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Health Services Research & Development

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Patient Aligned Care Teams (PACT) Demonstration Labs

Work Role Transformation during PACT Implementation: Successes and Challenges


by Samantha Solimeo, PhD, MPH ; Gregory Stewart, PhD ; Gala True, PhD
Seminar date: 3/21/2012

Description: The Department of Veterans Health Affairs (VHA) is halfway through a 5-year initiative to adopt principles of the Patient Centered Medical Home, known within VHA as Patient Aligned Care Teams (PACT). The focus of PACT implementation is on re-design of existing primary and specialty care to a more patient centered model, with an emphasis on funding additional staff, leveraging existing space and technology resources, and developing new ways to coordinate and deliver care. Early goals of PACT include offering same-day appointments and increasing non face-to-face care (access), identifying and managing high risk patients and improving handovers from inpatient and specialty care (care management and coordination), and improving team communication and starting appointments within 10 minutes of appointment time (practice redesign). This session offers a brief overview of the work being done within the VISNs 4 and 23 PACT Demonstration Labs to identify predictors and process of best practices among early PACT adopters. Discussion of findings will highlight the effects of transformation to a PACT model on job satisfaction and roles of primary care providers and nurse care managers.

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