Patient Aligned Care Teams (PACT)

VA's Journey to Implement Patient-Centered Medical Homes

Published in: Journal General Internal Medicine, v. 29, no. 2, Supplement, July 2014, p. S547-S549

Posted on on June 30, 2014

by Elizabeth Yano, Matthew J. Bair, Olveen Carrasquillo, Sarah L. Krein, Lisa V. Rubenstein

Read More

Access further information on this document at Journal General Internal Medicine

This article was published outside of RAND. The full text of the article can be found at the link above.

In 2010, the US Department of Veterans Affairs (VA) launched national implementation of patient-centered medical homes (PCMH) through the Patient Aligned Care Teams (PACT) initiative, as described by Gordon Schectman and Richard Stark, the chief architects of PACT, in their commentary to this Supplement. Concurrently, the PACT initiative aimed to incorporate rigorous formative and summative evaluation of PACT implementation and to promote PACT-related innovation development and testing. To accomplish these goals, the initiative established a national evaluation team (based in Seattle) and competitively funded five PACT Demonstration Laboratories (in Ann Arbor, Los Angeles, Iowa City, Philadelphia, and Portland). In addition, embedded health services researchers and clinical leader partners from outside the Demonstration Laboratories undertook relevant studies. Together, the implementation and evaluation components of PACT as reported in this Supplement's articles document opportunities.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.