephone- and web-based dementia care provided through centralized hubs and delivered by an interdisciplinary team can improve outcomes for people with dementia and their caregivers.

Training for caregivers of veterans living with dementia may help them remain in their home longer, but may lead to increased health care costs.

Dementia care program delivered by an occupational therapist and tailored to the needs of patients and their caregivers shows improved patient quality of life and caregiver well-being.

Including caregivers in the discharge planning process reduces the risk of hospital readmission for older adults.

Describes how a health system can adapt workflow, roles and responsibilities, and communication to engage family caregivers in care transitions and comply with CARE Act requirements.

Details implementation guidance for the evidence-based Care Ecosystem model, which improves supports for people with dementia and their caregivers.

These resources can help nurses educate and support family caregivers in performing complex medical tasks for their family members at home.

For people with disabilities, familiarity with their care teams and care plans, and increased access to long-term services and supports can improve their perceptions of quality of life and health care.

Understanding the values of patients with complex health and social needs can help providers improve care.

Disparities in transitional care training for caregivers of older adults based on race or financial status demonstrate need for changes in discharge processes and strategies to address bias.

The 4Ms approach developed for the Age-Friendly Health System model — what matters, medication, mentation, mobility — has a robust evidence base for providing quality care to older adults.

Clinical tools, training resources, and case studies of evidence-based care models that support people living with dementia and their caregivers.

Many physicians report low confidence in caring for patients with disability and negative perceptions about quality of life with a disability, which may reflect biased views that potentially contribute to persistent health disparities.

Medication management interventions that support caregivers of people with dementia at care transitions can help reduce readmissions, caregiver burden, and use of high-risk medication.