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Coordinated Care - PACT

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 The third component of PACT is more coordinated care among all team members.

Coordinated care is done through collaboration. Each member of the team has a clearly defined role and knows how to relate to others on the team. Team members meet often to talk with Veterans and each other, about the patient’s health care goals and the progress toward achieving them. They coordinate all aspects of the Veteran’s health care within the PACT and with other care teams outside the primary care system, if needed.

PACT members oversee the transitions from the primary care team to specialists, and to other health care professionals who are part of the Veteran’s health care plan. If needed, the care team coordinates the transition during emergency room services, inpatient stays, or dual care with non-VA clinicians. In addition, they work with the Veteran on private sector referrals and arrange for community resources when needed.

PACT uses tools such as VA’s Computerized Patient Record System (CPRS), and in some locations with the Nationwide Health Information Network. Also, VA’s vast Electronic Health Record readily facilitates PACT processes and coordination of care.

The PACT concept aims to provide for all the Veteran’s health care needs, or coordinate care with other qualified professionals. The team works with the Veteran to plan for life-long health. The focus is on building trusted, personal relationships that promote open communication and sharing of information. The goals include improved quality of care and patient safety.