The Embedded Model for Bridging Essential Delivery of Care in Assisted Living Facilities—EMBED-ALF

Older adults residing in assisted living facilities (ALFs) often face fragmented medical care, especially when managing complex chronic conditions, cognitive impairment, or end-of-life needs. This article describes an interprofessional provider-led, integrated care model embedded within an ALF in a major metropolitan area that includes memory care and home hospice. The model integrates geriatrics and palliative medicine–trained providers into routine care, supported by structured communication, tele-emergency services, and collaboration with hospice and hospital teams.