Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics

Association between Continuity and Team‐Based Care and Health Care Utilization: An Observational Study of Medicare‐Eligible Veterans in VA Patient Aligned Care Team

“…However, respondents were of similar demographics compared with a primary care sample from the VA All Employee Survey, distributed nationally (Helfrich et al. 2014a). In addition, the team‐based care score was derived from 4,819 surveys representing 626 VA clinics, making it one of the largest surveys to measure team‐based care.…”

“…The PACT Primary Care Personnel Survey is a VA instrument designed to measure several medical home functions (Helfrich et al. 2014a). The target population was all VA primary care personnel, including the 4 occupations comprising PACT teams: PCPs, nurse care managers, medical associates (e.g., licensed practical nurses and medical technicians), and administrative clerks.…”

“…While the survey instrument used to measure team‐based care had an estimated response rate of approximately 25 percent ( n = 4,819), respondents were of similar demographics compared with a primary care sample from the VA All Employee Survey (Helfrich et al. ,b). …”

Dedicated to the Mission: Strategies US Department of Veterans Affairs Home‐Based Primary Care Teams Apply to Keep Veterans at Home

“…HBPC IDT teams often are composed of a primary care provider (PCP), nurse care manager(s), social worker(s), dietician, pharmacist, rehabilitation therapist, mental health provider, and a program support assistant (PSA) . HBPC care is structured according to the Patient‐Aligned Care Team (PACT) model . Several studies have found evidence for the effectiveness of HBPC and PACT models within and outside of the VA, including fewer hospitalizations and reduced cost and better quality .…”

Patient‐Centered Medical Home Implementation and Improved Chronic Disease Quality: A Longitudinal Observational Study

“…PACT expanded PCP‐ and nurse‐patient ratios significantly, and it assigned patients to multidisciplinary primary care teams that include clinical pharmacists and social workers (Helfrich et al. ). This team structure may have helped PC teams provide more consistent and comprehensive chronic disease management and self‐management support that may have allowed patients to benefit from ongoing relationships with specific team members.…”