Enhanced Quality in Primary Care for Elders With Diabetes and Dementia

Inclusion Criteria: * Patient must receive care at participating NYU FGP clinics. * Patient must be English or Spanish speaking. * Patient must have DM diagnosis. * Patient must have documented cognitive impairment or an ADRD diagnosis. * Patient must have someone who is identified as a family or friend who provides caregiving assistance. Caregiver: * Caregiver must have adequate knowledge of identified patient and/or participate in that member's healthcare decisions. * Caregiver must be English or Spanish speaking. * Caregiver must demonstrate capacity to consent to research participation. * Caregiver must be at least 21 years old. Exclusion Criteria: Patient: * Patient does not receive care at participating NYU FGP clinics. * Patient is not 65 years and older. * Patient is not English or Spanish speaking. * Patient does not have DM diagnosis. * Patient does not have documented Cognitive impairment or an ADRD diagnosis. * Patient has severe dementia, other terminal illness with \<6 months to live, and/or is hospice eligible. * Patient does not have a caregiver. Caregiver: * Caregiver does not have adequate knowledge of identified patient and/or does not participate in that member's healthcare decisions. * Caregiver is not English or Spanish speaking. * Caregiver lacks capacity to consent to research. * Caregiver is under 21 years old.