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• Examining the Investment in Caring for High-Needs Patients
  Since 2013, VA has invested more than $22 million in fostering and testing interventions within patient-centered medical homes at five demonstration sites to improve care for Veterans at highest risk for hospitalizations or death. In this commentary, VA authors involved in this project, known as the VA PACT Intensive Management program, reflect on lessons learned about improving care for this popu...
  
  Date: September 10, 2021
• Brief Training Increases Discussions between VA Providers and Veterans on Firearm Safety to Reduce Suicide
  This study evaluated the impact of a one-hour educational seminar for VA clinicians on lethal means safety, “A Public Health Approach to Talking About Firearms and Death by Suicide.” Findings showed that the webinar was effective in providing clinicians with the skills to talk with Veterans about firearm safety, and it continued to impact their practice four months after training. After the traini...
  
  Date: July 1, 2021
• Primary Care Intensive Management for High-Risk VA Patients Did Not Improve Long-term (12-24 Month) Outcomes or Costs
  This randomized trial tested whether primary care intensive management (PIM) teams could decrease acute care use, such as emergency department visits and hospitalizations, among high-risk Veterans during the second year of PIM implementation. Findings showed that offering an intensive case management program in addition to routine primary care services for high-risk patients increased outpatient u...
  
  Date: June 18, 2021
• Healthcare Supplement Features HSR&D Articles on the Importance of Embedded Research
  This supplemental issue of the journal Healthcare: The Journal of Delivery Science and Innovation considers the impact of embedded research on solving the disconnect between healthcare organizations and health services researchers. In November 2019, a national meeting was organized by a trio of Federal funders – VA, the Agency for Healthcare Research and Quality (AHRQ), and the Patient-Centered Ou...
  
  Date: June 1, 2021
• Gender Differences in Relationship between Civility and Burnout among VA Primary Care Providers
  This study analyzed gender differences in civility, burnout, and the relationship between civility and burnout among male and female primary care providers (PCPs). Findings showed that greater workplace civility was significantly associated with lower odds of burnout for women, reflecting that in workplaces with higher civility, women were less impacted by burnout. However, workplace civility was ...
  
  Date: April 26, 2021

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• PACT Social Work Staffing Program Evaluated by SERVE QUERI

  ...PACT Social Work Staffing Program Evaluated by SERVE QUERI HSR&D’s monthly publication...within patient-aligned care teams (PACTs) may be especially suited to identify

• Engaging Veterans and Family Supporters in PACT to Improve Diabetes Care || In Progress

  Engaging Veterans and Family Supporters in PACT to Improve Diabetes Care Feature Article...or hyperlipidemia. The nationwide VA PACT (Patient-Aligned Care Teams) initiative

• PACT to Improve Healthcare for People with Serious Mental Illness || In Progress

  Health Conditions » Table of Contents PACT to Improve Healthcare for People with...under the Patent-Aligned Care Team (PACT) model, based on the Patient-Centered

• Overview: Advancements in VA Primary Care || In Progress

  ...through Patient Aligned Care Teams or PACTs, which normally include a primary care...incorporation of mental health staff into the PACT, allowing for the treatment of depression...through Patient Aligned Care Teams or PACTs, which normally include a primary care...incorporation of mental health staff into the PACT, allowing for the treatment of depression

• Team-Delivered Intervention for Smoking and Hazardous Drinking for Veterans with CVD Treated in Primary Care || In Progress

  ...through Patient Aligned Care Teams or PACTs, which normally include a primary care...incorporation of mental health staff into the PACT, allowing for the treatment of depression...way. VA Patient Aligned Care Teams (PACTs) screen all patients annually for alcohol...alcohol and tobacco use, and thus the PACT platform is an ideal way to reach these

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Videos

• Evaluating VA's Patient Aligned Care Team Model 03/08/17

Podcasts

• The Impact of Rural Social Workers and Patient-Aligned Care Teams 06/13/2019
• VA Community Care 07/20/2017
• Communities of Practice 06/27/2017

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 https://www.visn4.va.gov/VISN4/CEPACT/index.asp.
• 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.