| Core recommendations |
| New models of long term care and support that centers around the home as the nexus of care from diagnosis to end of life, integrating medical, social, emotional, environmental and supportive care must be prioritized for dementia into the future |
| New payment models to support effective evidence-based home care practices and that stimulate and reward integration of care across acute and long-term services and supports needs further development and testing and policy reform. |
| Development and preparation of a dementia competent workforce to offer a range of home-based care services is critically needed and could be supported by addressing key issues related to employee retention including increasing salaries, better supervision, more flexible, continuous and engaging training, creation of “credentialing” for skilled workers along with pathways for promotion, team-based care, and rewarding high quality care. |
| New and existing technologies to link families to care providers and share information more efficiently, monitor and promote home safety, monitor health and symptoms status, and deliver care strategies, care management, and treatments must be fully evaluated and tested, deployed and utilized. |
| To address barriers to dissemination of home-based dementia care including absence of a coherent national approach to payment for home based care, cultural factors, and lack of understanding of the long term value of home based dementia care, a major priority of the field should be considering perceived value, variations in local priorities and resources, and adaptation to promote greater and more effective communication about the need and benefits of home-based dementia care must to stakeholders |
