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Harry S. Truman Memorial Veterans’ Hospital

 

Primary Care

Primary Care is a Veteran’s gateway to VA health care. Truman VA provides Primary Care to Veterans located within the medical center as well as at our Community Based Outpatient Clinics (CBOC).

Patient Aligned Care Team (PACT)

A PACT Teamlet is a partnership between you and your health care team to make sure you receive whole-person care. This is personalized care to meet your individual health care goals. Your care team looks at all aspects of your health. The emphasis is on prevention and health promotion.

A PACT Teamlet offers many ways to access health care. In addition to personal visits with your primary health care provider, you may schedule visits with other members of your team. You also may have access to group clinics and educational seminars, plus a wealth of information on the Internet through My HealtheVet (www.myhealth.va.gov). You can also communicate with members of your PACT by telephone or through Secure Messaging via My HealtheVet.
 
Each patient is assigned to a PACT Teamlet in Primary Care. The PACT Teamlet takes care of the patient's health care needs and refers them to specialty care as needed.

PACT Members include:

  • Provider
  • Case Manager
  • LPN
  • Scheduling Clerk

The whole team, which, most importantly, includes patients and their caregiver, works together. The team operates to provide efficient and evidence based care for acute and chronic illnesses. Disease prevention and health promotion are an important part of this new care model.

Our goals:

  • Provide care that is Veteran centered.
  • Strive to improve access, which also may include:
  • Nursing visits;
  • Telephone based care;
  • Secure Messaging;
  • Telehealth.

Primary Care locations

Over the past 15 years, the Veterans Health Administration has transitioned from a hospital-based system of care to a more effective system rooted in ambulatory and primary care.  Community Based Outpatient Clinics (CBOCs) are an important component of the VA healthcare delivery system.
 
A CBOC is a health care site (in a fixed location) that is geographically distinct or separate from the parent medical facility.  CBOCs were designed to provide primary care closest to the Veteran’s home.  Veterans can choose to have care at the CBOC closest to their home or at the VA medical center.

Assignment of Primary Care Providers

Assignment of Veterans to a Primary Care Provider is random and is based on panel availability, access and location (as stated above).  For continuity of care, we request that Veterans be with a provider for at least 12 months prior to requesting a change in providers.  There are situation(s) where issues may arise, i.e., Veterans do not want a male or female provider; Veterans want a physician instead of an Advanced Practice Nurse, or Veterans want primary care closer to their home.  Changes in an assigned provider can be requested with a Change in Provider Request.

Change of Provider Request

If Veterans wish to change their provider, the request must be made in writing.  Veterans can complete a change in provider form and submit the form by:

  • Giving the form to one of the members of their current PACT teamlet
  • Giving the form to one of the CBOC locations
  • Mailing the form to the address listed on the form.

Primary Care Service staff will review requests. Items that are reviewed include how long Veterans have been with their current provider; addresses and distances (mileage) from a Veteran’s address to the requested CBOC; and male providers versus female providers.  Requests must be signed by Veterans or their guardian.
 
If approved, patients will be contacted by phone to schedule an appointment.  If denied, patients will be notified by letter.  Requests are processed within 30 days of receipt.
 
In addition, the Primary Care Service is responsible for the following services within the medical center:

Home Based Primary Care

The concept of Home Based Primary Care was initiated in 1972. It was designed to serve the chronically ill through the months and years before death, providing needed long-term care services in the home. HBPC is a unique model of home care that is very different in target populations, processes, and outcomes from home care that is available under Federal and State programs such as Medicare and Medicaid. The HBPC model targets persons with complex chronic diseases that worsen over time and provides interdisciplinary care that is longitudinal and comprehensive rather than episodic and focused. HBPC provides cost effective primary care services in the home and includes palliative care, rehabilitation, disease management, and coordination of care.  The HBPC mission is to provide comprehensive, interdisciplinary, primary care in the homes of Veterans with complex medical, social, and behavioral conditions for whom routine clinic-based care is not effective. The primary focus of HBPC is longitudinal care for complex chronic disabling disease.

Emergency Department

We recognize the importance of providing quality emergency and urgent care to Veterans and subscribe to the following principles as outlined by the American College of Emergency Physicians (ACEP):

  • Emergency medical care must be available to all members of the public.
  • Access to appropriate emergency and urgent care must be unrestricted.
  • Evaluation, management, and treatment of patients must be appropriate and expedient.
  • Resources need to exist in the Emergency Department (ED) and Urgent Care Center (UCC) to accommodate each patient from the time of arrival through evaluation, decision making, treatment, and disposition.
  • EDs and UCCs need to have policies and plans to provide effective administration, staffing, facility design, equipment, medication, and ancillary services.

Compensation and Pension

Veterans may submit claims to the Veterans Benefits Administration (VBA) for service-connected compensation or non-service connected pension benefits.  Our facility has established a department to perform medical examinations and to report findings to VBA for adjudication of a Veteran’s claim for compensation.

Employee Health

Employee Health Department is responsible for the health of the medical center employees. The department provides examinations to all new employees and sees employees who become ill during their tour or have been injured.  The department follows procedures established by the facility for the prevention of injuries and illnesses, including requirements for:

  • Reducing or eliminating work-related injuries and illnesses and for minimizing the severity of those injuries and illnesses that occur.
  • Establishing a Safety and Health Leadership Committee.
  • Establishing training requirements.
  • Record-keeping and reporting.
  • Recognizing outstanding occupational, safety and health achievements.  

Contact Info

Location

  • Truman VA

Contact Number(s)

  • 573-814-6000

Hours of Operation

  • 8:00 a.m. to 4:30 p.m. M-F