Clinical implementation of digital cognitive assessments - recommendations from Global CEO Initiative on Alzheimer's Disease.

Mild cognitive impairment and dementia are underrecognized in primary care, contributing to delayed diagnosis and limited access to care. Growing research has focused on improving cognitive evaluation in primary care, including the development of digital cognitive assessments (DCAs), which are emerging as scalable tools to expand access to testing and improve assessment accuracy. The Global CEO Initiative on Alzheimer's Disease convened a DCA Workgroup to develop expert recommendations for implementing supervised, in-clinic DCAs within US clinical workflows. Intended for primary care healthcare professionals and relevant specialists, these recommendations outline implementation pathways that support recognition, diagnostic evaluation, and care planning across primary and specialty care. The recommendations define core implementation steps while allowing context-specific adaptation and address operational, clinical, and structural facilitators and barriers to adoption. Integrating DCAs into clinical practice may improve timeliness of evaluation, enable earlier intervention, reduce specialty care bottlenecks, and promote more efficient use of healthcare resources.