Health Services Research & Development

• Chang ET, Stockdale SE. What do Patient-Aligned Care Teams (PACT) Need to Improve Care for Patients at High-risk for Hospitalization or Mortality? Results from the PACT Intensive Management Evaluation. Patient Aligned Care Teams (PACT) Demonstration Labs [Cyberseminar]. VA HSR&D. 2019 May 15.
• Cordasco KM, Saifu HN, Song HS, Hsiao JJ, Khafaf M, Doyle B, Rubenstein LV, Chrystal JG, Bharath P, Ganz DA. The ED-PACT Tool Initiative: Communicating Veterans' Care Needs After Emergency Department Visits. Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 2019 Apr 12.
• Jones AL, Hausmann LRM, Kertesz SG, Suo Y, Cashy JP, Mor MK, Pettey WBP, Schaefer JH, Gordon AJ, Gundlapalli AV. Providing Positive Primary Care Experiences for Homeless Veterans Through Tailored Medical Homes: The Veterans Health Administration's Homeless Patient Aligned Care Teams. Medical care. 2019 Apr 1; 57(4):270-278.
• Adams AL, Cadle RM, Amspoker A, Martin L, Wilmer SR, Fernandez JM, Pereira CE, Shah RM, Woodard LD, Hatfield CL. Preliminary evaluation of pharmacy resident integration within an academic interprofessional patient aligned care team at a Veterans Affairs Academic Medical Center. Journal of interprofessional education & practice. 2019 Mar 8; 15(2019):55-59.
• Trivedi R, Sylling P, Post EP, Wong ES, Mori AM, Fihn SD, Nelson K. Comparing Preventable Hospitalizations Among Veterans With and Without Mental Illnesses Before and After Implementation of PACT. Psychiatric services (Washington, D.C.). 2018 Dec 1; 69(12):1252-1258.

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• Mental Health Integration in VA Primary Care Settings Increased Access to Care – and Costs
  This study examined the effect of the Primary Care-Mental Health Integration Program (PC-MHI) on healthcare use and cost patterns among 5.4 million primary care patients in 396 VA clinics (FY2014-FY2016), while also accounting for the implementation of VA’s Patient Aligned Care Team (PACT) model of care. Investigators assessed VA outpatient and inpatient care and total cost of VA care as a functio...
  
  Date: August 1, 2019
• Effect of Intensive Primary Care on Patient Experience Outcomes
  To address the gap in evidence about patient experiences with intensive primary care, study investigators conducted a survey of Veterans in a five-site randomized trial of intensive primary care in the VA healthcare system. Findings showed that augmenting VA’s patient-centered medical home with intensive primary care had a modestly positive influence on high-risk patients’ experiences with care co...
  
  Date: May 1, 2019
• Benefits of Medical Home Model Tailored for Homeless Veterans Versus Standard Primary Care
  This study examined whether a homeless-tailored medical home model (H-PACT) offers a better patient experience than standard VA primary care. Findings showed that Veterans empaneled in H-PACT were more likely than those receiving standard primary care in the same facilities to report positive experiences with access, communication, office staff, provider ratings, and comprehensiveness. Veterans re...
  
  Date: April 1, 2019
• Positive Effect of Collaborative Chronic Care Model on Mental Health Clinical Teams
  This is one of the first studies to evaluate Collaborative Chronic Care Model (CCM) implementation for individuals treated in mental health clinics, and the first CCM trial to assess implementation impact in a multi-diagnosis mental health population. Findings showed that implementation efforts at the clinician level enhance evidence-based care organization, which may result in improvements in out...
  
  Date: March 1, 2019
• Women’s Health VA Stakeholders Discuss “Ideal” Care
  As part of a multisite implementation trial of evidence-based quality improvement for tailoring PACT to women Veterans’ healthcare needs, investigators conducted semi-structured interviews with 86 local leaders. At the conclusion of interviews about women’s primary care, participants were asked to describe their conceptualizations of “ideal care” for women Veterans. Respondents commonly discussed ...
  
  Date: January 1, 2019

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• FORUM, August 2014: Care coordination and PACT
  ...FORUM, August 2014: Care coordination and PACT HSR&D Home August 2014 Download PDF version (318 KB) In This Issue Director's Letter Director's...
  
  
• FORUM, October 2014: Care coordination and PACT, research highlights, announcements
  ...FORUM, October 2014: Care coordination and PACT, research highlights, announcements HSR&D Home October 2014 Download PDF version (251 KB) In This...
  
  
• FORUM, August 2014: Care coordination and PACT
  ...FORUM, August 2014: Care coordination and PACT HSR&D Home August 2014 » Back to Table of Contents Research Highlight Facilitating Care Transitions...
  
  
• FORUM, August 2014: Care coordination and PACT
  ...FORUM, August 2014: Care coordination and PACT HSR&D Home August 2014 » Back to Table of Contents Research Highlight Opportunities for Improved...
  
  
• FORUM, August 2014: Care coordination and PACT
  ...FORUM, August 2014: Care coordination and PACT HSR&D Home August 2014 » Back to Table of Contents Research Highlight Improving Care Coordination...
  
  

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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.