Under the CMS GUIDE Model, personalized care planning is fundamental to improving outcomes—particularly for individuals with complex or progressive conditions like dementia. At Crosby Health our GUIDE partners, begin with a detailed assessment of health status, living arrangements, cognitive function, and family dynamics, ensuring every plan addresses the nuances of daily life. We then develop tailored objectives—from medication management and specialized therapies to social engagement and nutritional guidance—emphasizing whole-person support. This approach not only respects personal choices and cultural considerations but also ensures each care plan evolves over time, adapting to changes in health status and personal circumstances.