Inclusion Criteria:  Patients:  Age 65 or greater Diagnosis of dementia from International Classification of Diseases (ICD)-9 and ICD-10 codes At least one other chronic condition Five or more chronic medications (to include all prescription and over-the-counter medications, both scheduled and as needed) Have a primary care physician at the pilot clinic who has enrolled in the study; this will be defined as having had at least 1 previous visit with a physician at the clinic in the past year Have a routine, scheduled visit with a primary care physician during the pilot study period (not an urgent, acute or pre-op visit)  Care partners:  Family or other companions age 21 years or greater who regularly help the patient with managing medications The patient can identify a care partner who assists with medication management to complete the enrollment dyad. Patient or care partner must be able to hear well enough to participate in interviews on the telephone. Patient agrees to answer "Older Adult Screening Questions" as detailed on the Patient Screening Script. Patient's care partner must be willing to participate in the study with the patient and answer the FCMAHS at the baseline visit and at the 3-month visit.  Primary care physicians:  • All primary care physicians at the pilot site will be included.  Exclusion Criteria:  Patient/Care partner dyads:  Individuals residing in long term care facilities or enrolled in hospice care at baseline will be excluded. The patient does not have a care partner that assists with medication management. The patient takes 4 or fewer different medications for all his/her health needs The patient declines to identify his/her care partner Answers all memory questions correctly, thus receiving a score of "0" for the screening assessment If the patient has a designated Legal Authorized Representative (LAR) but the patient's LAR is unreachable or declines to have the patient involved in the study. The care partner declines to participate in the study as part of the patient/care partner dyad.  Primary care physicians:  • Physicians who only provide urgent care will be excluded.