Shannon, KayNeville, Stephen2026-05-202026-05-202023-01-13Inquiry: The Journal of Health Care Organization, Provision, and Financing, ISSN: 0046-9580 (Print); 1945-7243 (Online), SAGE Publishing, 60, 469580221144079-. doi: 10.1177/004695802211440790046-95801945-7243http://hdl.handle.net/10292/21152Long term care for older people is a highly regulated sector providing accommodation, health, and social care to vulnerable older adults. Older adults in New Zealand are among the highest users of long term care services globally. Traditionally those requiring specialist care for dementia are housed apart from other residents. In an example of organizational innovation, 1 provider relocated residents to a secure village where residents requiring specialist dementia care would be desegregated. We utilized a critical realist case study to explain the role of intersectoral collaboration among government agencies in supporting the transition while managing risk and ensuring regulatory compliance.© The Author(s) 2023. Creative Commons License (CC BY-NC 4.0). This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).agedaged 80 and overdementiagovernment agenciesintersectoral collaborationlong term careorganizational case studiesorganizational innovation4203 Health Services and Systems42 Health SciencesAlzheimer's DiseaseNeurodegenerativeAcquired Cognitive ImpairmentHealth ServicesAgingBrain DisordersNeurosciencesDementiaClinical ResearchAlzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)8.1 Organisation and delivery of servicesGeneric health relevance3 Good Health and Well Being1117 Public Health and Health ServicesHealth Policy & Services4203 Health services and systems4206 Public healthAgedDementiaGovernment AgenciesHumansLong-Term CareOrganizational InnovationHumansAgedLong-Term CareOrganizational InnovationGovernment AgenciesDementiaJournal ArticleOpenAccess10.1177/00469580221144079