title: Workforce development to provide person-centered care.
abstract: Describe the development of a competent workforce committed to providing patient-centered care to persons with dementia and/or depression and their caregivers; to report on qualitative analyses of our workforce's case reports about their experiences; and to present lessons learned about developing and implementing a collaborative care community-based model using our new workforce that we call care coordinator assistants (CCAs).
  
  
  
  Sixteen CCAs were recruited and trained in person-centered care, use of mobile office, electronic medical record system, community resources, and team member support. CCAs wrote case reports quarterly that were analyzed for patient-centered care themes.
  
  
  
  Qualitative analysis of 73 cases using NVivo software identified six patient-centered care themes: (1) patient familiarity/understanding; (2) patient interest/engagement encouraged; (3) flexibility and continuity of care; (4) caregiver support/engagement; (5) effective utilization/integration of training; and (6) teamwork. Most frequently reported themes were patient familiarity - 91.8% of case reports included reference to patient familiarity, 67.1% included references to teamwork and 61.6% of case reports included the theme flexibility/continuity of care. CCAs made a mean number of 15.7 (SD = 15.6) visits, with most visits for coordination of care services, followed by home visits and phone visits to over 1200 patients in 12 months.
  
  
  
  Person-centered care can be effectively implemented by well-trained CCAs in the community.
authors.affiliation: a Department of Psychiatry , Indiana University School of Medicine (IUSM), Indianapolis , IN , USA.|b Indiana Alzheimer Disease Center, IUSM, Indianapolis , IN , USA.|c Office for Diversity and Inclusion, IUSM , Indianapolis , IN , USA.
authors.forename: Mary Guerriero
authors.initials: MG
authors.lastname: Austrom
authors.affiliation: a Department of Psychiatry , Indiana University School of Medicine (IUSM), Indianapolis , IN , USA.
authors.forename: Carly A
authors.initials: CA
authors.lastname: Carvell
authors.affiliation: d Michael LaMantia, Eskenazi Health , Indianapolis , IN , USA.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Alder
authors.affiliation: b Indiana Alzheimer Disease Center, IUSM, Indianapolis , IN , USA.|e Department of Biostatistics, IUSM , Indianapolis , IN , USA.
authors.forename: Sujuan
authors.initials: S
authors.lastname: Gao
authors.affiliation: d Michael LaMantia, Eskenazi Health , Indianapolis , IN , USA.|f Michael LaMantia, IUSM , Indianapolis , IN , USA.|g Regenstrief Institute, Inc. , Indianapolis , IN , USA.|h Center for Health Innovation and Implementation, IUSM, Indianapolis , IN , USA.
authors.forename: Malaz
authors.initials: M
authors.lastname: Boustani
authors.affiliation: d Michael LaMantia, Eskenazi Health , Indianapolis , IN , USA.
authors.forename: Michael
authors.initials: M
authors.lastname: LaMantia
mesh_terms: D000328:Adult; D005260:Female; D006281:Health Occupations / Q000193:education*; D006280:Health Workforce; D006801:Humans; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care; D036301:Qualitative Research
keywords: Alzheimer's disease; Psychological and social aspects; depression