Primary Health Care Clinical Trial
Official title:
PIM 2.0: Patient Aligned Care Team (PACT) Intensive Management (PIM) Project
Purpose: Implement a Patient Aligned Care Team (PACT) model that identifies and proactively
manages Veterans at the highest risk for hospital admission and death while the patient is
still in the ambulatory care setting.
Goal:
- Reduce emergency department and urgent care utilization, hospitalization, and mortality
in complex, high risk patients
- Improve Veteran and staff satisfaction
Objectives:
- Maintain the patient in the home setting as much as possible
- Secure appropriate home environment to facilitate health and well-being
- Utilize comprehensive team-based care
- Engage appropriate Veteran Health Administration (VHA) programs to provide
interdisciplinary, coordinated, and timely management of complex medical issues
n/a
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