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Health Services Research & Development

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Patient Aligned Care Teams (PACT) Demonstration Labs

Using Qualitative Methods to Understand and Inform the VA’s PACT Initiative

by George Sayre, PsyD ; Anais Tuepker, PhD, MPH
Seminar date: 11/19/2014

Description: Part 1: Will describe a retrospective qualitative analysis of open-text responses in a survey fielded to all VHA primary care personnel in May and June 2012 (approximately two years into the five-year planned implementation of PACT) using deductive and inductive content analysis. The goal was to examine how the experiences of team membership affect work satisfaction and PACT teamlets’ abilities to implement a model of patient-centered care. Participants were 1,705 VHA primary care physicians, nurse practitioners, physician assistants, nurse care managers, clinical associates, and administrative clerks. Part 2: VA’s implementation of PACT has been occurring in clinics with diverse characteristics in terms of their size, urban/rural setting, physical space, and pre-existing clinic resources and culture. This presentation will describe the methods used by the VISN 20 PACT Demo Lab to analyze a large volume of qualitative data from focus groups, interviews, and direct interactions with employees at 11 VA clinics over a period of 3 years. The multi-step analytic process that developed allowed the diversity of clinics’ experiences to be analyzed alongside common themes, suggesting that this method can be useful for understanding and responding to important contextual factors in the roll-out of new interventions across many sites. Target audience: health service researchers, quality improvement program managers/team members, and PACT teams and VA administrators.

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