The primary care brain health navigator: A perspective on implementation

Gaps in primary care (PC) early detection are caused by systems-based issues that require a systems-based solution. A PC brain health navigator (BHN) can mitigate the time limitations of PC providers, standardize high-quality PC-based evaluation of cognitive impairment, and improve the appropriateness of specialty care referrals. The design of the BHN role and function should be part of the patient-centered PC medical home team and integrated wholly within the PC space to achieve its potential. Sustainability of a PC BHN relies upon advanced payment models and requires further research and policy evaluation. The role and function of the PC BHN is the linchpin necessary to enable feasibility of early detection of Alzheimer's disease and related dementias in PC by creating capacity and capability of the primary care team. To be effective, the PC BHN must be intentionally and contextually developed, implemented, and supported within PC and with PC leaders.