Last updated
ED-PACT Tool
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
Problem
Solution
Results
Diffusion tracker
Does not include Clinical Resource Hubs (CRH)
Multimedia
Images
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) .
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.
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.