PDF handout - HSR&D

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Patient Aligned Care Team (PACT) initiative background • VHA’s patient-centered medical home model • Launched April 2010 • Multiple components – Emphasis on team-based care • PCP, RN care manager, clinical assoc. & clerical assistant • Share responsibility for defined panel of patients – Scheduling & alternatives to in-person visits; – Use of nurse care managers and additional health promotion support VETERANS HEALTH ADMINISTRATION
Patient Aligned Care Team (PACT) initiative background • Resources to support PACT implementation – Funding to support the expanded staffing model – Training, e.g., Regional Learning Collaboratives w/ VA Systems Redesign • 5 PACT Demonstration Laboratories: VISNs 4, 11, 20, 22 & 23 • National Demo Lab Coordinating Center VETERANS HEALTH ADMINISTRATION
Page 1 and 2: PACT Implementation: Findings from
Page 3: Participant question • Do you hav
Page 7 and 8: Overview • May 2012, PACT Demo La
Page 9 and 10: Respondent demographics for PACT su
Page 11 and 12: How do team members showing signs o
Page 13 and 14: Differences between team members sh
Page 15 and 16: Comparing burnout, team functioning
Page 17 and 18: % reporting “much” or “a lot
Page 19 and 20: How do nurse care managers showing
Page 21 and 22: How do PCPs showing signs of burnou
Page 23 and 24: Differences between PCPs showing si
Page 25 and 26: Conclusions • High levels of burn
Page 27 and 28: VISN 20 PACT Demonstration Lab: sta
Page 29 and 30: Respondent Characteristics N Respon
Page 31 and 32: Percent who endorse each level of b
Page 33 and 34: Burnout and Job Satisfaction % Some
Page 35 and 36: % Who Perceive Barriers to Patient
Page 37 and 38: Perception of team functioning & wo
Page 39 and 40: Summary (continued) • Burnout and
Page 41 and 42: Patient Surveys Practice Surveys El
Page 43 and 44: VISN 22 PACT Surveys • Track chan
Page 45 and 46: Response Rates • By Demo Site Gro
Page 48 and 49: Burnout has consequences • Negati
Page 50 and 51: Components of Burnout α=.90 (total
Page 52 and 53: Burnout Differs By Job Type (Total
Page 54 and 55:
Cynicism Differs By Job Type Low Me
Page 56 and 57:
Burnout differs by Medical Center L
Page 58 and 59:
Organizational Functioning Measures
Page 60 and 61:
Summary of Regression Models for EE
Page 62 and 63:
Burnout is lower among those who fi
Page 64:
Questions Lisa S. Meredith, Ph.D. S
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