These Perspectives (SIG 15) articles discuss issues related to dementia care, student supervision, and the home health patient driven groupings model. Warren describes the rational for the development of a new payment system, how it will be changing, and what speech-language pathologists can do to be prepared and successfully navigate the transition. Davies explores the relating concepts of participation and communication in dementia care research and to propose future avenues of research within the field of communication disorders. Bice and Smith discuss current issues found in external clinical placements, their possible causes, and offers practical solutions for assisting students to benefit from their experiences.

Learning Outcomes
You will be able to:

• define the Patient Driven Groupings Model and its impact on the home health industry
• explain the relationship between concepts of participation and communication in dementia
• explain current issues in external clinical placements, their causes, and practical solutions