![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practices/main_display_images/000/000/035/thumb/ED_PACT_Final_384X216_Q64.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NA5E6GGVV%2F20240727%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240727T055923Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEOH%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDFHBZ0iVi3ef4nWr9CLkBMpCZmPXFXJgbaYTdSlD6LbG11hQ%2F%2FCD1017LH3g0hxc20N%2FeJ4wSf%2BOqZ4sn%2BWxff7RqdKEN7%2FNjxeyCosBGEYdwQ0Z3mLKd7kWe7aoRYrxmh3L8vPQGxTsFdHCLPSfH4MzGm%2FbIaEZBaDOucEyXCH9nPTs2rs3%2BG5ZqCmF8mWSF6j5VagdVHQPxxYen73G011GhHyQFpkVNzITJSTYa7X9k6iI7x1x4cdEJ%2B%2F5AqZaKP%2B2b%2BGUZ5C1SYIShgLoa0CBowFxeoTwAW3bbWP30wmivLAKdkewLRb6HTEvHpt43zg8vw1kfS8Z6oePZoPO4xlzmnwZAvbWxXZOu5O9v%2B6TM8JWmROIpb5RuRH28khJTigaTiML9dfp53%2FNrZS3YuF8HZZPSTotfF1Fl%2F%2B4cCr0XPR9REM2VWhPqbwRYFpWJCInvNhb3VjnoMivv7GvBLV6ezL06KP%2FCRkGo520Le%2FNR7tRzTmRhgEy6N1dLNEHqlmxbOBjaF9BIXMl%2FP2KtCWhJzGLYdxbyzrJ1PodzRyWEoznNIKNachgwaKsTciMw2j4IhxiMSHYtgmpOKoFeFVpfJg9Txha%2Ft7D6wyCqBv1MqHdewvpzj%2BNv%2FXppwQhrkciRrHRES3ZJsoPpV%2Bw0tav9VPnN6Sk04CIBDl8wcM0euaqL%2FqTNiJyTCkb3S0Xdisaix79SiUHCPfASPxALbBrDLZBve9QdqVvxB5C9tEBgE5dm4m0m%2Bvqw9atlDuhToxs2C5WlCkpNNqjpV8uiJuunbHdKvaEEAe2hx7vlDgw60t8ZxJ08P57R%2Fe2jATQNYNrLSjPr5G1BjJBmR33a%2FKGecutgJHrbm5%2BSEi%2F7Io%2BIERynt%2BFzwOe2x31KLxreJpFPZk3yNYb8S6KOxQPtixFHsRORZGDQavOxTc%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=58603271d2b1389c5fb127fa6b67a9e1d886652ef526a2e1ac77860a6764fdb7)
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
![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practice_multimedia/attachments/000/000/046/thumb/ED_Menus_696X392_Q37.png?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NA5E6GGVV%2F20240727%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240727T055923Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEOH%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDFHBZ0iVi3ef4nWr9CLkBMpCZmPXFXJgbaYTdSlD6LbG11hQ%2F%2FCD1017LH3g0hxc20N%2FeJ4wSf%2BOqZ4sn%2BWxff7RqdKEN7%2FNjxeyCosBGEYdwQ0Z3mLKd7kWe7aoRYrxmh3L8vPQGxTsFdHCLPSfH4MzGm%2FbIaEZBaDOucEyXCH9nPTs2rs3%2BG5ZqCmF8mWSF6j5VagdVHQPxxYen73G011GhHyQFpkVNzITJSTYa7X9k6iI7x1x4cdEJ%2B%2F5AqZaKP%2B2b%2BGUZ5C1SYIShgLoa0CBowFxeoTwAW3bbWP30wmivLAKdkewLRb6HTEvHpt43zg8vw1kfS8Z6oePZoPO4xlzmnwZAvbWxXZOu5O9v%2B6TM8JWmROIpb5RuRH28khJTigaTiML9dfp53%2FNrZS3YuF8HZZPSTotfF1Fl%2F%2B4cCr0XPR9REM2VWhPqbwRYFpWJCInvNhb3VjnoMivv7GvBLV6ezL06KP%2FCRkGo520Le%2FNR7tRzTmRhgEy6N1dLNEHqlmxbOBjaF9BIXMl%2FP2KtCWhJzGLYdxbyzrJ1PodzRyWEoznNIKNachgwaKsTciMw2j4IhxiMSHYtgmpOKoFeFVpfJg9Txha%2Ft7D6wyCqBv1MqHdewvpzj%2BNv%2FXppwQhrkciRrHRES3ZJsoPpV%2Bw0tav9VPnN6Sk04CIBDl8wcM0euaqL%2FqTNiJyTCkb3S0Xdisaix79SiUHCPfASPxALbBrDLZBve9QdqVvxB5C9tEBgE5dm4m0m%2Bvqw9atlDuhToxs2C5WlCkpNNqjpV8uiJuunbHdKvaEEAe2hx7vlDgw60t8ZxJ08P57R%2Fe2jATQNYNrLSjPr5G1BjJBmR33a%2FKGecutgJHrbm5%2BSEi%2F7Io%2BIERynt%2BFzwOe2x31KLxreJpFPZk3yNYb8S6KOxQPtixFHsRORZGDQavOxTc%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=fd62201bac3aa7a94ac37f230e88ffff3948c1e5669199f3ffd35c7fded96006)
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) .
![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practice_multimedia/attachments/000/000/047/thumb/ED-PACT_Tool_Order_Template_696X392_Q40.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NA5E6GGVV%2F20240727%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240727T055923Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEOH%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDFHBZ0iVi3ef4nWr9CLkBMpCZmPXFXJgbaYTdSlD6LbG11hQ%2F%2FCD1017LH3g0hxc20N%2FeJ4wSf%2BOqZ4sn%2BWxff7RqdKEN7%2FNjxeyCosBGEYdwQ0Z3mLKd7kWe7aoRYrxmh3L8vPQGxTsFdHCLPSfH4MzGm%2FbIaEZBaDOucEyXCH9nPTs2rs3%2BG5ZqCmF8mWSF6j5VagdVHQPxxYen73G011GhHyQFpkVNzITJSTYa7X9k6iI7x1x4cdEJ%2B%2F5AqZaKP%2B2b%2BGUZ5C1SYIShgLoa0CBowFxeoTwAW3bbWP30wmivLAKdkewLRb6HTEvHpt43zg8vw1kfS8Z6oePZoPO4xlzmnwZAvbWxXZOu5O9v%2B6TM8JWmROIpb5RuRH28khJTigaTiML9dfp53%2FNrZS3YuF8HZZPSTotfF1Fl%2F%2B4cCr0XPR9REM2VWhPqbwRYFpWJCInvNhb3VjnoMivv7GvBLV6ezL06KP%2FCRkGo520Le%2FNR7tRzTmRhgEy6N1dLNEHqlmxbOBjaF9BIXMl%2FP2KtCWhJzGLYdxbyzrJ1PodzRyWEoznNIKNachgwaKsTciMw2j4IhxiMSHYtgmpOKoFeFVpfJg9Txha%2Ft7D6wyCqBv1MqHdewvpzj%2BNv%2FXppwQhrkciRrHRES3ZJsoPpV%2Bw0tav9VPnN6Sk04CIBDl8wcM0euaqL%2FqTNiJyTCkb3S0Xdisaix79SiUHCPfASPxALbBrDLZBve9QdqVvxB5C9tEBgE5dm4m0m%2Bvqw9atlDuhToxs2C5WlCkpNNqjpV8uiJuunbHdKvaEEAe2hx7vlDgw60t8ZxJ08P57R%2Fe2jATQNYNrLSjPr5G1BjJBmR33a%2FKGecutgJHrbm5%2BSEi%2F7Io%2BIERynt%2BFzwOe2x31KLxreJpFPZk3yNYb8S6KOxQPtixFHsRORZGDQavOxTc%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=06a12314a2f254e1f993c95e7c21b8b408ad980dc8b9a721e38eec8e1a769a63)
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.
![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practice_multimedia/attachments/000/000/048/thumb/ED-PACT_Tool_notifications_696X392_Q43.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NA5E6GGVV%2F20240727%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240727T055923Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEOH%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDFHBZ0iVi3ef4nWr9CLkBMpCZmPXFXJgbaYTdSlD6LbG11hQ%2F%2FCD1017LH3g0hxc20N%2FeJ4wSf%2BOqZ4sn%2BWxff7RqdKEN7%2FNjxeyCosBGEYdwQ0Z3mLKd7kWe7aoRYrxmh3L8vPQGxTsFdHCLPSfH4MzGm%2FbIaEZBaDOucEyXCH9nPTs2rs3%2BG5ZqCmF8mWSF6j5VagdVHQPxxYen73G011GhHyQFpkVNzITJSTYa7X9k6iI7x1x4cdEJ%2B%2F5AqZaKP%2B2b%2BGUZ5C1SYIShgLoa0CBowFxeoTwAW3bbWP30wmivLAKdkewLRb6HTEvHpt43zg8vw1kfS8Z6oePZoPO4xlzmnwZAvbWxXZOu5O9v%2B6TM8JWmROIpb5RuRH28khJTigaTiML9dfp53%2FNrZS3YuF8HZZPSTotfF1Fl%2F%2B4cCr0XPR9REM2VWhPqbwRYFpWJCInvNhb3VjnoMivv7GvBLV6ezL06KP%2FCRkGo520Le%2FNR7tRzTmRhgEy6N1dLNEHqlmxbOBjaF9BIXMl%2FP2KtCWhJzGLYdxbyzrJ1PodzRyWEoznNIKNachgwaKsTciMw2j4IhxiMSHYtgmpOKoFeFVpfJg9Txha%2Ft7D6wyCqBv1MqHdewvpzj%2BNv%2FXppwQhrkciRrHRES3ZJsoPpV%2Bw0tav9VPnN6Sk04CIBDl8wcM0euaqL%2FqTNiJyTCkb3S0Xdisaix79SiUHCPfASPxALbBrDLZBve9QdqVvxB5C9tEBgE5dm4m0m%2Bvqw9atlDuhToxs2C5WlCkpNNqjpV8uiJuunbHdKvaEEAe2hx7vlDgw60t8ZxJ08P57R%2Fe2jATQNYNrLSjPr5G1BjJBmR33a%2FKGecutgJHrbm5%2BSEi%2F7Io%2BIERynt%2BFzwOe2x31KLxreJpFPZk3yNYb8S6KOxQPtixFHsRORZGDQavOxTc%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=c99fd1ad7a805535d0be839a0c11bc859357786fc85de9574eaa27522f7e7d96)
Above:
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
- Emergency care
- Patient services
- Primary care
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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