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Louisville VA Medical Center
Patient Aligned Care Team — Coming Soon to a CBOC Near You!
Wednesday, October 20, 2010Patient Aligned Care Team — Coming Soon to a CBOC Near You! Along with VA, the Robley Rex VA Medical Center is currently undertaking one of the biggest cultural change efforts in recent history. Patient Aligned Care Teams (PACT) are in the process of being implemented at all VA Primary Care Sites. The goal of PACT is to improve Primary Care delivery by increasing: access, coordination of care, continuity of care and improving communication.
What is a Patient Aligned Care Team (PACT)?
PACT is a patient-driven, team based approach to providing total health care and delivers efficient, comprehensive and continuous care through active communication and coordination of resources. It puts the relationship with the provider and the team at the center of the patient's care.
The principles of PACT include having an ongoing relationship with a Primary Care Provider, whole person orientation of care, enhanced access to care and coordination of care across the entire health care system.
Each patient will be at the center of a "teamlet", which will include a Primary Care Provider, RN Care Manager, LPN/Health-tech and a Medical Support Assistant (MSA). This teamlet is supported by a broader "Team" which includes social workers, dieticians, pharmacists, mental health providers and case managers.
PACT will improve coordination of inpatient to outpatient care, primary care to specialty care and VA and non-VA co-managed care. The RN Care Manager and teamlet will assist the patient across all spectrums of care.
What are the 7 Principles of PACT?
- Patient Driven – Care focuses on the person not the condition/disease
- Team Based —Team takes responsibility for the patient's ongoing care
- Efficient — Technology utilized to support optimal patient care
- Comprehensive — Provide education, preventive care services, lifestyle coaching to deliver whole person oriented care
- Continuous – Continuity of care with the Primary Care Provider is essential
- Communication — with the patient and the team needs to be honest, respectful, reliable and culturally sensitive
- Coordination — Information from multiple sources is pulled together by the Primary care team, in partnership with the patient, to develop the plan of care