Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

VA Health Systems Research

Go to the VA ORD website
Go to the QUERI website

VHA Primary Care Analytics Team

What do Patient-Aligned Care Teams (PACT) Need to Improve Care for Patients at High-risk for Hospitalization or Mortality? Results from the PACT Intensive Management Evaluation

by Evelyn Chang, MD, MSHS ; Susan Stockdale, PhD
Seminar date: 5/15/2019

Description: The 5-site PACT Intensive Management (PIM) evaluation has found that PIM teams were able to engage complex high-risk patients in their health care and increase patient trust in VA providers. Because patients at highest risk for hospitalization or mortality are generally managed in PACT rather than specialty PACTs, some of the PIM case management activities may be useful for PACT. Our objective was to identify which PIM components could be incorporated into PACT team workflow, and what additional resources, trainings, and staff PACTs would need to better manage their high-risk patients. Intended audience: VHA policymakers, administrators, clinicians, and researchers, and other disciplines caring for complex patients in primary care.

DOWNLOAD: PDF handout | Audio only (mp3) | transcript

Questions about the HSR website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.