Navigating multiple appointments, treatments, and service providers can be overwhelming. In line with CMS GUIDE principles—which emphasize streamlined, interdisciplinary collaboration—Crosby Health works with a dedicated GUIDE provider who oversees and unifies all aspects of care. From scheduling and referral management to coordinating with hospitals, community services, and specialists, our aim is to reduce fragmentation and keep everyone on the same page. This integrated strategy fosters better communication between patients, families, and healthcare professionals. Ultimately, it enhances patient safety, prevents medication errors, and ensures that each step in the care journey is informed by the latest clinical information and patient preferences.