Abstract
Abstract Context A Veterans Health Administration (VHA) patient centered medical home, the Geriatric Patient-Aligned Care Team (GeriPACT). Methods Plan-Do-Study-Act (PDSA) cycles regarding strategy, resource development, patient and caregiver experience of care, and clinical care process improvement. Stakeholder engagement for half-time operation with initial grant support for personnel who also had collateral duties. Tracking of operations data. Results The clinic population grew from 200 to 627 over a 7-year period. GeriPACT patients were frail with multiple co-morbidities, including a mean age 84, a 19.4% yearly hospitalization rate, and 12.2% died yearly. Collaborative team management of these complex patients reduced mean number of outpatient medications from 11 to 9, and the 30-day rehospitalization rate was 10%, approximately half the facility’s rate. Estimated yearly cost avoidance for GeriPACT was $1,963,243. Implementation of GeriPACT is impacted by limited availability of trained providers. Conclusion GeriPACT may be a cost-effective way to manage high-risk, high-need elderly patients. GeriPACT expansion and implementation in all facilities has been made part of the VHA regional strategic plan.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call