Journal article
Geriatric Patient-Aligned Care Teams in Department of Veterans Affairs: How Are They Structured?
Geriatrics (Basel), Vol.3(3), p.46
09/2018
DOI: 10.3390/geriatrics3030046
PMCID: PMC6196730
PMID: 30364554
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.
Details
- Title: Subtitle
- Geriatric Patient-Aligned Care Teams in Department of Veterans Affairs: How Are They Structured?
- Creators
- Jennifer L Sullivan - Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany St, Talbot Building, Boston, MA 02118, USAMarlena H Shin - Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA; marlena.shin@va.gov (M.H.S.); omonyele.adjognon@va.gov (O.L.A.); kimberly.harvey@va.gov (K.H.); jennifer.moye@va.gov (J.M.)Omonyêlé L Adjognon - Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA; marlena.shin@va.gov (M.H.S.); omonyele.adjognon@va.gov (O.L.A.); kimberly.harvey@va.gov (K.H.); jennifer.moye@va.gov (J.M.)Kenneth Shay - US Department of Veterans Affairs, Office of Geriatrics and Extended Care (GEC) (10NC4), Washington, DC 20420, USA; kenneth.shay@va.govKimberly Harvey - Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA; marlena.shin@va.gov (M.H.S.); omonyele.adjognon@va.gov (O.L.A.); kimberly.harvey@va.gov (K.H.); jennifer.moye@va.gov (J.M.)Orna Intrator - VA Geriatrics and Extended Care Data Analysis Center (GEC DAC), Canandaigua VA Medical Center, 400 Fort Hill Ave, Canandaigua, NY 14424, USAEnzo Yaksic - Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USA; enzo.yaksic@va.govJennifer Moye - New England Geriatric Research Education and Clinical Center (GRECC), VA Boston Healthcare System, 150 S. Huntington Ave (152M), Boston, MA 02130, USASamantha Solimeo - Department of General Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
- Resource Type
- Journal article
- Publication Details
- Geriatrics (Basel), Vol.3(3), p.46
- DOI
- 10.3390/geriatrics3030046
- PMID
- 30364554
- PMCID
- PMC6196730
- NLM abbreviation
- Geriatrics (Basel)
- ISSN
- 2308-3417
- eISSN
- 2308-3417
- Grant note
- IK2 HX001542 / HSRD VA VA999999 / VA
- Language
- English
- Date published
- 09/2018
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094590502771
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