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Health Systems Research

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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.

Each section below is populated by a search of the HSR website. Search results are generated based on the search term "PACT". Results are updated as new data are available.

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



Citations

(5 of more than 121 PACT focused publications)



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Publication Briefs

(5 of more than 154 PACT focused publication briefs)


  • Substantial Health Risks Remain for Veterans Two Years after Hospitalization for COVID-19
    Investigators in this study conducted a comprehensive assessment of the risks and burdens of post-acute sequelae of COVID-19 among Veterans across care settings two years post-infection. Findings showed that while the risks of many sequelae became non-statistically significant at two years, substantial risk remained that impacted several major organ systems. The risk horizon for those hospitalized...
    Date: August 21, 2023
  • Deployment of Medical Scribes Improves Provider Productivity and Wait Times in Cardiology and Orthopedics
    This study evaluated the impact of medical scribes on VHA provider productivity, wait times, and patient satisfaction in cardiology and orthopedics, as mandated by the MISSION Act. Findings showed that randomization into the scribes pilot was associated with increased productivity in cardiology and orthopedics, decreased wait times in orthopedics, and no changes in patient satisfaction. Randomizat...
    Date: July 1, 2023
  • Intervention for Patient-Family Dyads Improves Outcomes for Veterans with Diabetes
    Researchers designed the Caring Others Increasing Engagement in Patient Aligned Care Teams (CO-IMPACT) intervention to provide training and tools to adult patient-supporter dyads. This randomized clinical trial evaluated the CO-IMPACT intervention compared with standard care among Veterans with diabetes and HbA1c>8% or systolic blood pressure (SBP)>150mmHg, each with an adult supporter (239 dyads)...
    Date: November 14, 2022
  • Difficulty of Diagnosing and Treating Veterans Suspected of Having Long COVID
    Using data from VA’s electronic health record (EHR), investigators identified a random, nation-wide sample of 200 VA patients who were assigned a new ICD-10 diagnostic code for long COVID between October 1, 2021, and March 1, 2022. Investigators then conducted a text word search and qualitative analysis of Veterans’ EHRs to identify dominant themes pertaining to the diagnosis and management of lon...
    Date: November 3, 2022
  • Timeliness of VA Purchased Community Primary Care Did Not Improve Following Early Expansion Under MISSION Act
    This study examined whether early Community Care Network (CCN) implementation impacted community primary care (PC) appointment wait times. Findings showed that expanded contracting with community providers and new provider network adequacy standards implemented through CCNs did not, in early stages, improve the timeliness of community primary care for Veterans. Wait times increased sharply for bot...
    Date: October 28, 2022

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Studies

( 5 of more than 82 PACT focused projects )

Project No.  Title  PI  Funding Start   
IIR 21-151 Identifying and testing a tailored strategy to achieve equity in blood pressure control in PACT Mohanty, April 2023-04-01
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

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Cyberseminars

The most recent "PACT" seminars are displayed.

Date Title Presenter(s)

There are currently no Cyberseminars for this topic.

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Videos


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Podcasts


There are currently no podcasts for this topic.

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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 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'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 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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