ED-PACT Tool
Last updated
Share PrintHaving a successful transition between the ED and outpatient care providers is crucial for Veterans who are discharged home from VA emergency departments (EDs) with urgent or specific follow-up care needs. The ED-PACT Tool uses standard processes, “closed-loop” communication, and embeds communications into workflow, to simplify communication between VA EDs and PACT.
Origin:
November 2015, West Los Angeles VA Medical Center
Adoptions:
28 successful
Partners:
Diffusion of Excellence, Quality Enhancement Research Initiative
Recent Updates
Overview
The problem
The solution
The results
Diffusion tracker
Does not include Clinical Resource Hubs (CRH)
Multimedia
Images
Above:
The main feature for achieving this is that the names of the sites, clinics, and teams listed on the ED-PACT Tool menus exactly match with how those clinics are being displayed in the top ribbon on CPRS, imported from the Primary Care Management Module (PCMM) .
Above:
The order uses a template that is sufficiently structured to ensure inclusion of needed information but allows for maximum flexibility to accommodate communications appropriate for the wide variation in post-ED care needs.
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When the ED provider uses the ED-PACT Tool , the PACT RN Care Manager receives an alert in the notification section of their “Select Patient” CPRS screen.
Implementation
Timeline
-
Month 1
Engage Key Leadership and Staff -
Months 2 and 3
Assess how ED-PACT Tool will fit into ED workflow -
Month 3
Create ED-PACT Tool Menus; Orders; Orderable Items; Note Template -
Month 4
Create ED-PACT Tool Dashboard -
Months 5-8
Educate PACT teamlet members and ED Providers, Activate Tool -
Months 5-8
Establish System for Audit and Feedback
Departments
- Primary care
- Emergency care
- Patient services
Core Resources
| Resource type | Resource description |
|---|---|
PEOPLE |
|
Files
- ED-PACT Tool Implementation Workbook ED-PACT Tool Implementation Workbook
- ED-PACT Tool Fact Sheet Appendix A ED_PACT_Tool_Fact Sheet 1.11.21
- ED PACT Tool RN Care Manager Training Slides Appendix B ED PACT Tool RN Care Manager Training Slides_v4
- RN Care Manger User Manual Appendix C_RN Care Manger User Manual _v4
- Appendix D_Dashboard User Guide_v4 Appendix D_Dashboard User Guide_v4
- Dashboard guide for Clinic Nurse Managers Appendix E_ Dashboard guide for Clinic Nurse Managers_v4
- ED Provider Guide Appendix F_ ED Provider Guide_v4
Optional Resources
Files
- ED Provider Testimonial ED Provider Testimonial
Links
- Europe PMC Abstract Europe PMC Abstract
- QUERI E-news Optimizing Care Coordination QUERI E-news Optimizing Care Coordination
Risks and mitigations
| Risk | Mitigation |
|---|---|
| Some complexity to implement | Implementation workbook, with detailed models of implementation materials, available |
| Buy-in from multiple stakeholders needed | Up-front process for obtaining and assessing buy-in, supported by materials, detailed in implementation workbook |
| Redesigned workflow and additional work (initially) for PACT RN Care Managers | Process for engaging PACT RN Care Managers to minimize disruption of incorporating into workflow |
About
Origin story
Original team
Kristina Cordasco, MD, MPH, MSHS
Project Lead
Lisa Edwards
Project Manager
Comment
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