Using the PACT Resources Framework to Understand the Needs of Geriatric Primary Care Teams

Samantha L Solimeo; Melissa J A Steffen; Ellen E Gardner; Omonyêlé Adjognon; Marlena H Shin; Jennifer Moye; Jennifer L Sullivan

doi:10.1111/jgs.16498

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Using the PACT Resources Framework to Understand the Needs of Geriatric Primary Care Teams

Journal article

Open access

Peer reviewed

Using the PACT Resources Framework to Understand the Needs of Geriatric Primary Care Teams

Samantha L Solimeo, Melissa J A Steffen, Ellen E Gardner, Omonyêlé Adjognon, Marlena H Shin, Jennifer Moye and Jennifer L Sullivan

Journal of the American Geriatrics Society (JAGS), Vol.68(9), pp.2006-2014

09/2020

DOI: 10.1111/jgs.16498

PMCID: PMC10262174

PMID: 32379919

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https://pmc.ncbi.nlm.nih.gov/articles/PMC10262174/pdf/nihms-1907035.pdfView

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Abstract

To identify the perceived organizational resources required by healthcare workers to deliver geriatric primary care in a geriatric patient aligned care team (GeriPACT). Cross-sectional observational study using deductive analyses of qualitative interviews conducted with GeriPACT team members. GeriPACTs practicing at eight geographically dispersed Department of Veterans Affairs (VA) healthcare systems. GeriPACT clinicians, nurses, clerical associates, clinical pharmacists, and social workers (n = 67). Semistructured qualitative interviews conducted in person, transcribed, and then analyzed using the PACT Resources Framework. Using the PACT Resources Framework, we identified facility-, clinic-, and team-level resources critical for GeriPACT implementation. Resources within each level reflect how the needs of older adults with complex comorbidity intersect with general population primary care medical home practice. GeriPACT implementation is facilitated by attention to patient characteristics such as cognitive impairment, ambulatory limitations, or social support services in staffing and resourcing teams. Models of geriatric primary care such as GeriPACT must be implemented with an eye toward the most effective use of our most limited resource-trained geriatricians. In contrast to much of the literature on medical home teams serving a general adult population, interviews with GeriPACT members emphasize how patient needs inform all aspects of practice design including universal accessibility, near real-time response to patient needs, and ongoing interdisciplinary care coordination. Examination of GeriPACT implementation resources through the lens of traditional primary care teams illustrates the importance of tailoring primary care design to the needs of older adults with complex comorbidity.

Aged

Cross-Sectional Studies

Geriatrics

Health Resources - organization & administration

Humans

Interviews as Topic

Patient Care Team - organization & administration

Patient-Centered Care - organization & administration

Primary Health Care - organization & administration

Qualitative Research

United States

United States Department of Veterans Affairs

Details

Title: Subtitle: Using the PACT Resources Framework to Understand the Needs of Geriatric Primary Care Teams
Creators: Samantha L Solimeo - Iowa City VA Health Care System
Melissa J A Steffen - Iowa City VA Health Care System
Ellen E Gardner - University of Minnesota
Omonyêlé Adjognon - VA Boston Healthcare System
Marlena H Shin - VA Boston Healthcare System
Jennifer Moye - Harvard University
Jennifer L Sullivan - Boston University
Resource Type: Journal article
Publication Details: Journal of the American Geriatrics Society (JAGS), Vol.68(9), pp.2006-2014
DOI: 10.1111/jgs.16498
PMID: 32379919
PMCID: PMC10262174
NLM abbreviation: J Am Geriatr Soc
ISSN: 0002-8614
eISSN: 1532-5415
Grant note: PEI-15-468 / VA CDA 13-272 / VA IK2 HX001542 / HSRD VA CIN 13-412 / VA
Language: English
Date published: 09/2020
Academic Unit: General Internal Medicine; Internal Medicine
Record Identifier: 9984359827602771

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