![](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=ASIAR2ERFC2NORWFG5VQ%2F20240727%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240727T120158Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEOb%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDMd1br9ueOHnRlELLCLkBNThfLoWgzN9HAxJLyWgp5dFGXzQ2NVwmh4g4BbZ6BvTD4G1bnBWYOloyB5v%2Bj6k%2FqOs2H83n1b09PQ%2FvX5AQVpsApeKjjFnhSwU7n7y58EAnSfFFpSmC7yuyu4hyBbYh7UOM09zw6N%2BkUteuhhZXEoymfN07B2DGwrSzbral2jHwtVMwYcze0FIanUkmxqULkHA2wJr2N7RMhl0EgoVKRL6kEV0hoTxJKhUOh1kX06Qnd%2BdYD7Mxp2uj7Uswx%2FT9bxxzlx5vmtRIx29v2yOJDzovgdfFkxpM6in%2FFBuMRflybWJIuyztmaGw85hCDvqDtwXt0U6TdC9Ug5lDDolepPFA3MH%2Bd2JWQshc2su7XKEm%2B67zt7UUbB7b6mxlAJTR8qc%2BqudvYTNeqH%2FEQlmE%2FW%2F8WA%2FB0IFvD6c6HzGBZYI2dhuL6IxZ6bzZIybyIyAim0duhmPk30wLhgD%2BjA%2BCLVAylWW8CLqX4KlqBKcNAiRVQK7durp3kLIJTFKy%2B6%2B2%2BF4QW5wjjM283Ykb2WiQOwmNVCk9FI%2Bhc91FH57ozEMnPeC2sZcCywUXfrnE20RGE7KUsMmvrkkWE50ztr31DsK9xzN2cJiwGjlYiv2DgPHDwBfnwrmQIVfgK30Iw8T8SCvyNBgP8ubqrDTDqxIK7cgc5KNrfolXEbYRtWqMFOpBPNZBbH%2BjzcbUwxq%2BPH1EWT3%2FSNWpMNpOFBYcwawGYS1WSKirCPzvIJ6z8%2BZTPob9Aa68Mb1BX7UnfK4%2BUux%2BQKkwg39bnumbPQ8KmDco6C2kR8Z1hAJrSjbTh%2FW05L%2FdE3D8Cj%2Fu5K1BjJB%2B9O98EHabH%2FyjcvXdlPKKnD4LW9KdLB1nXKqPizPY%2BOKv2f7v8pcu2H9BiOi%2BlUJhVCOeAUN7BKKaRS1OG6WZD0%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=6ef0dd9b3740b4debe5e4b7380d76f1a974cc8a874d63a2d90e1322b8c43cb34)
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=ASIAR2ERFC2NORWFG5VQ%2F20240727%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240727T120158Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEOb%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDMd1br9ueOHnRlELLCLkBNThfLoWgzN9HAxJLyWgp5dFGXzQ2NVwmh4g4BbZ6BvTD4G1bnBWYOloyB5v%2Bj6k%2FqOs2H83n1b09PQ%2FvX5AQVpsApeKjjFnhSwU7n7y58EAnSfFFpSmC7yuyu4hyBbYh7UOM09zw6N%2BkUteuhhZXEoymfN07B2DGwrSzbral2jHwtVMwYcze0FIanUkmxqULkHA2wJr2N7RMhl0EgoVKRL6kEV0hoTxJKhUOh1kX06Qnd%2BdYD7Mxp2uj7Uswx%2FT9bxxzlx5vmtRIx29v2yOJDzovgdfFkxpM6in%2FFBuMRflybWJIuyztmaGw85hCDvqDtwXt0U6TdC9Ug5lDDolepPFA3MH%2Bd2JWQshc2su7XKEm%2B67zt7UUbB7b6mxlAJTR8qc%2BqudvYTNeqH%2FEQlmE%2FW%2F8WA%2FB0IFvD6c6HzGBZYI2dhuL6IxZ6bzZIybyIyAim0duhmPk30wLhgD%2BjA%2BCLVAylWW8CLqX4KlqBKcNAiRVQK7durp3kLIJTFKy%2B6%2B2%2BF4QW5wjjM283Ykb2WiQOwmNVCk9FI%2Bhc91FH57ozEMnPeC2sZcCywUXfrnE20RGE7KUsMmvrkkWE50ztr31DsK9xzN2cJiwGjlYiv2DgPHDwBfnwrmQIVfgK30Iw8T8SCvyNBgP8ubqrDTDqxIK7cgc5KNrfolXEbYRtWqMFOpBPNZBbH%2BjzcbUwxq%2BPH1EWT3%2FSNWpMNpOFBYcwawGYS1WSKirCPzvIJ6z8%2BZTPob9Aa68Mb1BX7UnfK4%2BUux%2BQKkwg39bnumbPQ8KmDco6C2kR8Z1hAJrSjbTh%2FW05L%2FdE3D8Cj%2Fu5K1BjJB%2B9O98EHabH%2FyjcvXdlPKKnD4LW9KdLB1nXKqPizPY%2BOKv2f7v8pcu2H9BiOi%2BlUJhVCOeAUN7BKKaRS1OG6WZD0%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=96c078d9e06c6491b427c46f7b9a34a5f6230382f4a896154d7ab52c4dbd314c)
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=ASIAR2ERFC2NORWFG5VQ%2F20240727%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240727T120158Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEOb%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDMd1br9ueOHnRlELLCLkBNThfLoWgzN9HAxJLyWgp5dFGXzQ2NVwmh4g4BbZ6BvTD4G1bnBWYOloyB5v%2Bj6k%2FqOs2H83n1b09PQ%2FvX5AQVpsApeKjjFnhSwU7n7y58EAnSfFFpSmC7yuyu4hyBbYh7UOM09zw6N%2BkUteuhhZXEoymfN07B2DGwrSzbral2jHwtVMwYcze0FIanUkmxqULkHA2wJr2N7RMhl0EgoVKRL6kEV0hoTxJKhUOh1kX06Qnd%2BdYD7Mxp2uj7Uswx%2FT9bxxzlx5vmtRIx29v2yOJDzovgdfFkxpM6in%2FFBuMRflybWJIuyztmaGw85hCDvqDtwXt0U6TdC9Ug5lDDolepPFA3MH%2Bd2JWQshc2su7XKEm%2B67zt7UUbB7b6mxlAJTR8qc%2BqudvYTNeqH%2FEQlmE%2FW%2F8WA%2FB0IFvD6c6HzGBZYI2dhuL6IxZ6bzZIybyIyAim0duhmPk30wLhgD%2BjA%2BCLVAylWW8CLqX4KlqBKcNAiRVQK7durp3kLIJTFKy%2B6%2B2%2BF4QW5wjjM283Ykb2WiQOwmNVCk9FI%2Bhc91FH57ozEMnPeC2sZcCywUXfrnE20RGE7KUsMmvrkkWE50ztr31DsK9xzN2cJiwGjlYiv2DgPHDwBfnwrmQIVfgK30Iw8T8SCvyNBgP8ubqrDTDqxIK7cgc5KNrfolXEbYRtWqMFOpBPNZBbH%2BjzcbUwxq%2BPH1EWT3%2FSNWpMNpOFBYcwawGYS1WSKirCPzvIJ6z8%2BZTPob9Aa68Mb1BX7UnfK4%2BUux%2BQKkwg39bnumbPQ8KmDco6C2kR8Z1hAJrSjbTh%2FW05L%2FdE3D8Cj%2Fu5K1BjJB%2B9O98EHabH%2FyjcvXdlPKKnD4LW9KdLB1nXKqPizPY%2BOKv2f7v8pcu2H9BiOi%2BlUJhVCOeAUN7BKKaRS1OG6WZD0%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=6a63d250ab2479adb6a38e5a1c3bee63e1fb1524c86eca91b00517da0fc460c1)
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=ASIAR2ERFC2NORWFG5VQ%2F20240727%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240727T120158Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEOb%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDMd1br9ueOHnRlELLCLkBNThfLoWgzN9HAxJLyWgp5dFGXzQ2NVwmh4g4BbZ6BvTD4G1bnBWYOloyB5v%2Bj6k%2FqOs2H83n1b09PQ%2FvX5AQVpsApeKjjFnhSwU7n7y58EAnSfFFpSmC7yuyu4hyBbYh7UOM09zw6N%2BkUteuhhZXEoymfN07B2DGwrSzbral2jHwtVMwYcze0FIanUkmxqULkHA2wJr2N7RMhl0EgoVKRL6kEV0hoTxJKhUOh1kX06Qnd%2BdYD7Mxp2uj7Uswx%2FT9bxxzlx5vmtRIx29v2yOJDzovgdfFkxpM6in%2FFBuMRflybWJIuyztmaGw85hCDvqDtwXt0U6TdC9Ug5lDDolepPFA3MH%2Bd2JWQshc2su7XKEm%2B67zt7UUbB7b6mxlAJTR8qc%2BqudvYTNeqH%2FEQlmE%2FW%2F8WA%2FB0IFvD6c6HzGBZYI2dhuL6IxZ6bzZIybyIyAim0duhmPk30wLhgD%2BjA%2BCLVAylWW8CLqX4KlqBKcNAiRVQK7durp3kLIJTFKy%2B6%2B2%2BF4QW5wjjM283Ykb2WiQOwmNVCk9FI%2Bhc91FH57ozEMnPeC2sZcCywUXfrnE20RGE7KUsMmvrkkWE50ztr31DsK9xzN2cJiwGjlYiv2DgPHDwBfnwrmQIVfgK30Iw8T8SCvyNBgP8ubqrDTDqxIK7cgc5KNrfolXEbYRtWqMFOpBPNZBbH%2BjzcbUwxq%2BPH1EWT3%2FSNWpMNpOFBYcwawGYS1WSKirCPzvIJ6z8%2BZTPob9Aa68Mb1BX7UnfK4%2BUux%2BQKkwg39bnumbPQ8KmDco6C2kR8Z1hAJrSjbTh%2FW05L%2FdE3D8Cj%2Fu5K1BjJB%2B9O98EHabH%2FyjcvXdlPKKnD4LW9KdLB1nXKqPizPY%2BOKv2f7v8pcu2H9BiOi%2BlUJhVCOeAUN7BKKaRS1OG6WZD0%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=a9836760c0ce6d7955a58ddbb68436463237b0c077d74682a9c66cb5741fd85a)
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
Comments and replies are disabled for retired innovations and non-VA users.