U.S. flag

An official website of the United States government

Talk to the Veterans Crisis Line now
Skip to main content

Physical Therapy Embedded Within PACT

Last updated

Share Print

By embedding Physical Therapy into primary care, the Veteran can more readily access same day care for musculoskeletal, neurological, and pain complaints. Veterans are also able to receive some prosthetic items in a timelier manner improving function. Earlier access to PT offloads primary care providers, decreases referrals to specialty care and radiology improving efficiency and cost savings.

This innovation is scaling widely with the support of national stakeholders. See more scaling innovations.

Adoptions:

107 successful, 72 in-progress

Awards and Recognition:

Diffusion of Excellence Promising Practice, VHA Shark Tank Winner

Partners:

Clinical Orthotic and Prosthetic, Diffusion of Excellence, Office of Nursing Services, Office of Primary Care, Office of Rural Health, Physical Medicine and Rehabilitation, SimLearn, Veterans Experience Office, VHA Innovators Network

Email

Metrics

  • Reduced Veteran wait time for musculoskeletal examinations and treatments.
  • Decreased downstream costs - imaging, pain, specialty.
  • High Veteran satisfaction.
  • Improved Physical Therapy clinic utilization and productivity.
  • Reduced Community Care referrals for physical therapy.
  • Improved employee satisfaction.
  • Improved access to PT services and penetration rate.

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)

Statuses

AZ: Carl T. Hayden Veterans' Administration Medical Center (Phoenix, Arizona) CA: Fairfield VA Clinic (Fairfield) CA: Major General William H. Gourley VA-DoD Outpatient Clinic (Monterey) CA: McClellan VA Clinic (McClellan Park) CA: Palo Alto VA Medical Center (Palo Alto, California)
  • Started adoption on 01/2017.
CA: Redding VA Clinic (Redding)
  • Started adoption on 04/2023.
CA: West Los Angeles VA Medical Center (West Los Angeles)
  • Started adoption on 04/2022.
CO: Aurora VA Clinic (Aurora, Colorado) CO: Golden VA Clinic (Golden)
  • Started adoption on 01/2022.
CO: Grand Junction VA Medical Center (Grand Junction, Colorado) CO: Northern Colorado VA Clinic (Northern Colorado) CO: PFC Floyd K. Lindstrom Department of Veterans Affairs Clinic (Colorado Springs)
  • Started adoption on 10/2021.
CO: Union Boulevard VA Clinic (Union Boulevard)
  • Started adoption on 04/2023.
CT: John J. McGuirk Department of Veterans Affairs Outpatient Clinic (New London)
  • Started adoption on 12/2023.
DE: Wilmington VA Medical Center (Wilmington, Delaware)
  • Started adoption on 07/2022.
FL: Bruce W. Carter Department of Veterans Affairs Medical Center (Miami) FL: James A. Haley Veterans' Hospital (Tampa, Florida)
  • Started adoption on 01/2014, ended on 05/2014.
FL: Lake Baldwin VA Clinic (Lake Baldwin)
  • Started adoption on 11/2023.
FL: Leo C. Chase Jr. VA Clinic (Saint Augustine)
  • Started adoption on 12/2021.
FL: Middleburg VA Clinic (Middleburg)
  • Started adoption on 12/2021.
FL: Orlando VA Medical Center (Orlando) FL: Pensacola VA Clinic (Pensacola)
  • Started adoption on 10/2023.
GA: Charlie Norwood Department of Veterans Affairs Medical Center (Augusta Downtown) IA: Carroll VA Clinic (Carroll) IA: Coralville VA Clinic (Coralville)
  • Started adoption on 08/2022.
IA: Des Moines VA Medical Center (Des Moines, Iowa) IA: Fort Dodge VA Clinic (Fort Dodge) IA: Iowa City VA Medical Center (Iowa City, Iowa) IA: Knoxville VA Clinic (Knoxville, Iowa) IA: Marshalltown VA Clinic (Marshalltown) IA: Mason City VA Clinic (Mason City) ID: Pocatello VA Clinic (Pocatello)
  • Started adoption on 03/2023.
IN: Jackie Walorski VA Clinic (Mishawaka)
  • Started adoption on 12/2023.
IN: Martinsville VA Clinic (Martinsville) KY: Franklin R. Sousley Campus (Lexington-Leestown)
  • Started adoption on 11/2023.
LA: New Orleans VA Medical Center (New Orleans) MD: Perry Point VA Medical Center (Perry Point)
  • Started adoption on 07/2022.
MI: Lieutenant Colonel Clement C. Van Wagoner Department of Veterans Affairs Clinic (Alpena)
  • Started adoption on 07/2023.
MI: Navy Corpsman Steve Andrews Department of Veterans Affairs Health Care Clinic (Gaylord)
  • Started adoption on 03/2023.
MI: Wyoming VA Clinic (Wyoming)
  • Started adoption on 10/2022.
MN: Brainerd VA Clinic (Brainerd) MN: Hibbing VA Clinic (Hibbing) MN: Lyle C. Pearson Community Based Outpatient Clinic (Mankato)
  • Started adoption on 03/2023.
MN: Maplewood VA Clinic (Maplewood) MN: Max J. Beilke Department of Veterans Affairs Outpatient Clinic (Alexandria, Minnesota) MN: Minneapolis VA Medical Center (Minneapolis, Minnesota)
  • Started adoption on 01/2018.
MN: Rochester VA Clinic (Rochester, Minnesota) MN: Shakopee VA Clinic (Shakopee) MN: St. Cloud VA Medical Center (St. Cloud) MO: Harry S. Truman Memorial Veterans' Hospital (Columbia, Missouri)
  • Started adoption on 01/2018, ended on 06/2018.
MS: Biloxi VA Medical Center (Biloxi)
  • Started adoption on 10/2023.
MT: Benjamin Charles Steele VA Clinic (Billings Majestic Lane) MT: David J. Thatcher VA Clinic (Missoula)
  • Started adoption on 07/2023.
MT: Fort Harrison VA Medical Center (Fort Harrison) NC: Charles George Department of Veterans Affairs Medical Center (Asheville)
  • Started adoption on 05/2023.
NC: Clayton-East Raleigh VA Clinic (Clayton-East Raleigh)
  • Started adoption on 07/2023.
NC: Morehead City VA Clinic (Morehead City)
  • Started adoption on 09/2023.
NC: Raleigh VA Clinic (Raleigh, North Carolina)
  • Started adoption on 01/2018, ended on 06/2019.
NE: Lincoln VA Clinic (Lincoln, Nebraska)
  • Started adoption on 10/2023.
NE: Omaha VA Medical Center (Omaha, Nebraska) NH: Manchester VA Medical Center (Manchester) NH: Somersworth VA Clinic (Somersworth)
  • Started adoption on 08/2022.
NJ: Burlington County VA Clinic (Burlington County)
  • Started adoption on 12/2022.
NV: Reno East VA Clinic (Reno East)
  • Started adoption on 10/2023.
NY: Bath VA Medical Center (Bath)
  • Started adoption on 07/2023.
NY: Buffalo VA Clinic (Buffalo Main Street) NY: Buffalo VA Medical Center (Buffalo, New York) NY: East Meadow VA Clinic (East Meadow)
  • Started adoption on 08/2023.
NY: Rochester Calkins VA Clinic (Rochester Calkins)
  • Started adoption on 08/2022.
NY: Syracuse VA Medical Center (Syracuse)
  • Started adoption on 12/2022.
OH: Toledo VA Clinic (Toledo)
  • Started adoption on 11/2023.
OK: Ernest Childers Department of Veterans Affairs Outpatient Clinic (Tulsa)
  • Started adoption on 01/2022.
OK: Jack C. Montgomery Department of Veterans Affairs Medical Center (Muskogee, Oklahoma)
  • Started adoption on 01/2022.
OK: Oklahoma City VA Medical Center (Oklahoma City) OK: South Oklahoma City VA Clinic (South Oklahoma City)
  • Started adoption on 03/2022.
PA: Coatesville VA Medical Center (Coatesville) PA: H. John Heinz III Department of Veterans Affairs Medical Center (Heinz)
  • Started adoption on 10/2022.
PA: James E. Van Zandt Veterans' Administration Medical Center (Altoona)
  • Started adoption on 04/2023.
PA: Pittsburgh VA Medical Center-University Drive (Pittsburgh)
  • Started adoption on 01/2018, ended on 05/2018.
PA: Victor J. Saracini Department of Veterans Affairs Outpatient Clinic (Horsham)
  • Started adoption on 09/2022.
PR: San Juan VA Medical Center (San Juan)
  • Started adoption on 01/2017, ended on 06/2018.
SD: Fort Meade VA Medical Center (Fort Meade, South Dakota) SD: Rapid City VA Clinic (Rapid City) SD: Royal C. Johnson Veterans' Memorial Hospital (Sioux Falls) SD: Sioux City VA Clinic (Sioux City)
  • Started adoption on 10/2023.
TN: Alvin C. York Veterans' Administration Medical Center (Murfreesboro) TN: Charlotte Avenue VA Clinic (Charlotte Avenue)
  • Started adoption on 02/2023.
TN: Chattanooga VA Clinic (Chattanooga)
  • Started adoption on 08/2023.
TN: Clarksville VA Clinic (Clarksville) TN: International Plaza VA Clinic (International Plaza)
  • Started adoption on 10/2023.
TN: James H. Quillen Department of Veterans Affairs Medical Center (Mountain Home, Tennessee)
  • Started adoption on 02/2023.
TX: Audie L. Murphy Memorial Veterans' Hospital (San Antonio, Texas) TX: New Braunfels VA Clinic (New Braunfels)
  • Started adoption on 03/2023.
UT: George E. Wahlen Department of Veterans Affairs Medical Center (Salt Lake City) UT: Ogden VA Clinic (Ogden)
  • Started adoption on 05/2022.
UT: Orem VA Clinic (Orem)
  • Started adoption on 05/2022.
UT: St. George VA Clinic (St. George)
  • Started adoption on 04/2023.
VT: Burlington Lakeside VA Clinic (Burlington Lakeside)
  • Started adoption on 01/2023.
VT: White River Junction VA Medical Center (White River Junction)
  • Started adoption on 01/2023.
WA: Vancouver VA Medical Center (Vancouver)
  • Started adoption on 05/2023.
WI: Madison West VA Clinic (Madison West) WI: Rice Lake VA Clinic (Rice Lake)
  • Started adoption on 11/2022.
WI: Twin Ports VA Clinic (Twin Ports) WI: William S. Middleton Memorial Veterans' Hospital (Madison)
  • Started adoption on 01/2018, ended on 01/2019.
WV: Louis A. Johnson Veterans' Administration Medical Center (Clarksburg, West Virginia)
  • Started adoption on 10/2023.
WY: Cheyenne VA Medical Center (Cheyenne) WY: Sheridan VA Medical Center (Sheridan)

AZ: Bob Stump Department of Veterans Affairs Medical Center (Prescott)
  • Started adoption on 06/2023.
AZ: Tucson VA Medical Center (Tucson)
  • Started adoption on 05/2023.
CA: Chico VA Clinic (Chico)
  • Started adoption on 04/2023.
CA: Jennifer Moreno Department of Veterans Affairs Medical Center (San Diego, California)
  • Started adoption on 06/2023.
CA: Loma Linda VA Clinic (Loma Linda Redlands)
  • Started adoption on 03/2024.
CA: Los Angeles VA Clinic (Los Angeles) CA: Martinez VA Medical Center (Martinez)
  • Started adoption on 04/2023.
CA: Sacramento VA Medical Center (Sacramento)
  • Started adoption on 04/2023.
CA: Tibor Rubin VA Medical Center (Long Beach)
  • Started adoption on 04/2024.
CO: Loveland VA Clinic (Loveland) CT: West Haven VA Medical Center (West Haven)
  • Started adoption on 01/2017.
FL: C.W. Bill Young Department of Veterans Affairs Medical Center (Bay Pines)
  • Started adoption on 04/2024.
FL: Homestead VA Clinic (Homestead)
  • Started adoption on 03/2024.
FL: North Pinellas VA Clinic (North Pinellas)
  • Started adoption on 07/2023.
FL: William "Bill" Kling Department of Veterans Affairs Outpatient Clinic (Sunrise)
  • Started adoption on 08/2023.
GA: Carl Vinson Veterans' Administration Medical Center (Dublin) IA: Shenandoah VA Clinic (Shenandoah) ID: Boise VA Medical Center (Boise)
  • Started adoption on 11/2017.
ID: Caldwell VA Clinic (Caldwell)
  • Started adoption on 06/2021.
ID: Mountain Home VA Clinic (Mountain Home, Idaho)
  • Started adoption on 10/2022.
IN: Brownsburg VA Clinic (Brownsburg) IN: Fort Wayne VA Medical Center (Fort Wayne)
  • Started adoption on 03/2024.
IN: Hoosier VA Clinic (Hoosier)
  • Started adoption on 03/2024.
IN: Lafayette VA Clinic (Lafayette, Indiana) IN: Marion VA Medical Center (Marion, Indiana) IN: Muncie VA Clinic (Muncie)
  • Started adoption on 03/2024.
IN: Richard L. Roudebush Veterans' Administration Medical Center (Indianapolis, Indiana)
  • Started adoption on 01/2019.
IN: Shelbyville VA Clinic (Shelbyville) IN: Terre Haute VA Clinic (Terre Haute) IN: Wakeman VA Clinic (Wakeman) KS: Robert J. Dole Department of Veterans Affairs Medical and Regional Office Center (Wichita)
  • Started adoption on 03/2023.
MA: Edith Nourse Rogers Memorial Veterans' Hospital (Bedford)
  • Started adoption on 04/2024.
MA: Edward P. Boland Department of Veterans Affairs Medical Center (Central Western Massachusetts) MA: Jamaica Plain VA Medical Center (Jamaica Plain) ME: Lewiston VA Clinic (Lewiston, Maine) ME: Togus VA Medical Center (Togus) MI: Aleda E. Lutz Department of Veterans Affairs Medical Center (Saginaw, Michigan) MI: Battle Creek VA Medical Center (Battle Creek) MI: John D. Dingell Department of Veterans Affairs Medical Center (Detroit)
  • Started adoption on 03/2024.
MI: Lieutenant Colonel Charles S. Kettles VA Medical Center (Ann Arbor) MO: John J. Cochran Veterans Hospital (St. Louis John Cochran)
  • Started adoption on 03/2024.
MO: John J. Pershing Veterans' Administration Medical Center (Poplar Bluff) NC: Durham VA Medical Center (Durham) NC: Fayetteville VA Medical Center (Fayetteville, North Carolina) NC: Greenville VA Clinic (Greenville, North Carolina)
  • Started adoption on 06/2023.
NC: Kernersville VA Clinic (Kernersville)
  • Started adoption on 04/2024.
NC: W.G. (Bill) Hefner Salisbury Department of Veterans Affairs Medical Center (Salisbury)
  • Started adoption on 04/2024.
ND: Fargo VA Medical Center (Fargo) NV: Ioannis A. Lougaris Veterans' Administration Medical Center (Reno) NY: Canandaigua VA Medical Center (Canandaigua) NY: Catskill VA Clinic (Catskill) NY: Donald J. Mitchell Department of Veterans Affairs Outpatient Clinic (Rome, New York) NY: Northport VA Medical Center (Northport, New York) NY: Samuel S. Stratton Department of Veterans Affairs Medical Center (Albany, New York)
  • Started adoption on 06/2023.
OH: Dayton VA Medical Center (Dayton)
  • Started adoption on 04/2024.
OR: Fairview VA Clinic (Fairview) OR: Hillsboro VA Clinic (Hillsboro) OR: Portland VA Medical Center (Portland, Oregon)
  • Started adoption on 05/2023.
OR: West Linn VA Clinic (West Linn) PA: Corporal Michael J. Crescenz Department of Veterans Affairs Medical Center (Philadelphia, Pennsylvania) SC: Goose Creek VA Clinic (Goose Creek) TN: Nashville VA Medical Center (Nashville) TX: Dallas VA Medical Center (Dallas)
  • Started adoption on 03/2024.
TX: Fort Worth VA Clinic (Fort Worth) TX: Harlingen VA Clinic (Harlingen)
  • Started adoption on 03/2024.
TX: Thomas E. Creek Department of Veterans Affairs Medical Center (Amarillo) VA: Hampton VA Medical Center (Hampton)
  • Started adoption on 04/2024.
VA: Portsmouth VA Clinic (Portsmouth, Virginia) WI: Chippewa Valley VA Clinic (Chippewa Valley) WI: Clement J. Zablocki Veterans' Administration Medical Center (Milwaukee, Wisconsin)
  • Started adoption on 07/2023.
WV: Beckley VA Medical Center (Beckley) WV: Hershel "Woody" Williams VA Medical Center (Huntington, West Virginia)
  • Started adoption on 10/2023.

There are no unsuccessful adoptions for this innovation.

Multimedia

Images

Above:

Primary Care physical therapy is an interdisciplinary program with high employee satisfaction.

Above:

Veterans receive immediate care for common neuromuscular conditions such as positional vertigo (BPPV).

Above:

Veterans receive education in strategies to self treat their musculoskeletal conditions immediately in Primary Care.

Above:

Veterans may receive common durable medical equipment (DME) such as front wheeled walkers, single point canes and rollators in Primary Care.

Videos

Above:

12 minute video - Veteran, RN, MD, and PT discussing benefits of PACT PT at the Orlando VA.