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Health Services Research & Development

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Patient Aligned Care Teams (PACT) Demonstration Labs

Unpacking the Post-discharge or Post-ED Telephone Call

by Kristina Cordasco, MD, MPH, MSHS ; Jenny Richardson, MS, RN, CNS
Seminar date: 4/18/2012

Description: A core concept in the PACT initiative is improved coordination of care, and one promising approach is routine patient contact following hospital discharges or emergency department visits. In this cyberseminar, VISN20 and 22 PACT Demonstration Lab staff will discuss two programs to improve care coordination: post-discharge telephone calls by PACT nurse care managers at the Portland VA Medical Center and a pilot innovation to address post-ED discharge communication at the Greater Los Angeles VA Medical Center.

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