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Geriatrics 2018, 3(3), 46; https://doi.org/10.3390/geriatrics3030046

Geriatric Patient-Aligned Care Teams in Department of Veterans Affairs: How Are They Structured?

1
Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA
2
Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany St, Talbot Building, Boston, MA 02118, USA
3
US Department of Veterans Affairs, Office of Geriatrics and Extended Care (GEC) (10NC4), Washington, DC 20420, USA
4
Department of Public Health Sciences, University of Rochester, 265 Crittenden Blvd, Rochester, NY 14642, USA
5
VA Geriatrics and Extended Care Data Analysis Center (GEC DAC), Canandaigua VA Medical Center, 400 Fort Hill Ave, Canandaigua, NY 14424, USA
6
Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA
7
New England Geriatric Research Education and Clinical Center (GRECC), VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA
8
Center for Comprehensive Access & Delivery Research & Evaluation Center and the Veterans Integrated Service Network (VISN) 23 Patient Aligned Care Team (PACT) Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA 52246, USA
9
Department of General Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
*
Author to whom correspondence should be addressed.
Received: 18 June 2018 / Revised: 27 July 2018 / Accepted: 30 July 2018 / Published: 1 August 2018
(This article belongs to the Special Issue Geriatric Care Models)
Full-Text   |   PDF [215 KB, uploaded 1 August 2018]

Abstract

Geriatric Patient-Aligned Care Teams (GeriPACT) were implemented in the Department of Veterans Affairs (VA) (i.e., Patient-Centered Medical Homes for older adults) to provide high quality coordinated care to older adults with more risk of negative health and psychosocial outcomes. The objectives of this paper are: (1) to present data on GeriPACT structural characteristics; and (2) to examine a composite measure of GeriPACT model consistency. We utilized a web survey targeting 71 physician leads resulting in a 62% response rate. We found GeriPACTs employed a range of staffing, empanelment, clinic space, and patient assignment practices. The mean value of the GeriPACT consistency measure was 2.03 (range: 1–4) and 6.3% of facilities were considered consistent to the GeriPACT model. We observed large variation in GeriPACT structure and in model consistency. More research is needed to understand how these variations are related to processes and outcomes of care. View Full-Text
Keywords: patient-centered medical homes; chronic disease; implementation; geriatrics patient-centered medical homes; chronic disease; implementation; geriatrics
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Sullivan, J.L.; Shin, M.H.; Adjognon, O.L.; Shay, K.; Harvey, K.; Intrator, O.; Yaksic, E.; Moye, J.; Solimeo, S. Geriatric Patient-Aligned Care Teams in Department of Veterans Affairs: How Are They Structured? Geriatrics 2018, 3, 46.

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