Workforce development to provide person-centered care

Abstract

Objectives 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). Method 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. Results 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. Discussion Person-centered care can be effectively implemented by well-trained CCAs in the community.

2020 Alzheimer's disease facts and figures

“…[489][490][491][492][493] The complex care challenges of people with dementia also require interprofessional collaboration and education. [494][495][496][497] Ongoing efforts have attempted to integrate innovative care management practices with traditional primary care for people with dementia. One example involves a skilled professional who serves as the care manager of the person with dementia.…”

“…There is a growing consensus that professionals caring for people with Alzheimer's and other dementias should acknowledge the role family caregivers play in facilitating the treatment of dementia, and that professionals should assess the well‐being of family caregivers to improve overall disease management of the person with dementia 489‐493 . The complex care challenges of people with dementia also require interprofessional collaboration and education 494‐497 . Ongoing efforts have attempted to integrate innovative care management practices with traditional primary care for people with dementia.…”

<p>Using The Apriori Algorithm To Classify The Care Needs Of Patients With Different Types Of Dementia</p>

“…To address patients’ and caregivers’ complex healthcare needs, several collaborative care models have been published in the last decade 8–11. These models are characterized by interprofessional teams, multicomponent interventions, and shared decision-making between healthcare professionals and patients as well as their caregivers 12.…”

Response to depression treatment in the Aging Brain Care Medical Home model

“…The program is notable for several features that are reviewed briefly here that differentiate it from other clinical care programs. First, the majority of care in the ABC Medical Home is provided by care coordinator assistants (CCAs), persons selected for their ability to communicate and desire to work with older adults 15,16. These CCAs have primarily high school and 2-year college education, rather than more advanced degrees, and so represent the program’s strategy to create a more scalable geriatric care workforce to meet the care needs of the nation’s growing population of seniors.…”