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Health Services Research & Development

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Patient Aligned Care Teams (PACT) Demonstration Labs

Managing Workload and Access in PACT: What Does It Take?


by Steven Marcus, PhD ; Lisa Rubenstein, MD, MSPH, FACP ; Christian Terwiesch, PhD
Seminar date: 7/11/2012

Description: PACT Demonstration Lab (VISN4) Characterizing Primary Care Provider (PCP) Activity in Routine Practice: Increasing time and staffing pressures in primary care (PC) have led many to believe provider roles should be redefined and activities should be redistributed among PC team members to better match provider actions with licensed abilities, thus increasing productivity. This has been particularly important under medical-home models, such as the Patient Aligned Care Teams (PACT) at the VA, where it is essential to continually assess and improve work roles and environment for providers. As a first step toward achieving this goal we describe the results of our study where we recorded and coded patient encounters with PCPs to evaluate how providers spend their time and identify opportunities for PC teams to work more efficiently and effectively. PACT demonstration Lab (VISN22) Getting Practical on Teamlet Management of Workload, Continuity, and Access: An Exercise in Three Dimensional Thinking We will discuss the process of and challenges to improving these PACT pillars, including relevant qualitative and quantitative information, and a possible stepped sequence for improvement. We encourage the audience to comment, and will aim to make revisions to the approach based on feedback.

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