Health Services Research & Development

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Research Topics

Patient-Aligned Care Teams (PACT)

PACT is a team-based model of care in which a team of health professionals, led by a provider, works collaboratively with the patient to provide for all of the patient's healthcare needs—or appropriately coordinates care with other qualified professionals. Issues being studied include methods of improving care coordination, how to automate point-of-care delivery, and point-of-care health literacy dissemination.

Search results were generated based on the search term "PACT". Results are updated weekly, as new data are available.

VIEW: Citations | Publication Briefs | Studies | HSR&D Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources


(5 of more than 83 PACT focused publications)

  • Johnson V, Wong E, Lampman M, Curtis I, Fortney J, Kaboli P, Fihn S, Nelson K. Comparing Patient-Centered Medical Home Implementation in Urban and Rural VHA Clinics: Results From the Patient Aligned Care Team Initiative. The Journal of ambulatory care management. 2018 Jan 1; 41(1):47-57.
  • Cordasco KM. The ED-PACT Tool: Communicating Veterans' Care Needs After ED Visits. Patient Aligned Care Teams (PACT) Demonstration Labs [Cyberseminar]. HSR&D. 2017 Dec 20.
  • Edwards S, Kim L, Stockdale S. The Role of Practice Environment on PACT Provider and Staff Burnout: Implications for Leadership Support, Interprofessional Collaboration, and Patient Experience. Patient Aligned Care Teams (PACT) Demonstration Labs [Cyberseminar]. HSR&D. 2017 Jul 24.
  • Hecht MI, Hanks D, Nelson KM. Short Video-06: VA HSR&D Investigator Insights: Evaluating VAs Patient Aligned Care Team (PACT) Model. 2017 Jul 1. 7 (6). Available from:
  • Lampman L, Solimeo SL, Stewart G, Stockdale SE. Enhancing PACT Implementation Through Qualitative Research. FORUM: Translating Research Into Quality Health Care for Veterans. 2017 Jun 1; 2017(Spring): 5.

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Publication Briefs

(5 of more than 109 PACT focused publication briefs)

  • More Patient-Aligned Care Team Components Translates to Improved Quality of Care for Veterans with Chronic Disease
    This study examined whether the extent to which clinics had implemented PACT components was associated with improvements in the quality of care for Veterans with chronic conditions over a four year period. Findings showed that over four years concurrent with PACT implementation, primary care clinics with the most PACT components in place had greater improvements in 5 of 7 chronic disease intermedi...
    Date: November 20, 2017
  • VA Experience with Implementing Intensive Primary Care Programs for Veterans at Highest Risk
    This case study describes VA’s experience with implementing intensive primary care programs, as well as the program elements that appear to be necessary to meet the complex care needs of these high-risk Veterans. Findings showed that the PACT Intensive Management program (PIM) has been successfully implemented for more than three years at five demonstration sites in the VA healthcare system. The P...
    Date: October 25, 2017
  • Impact of Intensive BP Therapy on Patient-Reported Outcomes
    This randomized controlled trial compared two strategies for managing systolic blood pressure (SBP) in older adults with hypertension – an intensive strategy with an SBP target of <120 mmHg versus a standard care strategy targeting <140 mmHg – and whether such intensive therapy affects patient-reported outcomes. Findings showed that intensive therapy resulted in a 14.8 mmHg lower blood pressure co...
    Date: August 24, 2017
  • Effects of Cannabis among Adults with Chronic Pain
    This systematic review assesses the efficacy of cannabis for treating chronic pain, and provides a broad overview of the short- and long-term physical and mental health effects of cannabis use in chronic pain and general patient populations. Overall, investigators found low-strength evidence that cannabis may improve pain in some patients with neuropathic pain and insufficient evidence to characte...
    Date: August 5, 2017
  • A Positive Psychological Intervention Improves Outcomes for Veterans with Knee or Hip Osteoarthritis
    This study sought to determine whether patients randomized to a program designed to boost positive affect and develop positive psychological skills (e.g., gratitude and kindness) would report greater improvements over time in osteoarthritis (OA) symptom severity and measures of psychosocial well-being compared with patients randomized to a neutral control program. Findings showed that the 6-week p...
    Date: June 27, 2017

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( 5 of more than 67 PACT focused projects )

Project No.  Title  PI  Funding Start   
IIR 14-073 An Effectiveness Trial of the Triage Algorithm for PACT Pharmacy Services Lund, Brian 2016-01-01
IIR 14-074 Engaging Veterans and Family Supporters in PACT to Improve Diabetes Management Rosland, Ann-Marie 2015-06-01
IIR 12-383 Linking Clinician Interaction and Coordination to Clinical Performance in VA PACT Hysong, Sylvia 2014-04-01
IIR 12-407 Using Peer Mentors to Support PACT Team Efforts to Improve Diabetes Control Long, Judith 2014-04-01
IIR 12-385 Integrating HIV Care in VA: Extending PACT Principles to Specialty Care Bokhour, Barbara 2014-02-01

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HSR&D Briefs, Reports, Newsletters

5 sample "PACT" publications displayed.

  • Report on Integrating Mental Health Into PACT (IMHIP) in the VA
    ...Report on Integrating Mental Health Into PACT (IMHIP) in the VA Report on Integrating Mental Health Into PACT (IMHIP) in the VA In August 2012,...

  • Management Briefs
    ...Articles focus on its roll-out, as well as its evaluation. The PACT initiative incorporates rigorous evaluation through five PACT Demonstration...

  • May 2011 FORUM integration teams. Substantial efforts are underway to strengthen PACT members' competencies and to build PACT capacity for pain management....

  • August 2014 FORUM Improving care coordination and transitions of care for Veterans is an important and primary focus of PACT. PACT policy, metrics, and...

  • August 2014 FORUM Improving care coordination and transitions of care for Veterans is an important and primary focus of PACT. PACT policy, metrics, and...

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The most recent "PACT" seminars are displayed.

Date Title Presenter(s)
5/16/2018 1) PACT National Survey Review and Update and 2) Measurement of Workforce Burnout and the Effect of Survey Nonresponse Simonetti, Joe  
Stewart, Gregory  
4/18/2018 Implementation of the Geriatric Patient-Aligned Care Team (GeriPACT) in the Veterans Health Administration Sullivan, Jenny  
3/21/2018 Beyond Open-Ended Questions: Purposeful Interview Guide Development to Elicit Rich, Trustworthy Data Sayre, George  
Young, Jessica  
2/21/2018 Timely Care in Primary Care: My VA Access Evaluation and Primary Care Analytics and Evaluation Unit Kaboli, Peter  
Batten, Adam  
1/17/2018 Primary Care - Mental Health Integration: Improving Mental Health Care Access for VA Primary Care Patients Leung, Lucinda  

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Other Resources

  • VISN 4's Center for Evaluation of PACT (CEPACT) is one of four Demonstration Labs funded by VA and HSR&D to evaluate the implementation of the Patient-Aligned Care Team (PACT) model. Read about research and leadership highlights from FY2010 through FY2014 in these CEPACT Fact Sheets. For more information, visit the CEPACT website at
  • Learn more about the research being conducted within HSR&D's PACT CREATE (Collaborative Research to Enhance and Advance Transformation and Excellence) initiative.
  • To find tools, resources, and more information about various aspects of the PACT model, visit the VA's Office of Patient Care Services PACT website.
  • Visit the HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy and learn more about their research into supporting the PACT model of care delivery.

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