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Health Services Research & Development

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Patient Aligned Care Teams (PACT) Demonstration Labs

Part 1: Exploring the Effects of Membership Change Event Characteristics in PACT Teamlets & Part 2: A Path to Resilience: Enhancing Resilience in PACT Teams

by Cody Reeves, PhD ; Carole Warde, MD
Seminar date: 9/16/2015

Description: Part 1: Membership change poses a challenge for PACT teamlets due to the disruptive nature of team member departure and replacement, however not all turnover events are created equal. In this study, we examined PACT teamlet performance for six months following membership change events in order to understand how the quantity of members changed, the roles of changing members, and the shared experience of continuing team members affected teamlet performance. Results suggest that who changes and the amount of shared experience within teamlets have a larger impact on teamlet performance than the number of changes that occur. Part 2: It can be a challenge for many PACT Team Members to adjust to the constant change required of a PACT transformation. We aimed to improve the resilience of PACT teams by implementing a 6-step process led by a committee of PACT team members and includes a needs assessment, multiple small interventions, and serial measures of staff worklife, including burnout. The process was helpful to increase staff involvement in measures targeting their own worklife, improved communication between PACT staff and their leaders and led to lower rates of staff burnout. Intended audience: Academic PACT clinic leadership and team members, VA administrators, and health services researchers interested in medical home implementation.

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