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



Citations

(5 of more than 111 PACT focused publications)


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Publication Briefs

(5 of more than 119 PACT focused publication briefs)

  • VA Geriatric Patient Aligned Care Teams Need Additional Mental Health Integration for Older Veterans
    Geriatric Patient Aligned Care Teams (GeriPACT) provide healthcare for a subset of older Veterans with chronic disease, functional dependency, cognitive decline, and psychosocial challenges. This study examines mental healthcare integration within GeriPACT by describing the role of psychiatrists/psychologists to help inform geriatric mental health policy. Findings showed that mental health integra...
    Date: September 13, 2018
  • LGBT Women Veterans Report Missing Needed Health Care Due to Concerns about Interacting with Other Veterans
    This study sought to examine LGBT women Veterans’ experiences within the VA healthcare system, and whether their experiences impact use of VA care. Findings showed that the majority of women Veterans reported feeling welcome at their VA. However, fewer LGBT women reported feeling welcome and safe at VA compared with non-LGBT women Veterans. After controlling for demographics, health status, and p...
    Date: July 1, 2018
  • Homeless Veterans Report More Positive Experiences in Facilities with Homeless-Tailored Primary Care Teams
    In 2012, VA implemented homeless-tailored primary care teams (HPACTs) that could improve the primary care experience for homeless patients. This study compared the primary care experiences of homeless and non-homeless Veterans from 25 VA facilities that had HPACTs available in 2012 and 485 facilities lacking HPACTs. Findings showed that in facilities lacking HPACT programs, homeless Veterans repor...
    Date: July 1, 2018
  • Systematic Review: Pay-for-Performance and VA Healthcare
    Investigators sought to identify studies that examined the effects of pay-for-performance (P4P) on the quality of care and health of Veterans, including potential unintended consequences, as well as program design features and implementation factors important to P4P both within VA and in the community. Findings showed that overall, evidence is insufficient to determine whether P4P results in durab...
    Date: July 1, 2018
  • High-Risk Veterans with Access to Primary Care Intensive Management Receive Increased Outpatient Care without Increased Cost
    Intensive Management (IM) models aim to proactively reduce complex patients’ deteriorations in health and resultant high-cost hospitalizations through interdisciplinary teams, care coordination, and support for care transitions. This study evaluated the impact of outpatient primary care IM programs on health care utilization and cost at five VA medical centers. Findings showed that Veterans receiv...
    Date: June 19, 2018

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Studies

( 5 of more than 68 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.

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Cyberseminars

The most recent "PACT" seminars are displayed.

Date Title Presenter(s)
12/19/2018 Measuring Access to Care in VHA: Novel Metrics and Future Possibilities Kaboli, Peter  
Augustine, Matthew  
11/14/2018 Impact on High-cost Healthcare Utilization due to Changes in the Patient-centered Medical Home Implementation 2012 to 2015 Reddy, Ashok  
10/17/2018 Managing Primary Care Access in Healthcare Systems: A Complex Challenge Hempel, Susanne  
Kirsh, Susan  
Miake-Lye, Isomi  
Rubenstein, Lisa  
9/19/2018 Tools to Improve Primary Care-Specialty Care Referrals in VHA Vimalananda, Varsha  
7/18/2018 Veterans with Service Connected Conditions: Demographics, Military Service Characteristics, Health Care Utilization, Survival and Cause of Death Maynard, Charles  

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Videos

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Podcasts

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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 http://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.

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