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Harry S. Truman Memorial Veterans’ Hospital


Patient Aligned Care Teams at Truman VA

Members from Dr. Adam’s teamlet in their daily huddle.

As part of the PACT initiative, each teamlet holds a daily huddle. Members of Dr. Adams’ teamlet, pictured left to right: Lenora Adams, DO; Winona Coleman-Broadus, RN; Nancy Johnson, Medical Support Assistant; Faith Andrulot, LPN. Dr. Adams is a facility leader in the PACT initiative.

Friday, January 21, 2011

PACT is a patient-driven, team-based approach to providing total health care, which delivers efficient, comprehensive and continuous care through active communication and coordination of resources. It focuses on the patient and centers on the patient’s relationship with the provider and the team.

The Seven Principles of PACT:

  • Patient Driven – Care focuses on the person not the condition/disease
  • Team Based —Team takes responsibility for the patient's ongoing care
  • Efficient — Technology utilized to support optimal patient care
  • Comprehensive — Provide education, preventive care services, lifestyle coaching to deliver whole person oriented care
  • Continuous – Continuity of care with the Primary Care Provider is essential
  • Communication — With the patient and the team needs to be honest, respectful, reliable and culturally sensitive
  • Coordination — Information from multiple sources is pulled together by the Primary care team, in partnership with the patient, to develop the plan of care.

Truman VA began the process of implementing PACT in May 2010.  This initiative allows patients to have a more active role in their health care.  Within PACT, each patient is served by a care team, known as a teamlet.  The teamlet is led by the Primary Care Provider and includes the RN Care Coordinator, LPN and Medical Support Assistant (MSA).  The teamlet is then supported by a broader team, which includes pharmacists, social workers, dietitians and mental health providers.  The teamlet works together to ensure the patient receives coordinated care across the entire healthcare system.

Currently Truman VA has 14 teamlets. Future PACT initiatives include increased use of telephone clinics, telemedicine, open access, health promotion and disease prevention and educational opportunities.


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