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Health Services Research & Development

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Patient Aligned Care Teams (PACT) Demonstration Labs

Changes in Primary Care Teamlet Functioning, Working to Top of Competency and Burnout from 2012-2014

by Stacy Astrove, BS ; Christian Helfrich, PhD, MPH ; Gregory Stewart, PhD
Seminar date: 6/17/2015

Description: Team-based primary care is central to the concept of the patient-centered medical home, generally, and the Patient Aligned Care Team (PACT) initiative specifically. PACT “teamlets” are expected to collectively care for a panel of patients, and improve work flow by helping team members function at the top of their competency, and devote their time to work that only someone with their training can or is best suited to do. Team-based care has also been found to be associated with lower burnout among VA primary care employees. We report findings from national surveys of VA primary care employees in 2012 and 2014 that assessed implementation of team-based care, and the extent to which primary care employees feel they are working to the top of their competencies and are reporting burnout. Intended audience: Researchers, clinicians and managers interested in the patient-centered medical home or team-based care.

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