{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T07:16:41Z","timestamp":1783322201594,"version":"3.54.6"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30 AG072973"],"award-info":[{"award-number":["P30 AG072973"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Plasma biomarkers and disease\u2010modifying therapies for early Alzheimer's disease have created an urgent need for scalable care models. In this\u00a0\n                    <jats:italic>Perspectives<\/jats:italic>\n                    ,\u00a0we describe how a health system is adapting dementia care delivery through a primary care provider (PCP)\u2013centered initiative designed to improve diagnostic readiness and care capacity. The program integrates (1) blood\u2010based biomarker testing into clinical workflows, (2) a Cognitive Assessment Visit (CAV) supported by Electronic Health Record\u2013embedded decision tools, and (3) memory care co\u2010management. Early implementation demonstrates that PCPs can be empowered to diagnose and manage cognitive impairment through structured workflows, targeted training, and specialist collaboration. In the first 26\u00a0weeks, 1,331 plasma p\u2010tau217 tests were ordered by 104 clinicians, including 58 PCPs; 59 CAVs were completed by nine PCPs; and more than 330 asynchronous e\u2010consults expanded specialist access. These results highlight the feasibility and challenges of integrating biomarker\u2010informed dementia care within primary care workflows.\n                  <\/jats:p>","DOI":"10.1002\/alz.71405","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T10:12:27Z","timestamp":1776334347000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Brain health care accelerator: A primary care\u2013centered model for scaling dementia diagnosis and care"],"prefix":"10.1002","volume":"22","author":[{"given":"Jeffrey M.","family":"Burns","sequence":"first","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Health System  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill K.","family":"Morris","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric D.","family":"Vidoni","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan A.","family":"Townley","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Health System  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey R.","family":"Gillen","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Health System  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy R.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of General Pediatrics University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janell E.","family":"Jones","sequence":"additional","affiliation":[{"name":"University of Kansas Health System  Kansas City Kansas USA"},{"name":"Department of Family Medicine University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melody B.","family":"Nelson","sequence":"additional","affiliation":[{"name":"University of Kansas Health System  Kansas City Kansas USA"},{"name":"Department of Pathology and Laboratory Medicine University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh Pal","family":"Mudaranthakam","sequence":"additional","affiliation":[{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"Department of Biostatistics &amp; Data Science University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Perales\u2010Puchalt","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Lewandowski","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Michelle","family":"Niedens","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Health System  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam C.","family":"Parks","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Health System  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda M.","family":"Brunette","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Health System  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Aschenbrenner","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Kansas Medical Center  Kansas City Kansas USA"},{"name":"University of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor I.","family":"Bucy","sequence":"additional","affiliation":[{"name":"Department of Population Health University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel C.","family":"Forcino","sequence":"additional","affiliation":[{"name":"Department of Population Health University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Woodward","sequence":"additional","affiliation":[{"name":"University of Kansas Health System  Kansas City Kansas USA"},{"name":"Department of Family Medicine University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.12814"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.6619"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.14073"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-023-01858-9"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.14283\/jpad.2023.131"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.7249\/RR2744"},{"key":"e_1_2_5_8_1","volume-title":"Modeling Early Detection and Geographic Variation in Health System Capacity for Alzheimer's Disease?Modifying Therapies","author":"Liu JL","year":"2024"},{"key":"e_1_2_5_9_1","article-title":"Geographic variation in shortfalls of dementia specialists in the United States","volume":"2","author":"Liu JL","year":"2024","journal-title":"Health Aff Sch"},{"key":"e_1_2_5_10_1","volume-title":"The Complexities of Physician Supply and Demand: Projections From 2021 to 2036","author":"GlobalData Plc","year":"2024"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/dad2.12130"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1956"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-017-1206-6"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.14333"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.20.6.64"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.14.1775"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.03.004"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2024.3379"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-025-02977-w"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjpad.2024.100038"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-010-0327-7"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd15.180128"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)61905-3"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000172958.95282.2a"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/37.3.323"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19461"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-221014"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-220235"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.087438"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/trc2.12475"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/10437797.2022.2039820"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.14265"}],"container-title":["Alzheimer's &amp; Dementia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/alz.71405","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/alz.71405","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/alz.71405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T07:00:32Z","timestamp":1783321232000},"score":1,"resource":{"primary":{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/10.1002\/alz.71405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/alz.71405"],"URL":"https:\/\/doi.org\/10.1002\/alz.71405","archive":["Portico"],"relation":{},"ISSN":["1552-5260","1552-5279"],"issn-type":[{"value":"1552-5260","type":"print"},{"value":"1552-5279","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-12-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71405"}}