Patient centered care through adoption of Collaborative Care Model, a team-based approach including Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Patient Support Assistants (PSAs) within a care team. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).