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 | Topic Spotlight | Cyberseminars | Videos | Podcasts | Other Resources
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Citations
(5 of more than 117 PACT focused publications)
- Solimeo SL, Steffen MJA, Gardner EE, Adjognon O, Shin MH, Moye J, Sullivan JL. Using the PACT Resources Framework to Understand the Needs of Geriatric Primary Care Teams. Journal of the American Geriatrics Society. 2020 May 7.
- 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.
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Publication Briefs
(5 of more than 133 PACT focused publication briefs)
- Project Identifies and Validates Recommendations to Stop or Scale Back Unnecessary Routine Services in Primary Care
Investigators in this study conducted a focused review of existing guidelines and recommendations – concentrating primarily on those published between 2011 and 2016 – to identify potential deintensification recommendations related to routine primary care. Investigators reconfigured about 50 high-priority recommendations by explicitly defining and specifying the deintensification action and appropr...
Date: September 14, 2020
- Primary Care Intensive Management Teams Impact Medication Management for Diabetes and Hyperlipidemia
This study examined the impact of primary care intensive management (PIM) on adherence to medications and medication adjustments including changes in number of drugs filled, switches between drug classes, added or discontinued prescriptions, and dose changes. Findings showed that PIM teams appear to have contributed to medication management for diabetes and hyperlipidemia. Medication adherence imp...
Date: August 7, 2020
- Contextualized Care Planning Results in Improved Veteran Outcomes and Significant Cost Savings
Contextualizing care is the process of adapting research evidence to patient context. For example, recognizing that a patient is not managing their diabetes because they cannot afford the medication and switching them to a less costly alternative is a contextualized care plan. This study evaluated the effectiveness of a quality improvement program in which providers receive ongoing feedback on the...
Date: July 31, 2020
- VA Patients Have Fewer Potentially Avoidable Hospitalizations Post-Chemotherapy than Medicare Patients
The Centers for Medicare and Medicaid Services (CMS) released a new quality measure to reduce potentially avoidable hospital admissions among patients receiving outpatient chemotherapy. In this study, investigators used this CMS measure to compare the quality of care received by chemotherapy patients treated through traditional Fee-for-Service Medicare versus VA, using a cohort of dually-enrolled ...
Date: July 15, 2020
- Both PTSD Symptoms and Moral Injury are Associated with Adverse Perinatal Outcomes among Women Veterans
This longitudinal study is the first to examine the impact of PTSD symptoms and moral injury on adverse perinatal outcomes among women who became pregnant in the first three years after separating from military service. Findings showed that after adjusting for age, racial/ethnic minority status, socioeconomic status, and lifetime trauma, both PTSD symptoms and moral injury were associated with adv...
Date: June 1, 2020
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Studies
( 5 of more than 80 PACT focused projects
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| Project No. |
Title |
PI |
Funding Start |
| IIR 14-073
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An Effectiveness Trial of the Triage Algorithm for PACT Pharmacy Services |
Lund, Brian |
2016-01-01 |
| IIR 14-074
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Engaging Veterans and Family Supporters in PACT to Improve Diabetes Management |
Rosland, Ann-Marie |
2015-06-01 |
| IIR 12-383
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Linking Clinician Interaction and Coordination to Clinical Performance in VA PACT |
Hysong, Sylvia |
2014-04-01 |
| IIR 12-407
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Using Peer Mentors to Support PACT Team Efforts to Improve Diabetes Control |
Long, Judith |
2014-04-01 |
| IIR 12-385
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Integrating HIV Care in VA: Extending PACT Principles to Specialty Care |
Bokhour, Barbara |
2014-02-01 |
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Topic Spotlight
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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 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.
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