For healthcare partners

The Continuity Platform for Dementia Care.

Memory Lane provides one continuous home for families — from the first signs of memory change, through evaluation and diagnosis, into dementia care, and on to advanced stages — connecting families with providers, programs, and resources while preserving continuity across every stage of care.

We don't replace providers. We strengthen the connections between them.

Our promise

Memory Lane is the trusted front door for memory care — supporting families from the first signs of memory change through every stage of care.

Who we work with

Who buys Memory Lane.

The caregiver is the user. The organization is the customer. The platform creates value for both.

GUIDE participating organizations

Meet caregiver-support and care-navigation expectations with structured caregiver data, burden tracking, and between-visit engagement your navigators can act on.

Neurology & memory care practices

Walk into every visit with interval history, behavior timelines, and caregiver-reported changes already organized — instead of reconstructing months in the first ten minutes.

Health systems & ACOs

A dementia care navigation layer that spans service lines and transitions — without building or maintaining it inside the EHR.

Home health & hospice agencies

Smoother handoffs: the family's story, medications, and behavior history arrive with them — not in a fax that never comes.

One platform, every role

Built for the whole dementia care team.

Care navigators are one important user — not the only one. Every role gains better caregiver context and longitudinal information between visits.

Care Navigators
Arrive prepared; coach instead of collect.
Primary Care
Interval history before the 15-minute visit.
Neurologists
Behavior and medication changes, organized.
Geriatricians
Function, falls, and caregiver strain trends.
Home Health
The home story arrives with the referral.
Hospice
Smoother transitions with full context.
Palliative Care
Goals and priorities, already captured.
Social Workers
Family dynamics and needs between visits.
Case Managers
Longitudinal record across settings.
Population Health
Caregiver-reported signal at scale.
GUIDE Programs
Assessments and documentation support.

The problem

Dementia care is fragmented.

  1. 1Diagnosis
  2. 2Neurology
  3. 3GUIDE Program
  4. 4Home Health
  5. 5Hospice
  6. 6Community Resources
  7. 7Legal Planning
  8. 8Caregiver Wellness

Every transition often means:

  • Another intake
  • Another history
  • Another questionnaire
  • Another provider
  • Another place to remember everything

This creates caregiver overwhelm and fragmented communication.

Our role

The front door — and the continuity layer.

Families don't need a diagnosis to start with Memory Lane. We help them get one, then stay with them through every team and program that follows.

  1. 1Memory Lane
  2. 2Primary Care
  3. 3Neurology
  4. 4GUIDE
  5. 5Home Health
  6. 6Hospice
  7. 7Community Resources
  8. 8Wellness
  9. 9Legal Planning
  10. 10Future Services

Memory Lane stays with the caregiver through every transition.

  • One caregiver story.
  • One personalized roadmap.
  • One continuous journey.
  • One place to return.

How we work together

We don't replace existing programs.

Instead of competing with organizations, Memory Lane complements them.

  • Neurology

    You diagnose and manage the disease.

    Memory Lane prepares caregivers between appointments and helps them understand what comes next.

  • GUIDE Programs

    You provide valuable care navigation and support.

    Memory Lane helps caregivers prepare before enrollment, complete eligibility screeners, coordinate referrals, stay organized throughout participation, and continue receiving support as needs evolve.

  • Home Health

    You deliver in-home clinical care.

    Memory Lane prepares families before services begin and keeps everyone informed during transitions.

  • Hospice

    You provide end-of-life care and comfort.

    Memory Lane supports caregivers before hospice, throughout hospice, and afterward through education and caregiver support.

  • Community Organizations

    You provide local services and support.

    Memory Lane helps caregivers discover and connect with trusted local resources at the right time.

How the data flows

How caregivers generate structured information.

Families capture life at home in plain language. Memory Lane turns it into clinical-grade signal your team can use — and the caregiver controls exactly what is shared.

1

Caregivers capture life at home

Behaviors, sleep, falls, medications, wellness check-ins, and questions — logged in the moment, in their own words, with Lane's help at 2 AM.

2

Memory Lane structures it

Longitudinal timelines, behavior patterns, caregiver burden trends, FAST/Zarit context, and AI-generated visit summaries — organized automatically.

3

Your team receives it

A permission-based dashboard with interval history, risk signals, and visit prep — only what the caregiver has explicitly chosen to share.

Caregivers own their record. Organizations see only what a family turns on — per data type, per document, pausable any time.

Where we sit

Memory Lane complements the EHR — it doesn't replace it.

Your EHR owns

  • The clinical record of each episode
  • Orders, results, billing, documentation
  • What happens inside your walls

Memory Lane owns

  • The between-visit journey at home
  • The caregiver's longitudinal story across every provider
  • Structured caregiver-reported data your EHR never captures

Summaries export as print-ready documents that drop into your existing workflow today, and the platform is structured for standards-based integration (SMART on FHIR) as programs mature.

Flagship feature

The Care Team Summary.

A communication tool — not just documentation. It translates weeks or months of caregiving into a concise clinical summary, so every clinician immediately understands what happened between encounters.

Every summary surfaces

Recent caregiver concerns
Behavior changes
Medication changes
Interventions attempted
What has helped
What has not helped
Caregiver priorities
Questions for the care team
Caregiver wellness trends
Standardized assessments (FAST, ZBI)
Longitudinal change since last visit

Two workflows, one continuous record.

The care navigator's operating platform

Between visits, Memory Lane continuously collects behavior tracking, caregiver concerns, wellness, standardized assessments, questions, and intervention history.

Before outreach, navigators see

  • FAST progression
  • Zarit Burden trends
  • Caregiver priorities & outstanding concerns
  • Behavior changes & intervention effectiveness
  • Suggested care plan updates

Navigators spend their time coaching families and building care plans — not collecting information and administering assessments.

The clinician's head start

Instead of opening with “What has happened since I last saw you?”, clinicians receive a concise longitudinal summary of the caregiver's experience between visits.

So visits focus on

  • Clinical decision making
  • Medication adjustments
  • Safety concerns
  • Behavior management
  • Care planning & education
  • Shared decision making

Less appointment time gathering basic history. More time providing care.

Less administrative burden — without touching your EHR

Information collected between visits is continuously organized into documentation-ready summaries that support:

Navigator documentationGUIDE documentationCare plansFollow-up notesCaregiver assessmentsLongitudinal trackingQuality reporting

The case for partnership

Why organizations partner with Memory Lane.

  • Better prepared caregivers
  • More productive appointments
  • Reduced caregiver overwhelm
  • One evolving caregiver story
  • Fewer repeated intake conversations
  • Simplified referrals
  • Improved care coordination
  • Support available between scheduled visits
  • Higher caregiver engagement
  • Better continuity from first concerns through every stage of care

Between scheduled visits

Continuous support between visits.

Caregivers don't stop needing help when the appointment ends. Memory Lane provides:

  • Personalized roadmap
  • AI that remembers their story
  • Appointment preparation
  • Behavior education
  • Treatment education
  • Clinical trial education
  • Resource recommendations
  • Care Team Summary
  • Caregiver wellness support
  • Optional human care navigation sessions

Caregivers can receive guidance whenever questions arise — while keeping important information organized for future appointments.

Medicare GUIDE Model

Helping families navigate GUIDE.

Memory Lane helps caregivers determine whether they may qualify for the GUIDE Model. We can:

  • Guide families through eligibility screeners
  • Help organize required documentation
  • Coordinate referrals to participating GUIDE organizations
  • Assist with NP attestations when applicable
  • Continue supporting caregivers throughout and beyond GUIDE participation

Memory Lane complements GUIDE — it does not replace it.

The big picture

The dementia ecosystem.

Memory Lane connects the caregiver to every organization — rather than replacing them.

Memory Lane

The Continuity Platform

Memory Lane is the trusted front door for memory care — supporting families from the first signs of memory change through every stage of care.

  • Neurology
  • GUIDE
  • Home Health
  • Hospice
  • Primary Care
  • Community Resources
  • Caregiver Wellness
  • Clinical Trials
  • Legal & Financial Planning
  • Memory Care Communities
  • Transportation
  • Adult Day Programs
  • Support Groups

What Memory Lane is

Not simply software for caregivers — a longitudinal dementia care platform that supports families while giving the entire care team meaningful clinical context between visits.

Care navigators get better preparation and automated assessments.

Physicians get concise, structured longitudinal summaries.

Organizations get continuity, efficient documentation, engaged caregivers, and stronger coordination.

Need additional care navigation capacity? Memory Lane can also provide experienced dementia care navigators as an optional service.

Memory Lane

Memory Lane is the trusted front door for memory care — supporting families from the first signs of memory change through every stage of care.

Built by a Nurse Practitioner with experience across hospice, dementia care, and the CMS GUIDE Model. Designed with caregivers. Built to strengthen the entire dementia care ecosystem.