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 RAND.org on June 30, 2014

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

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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.

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