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Patient Aligned Care Teams (PACT)

Definition Patient Aligned Care Teams (PACT) is a VA health care model designed to provide personalized, comprehensive, and coordinated care to veterans. PACT aims to improve patients’ access to and quality of primary care by utilizing a team-based approach. Each team consists of a primary care provider, registered nurse care manager, licensed practical nurse or […]


Patient Aligned Care Teams (PACT) is a VA health care model designed to provide personalized, comprehensive, and coordinated care to veterans. PACT aims to improve patients’ access to and quality of primary care by utilizing a team-based approach. Each team consists of a primary care provider, registered nurse care manager, licensed practical nurse or medical technician, and a clerical associate, all working together to address the unique needs of each veteran.

Key Takeaways

  1. Patient Aligned Care Teams (PACT) are part of the VA’s model for providing comprehensive, team-based primary care to veterans, with an emphasis on effective communication and partnership between the patient and healthcare professionals.
  2. PACT involves various healthcare providers such as primary care providers, nurses, clinical associates, and administrative clerks, who work together to address the individual needs and preferences of each veteran, ultimately helping them achieve their health goals.
  3. This model aims to improve access to care, coordination of care, and overall patient satisfaction, by utilizing tools such as patient-centered technologies and integrated care services that support seamless care delivery for veterans.


The concept of Patient Aligned Care Teams (PACT) is essential within the VA benefits system as it fundamentally transforms the approach to veteran healthcare, fostering a more personalized, proactive, and coordinated care delivery.

PACT places the veteran at the center of the healthcare team, working collaboratively with other team members, including primary care providers, nurses, and specialists, to address their unique medical needs.

This integrated system ensures holistic care by focusing on preventive measures, enhancing communication between team members, and promoting shared decision-making.

Ultimately, PACT improves the quality and efficiency of healthcare services for veterans, leading to better health outcomes, increased satisfaction, and optimal overall well-being.


The purpose of Patient Aligned Care Teams (PACT) within the VA healthcare system is to provide a more personalized, proactive, and patient-driven approach to healthcare for veterans. PACTs were developed as a way to shift towards a more collaborative and comprehensive healthcare model that considers the individual needs, preferences, and goals of each veteran.

By ensuring a comprehensive health care plan, this team-based approach enables patients to receive a higher quality of care that caters to their specific needs. The ultimate goal of PACT is to improve patient outcomes, satisfaction, and engagement, as well as to promote efficient use of healthcare resources within the VA system.

Patient Aligned Care Teams are typically composed of a primary care provider, a clinical associate, such as a registered nurse (RN) or licensed practical nurse (LPN), and a clerical associate who work together closely to coordinate care for a specific group of patients. This close-knit team strives to build strong, long-lasting relationships with their patients, encouraging trust, communication, and partnership.

Additional services, such as behavioral health experts, pharmacists, or dietitians, may also be provided to patients based on their needs and preferences. By having consistent access to a dedicated team of healthcare professionals, veterans can expect better health outcomes, improved satisfaction with their care, and a more efficient treatment process as a result of the focused and comprehensive approach of Patient Aligned Care Teams.

Examples of Patient Aligned Care Teams (PACT)

Patient Aligned Care Teams (PACT) is a patient-centered, team-based care model implemented by the Veterans Health Administration (VHA) to provide better care coordination and communication for veterans. This model has been successful in improving the care provided to veterans in various ways. Here are three real-world examples demonstrating the effectiveness of PACT in VA clinics:

White River Junction VA Medical Center, Vermont: In this medical center, PACT implemented comprehensive care coordination for veterans with complex healthcare needs. Veterans were assigned to a designated care team, including a primary care provider, nurse care manager, clinical associate, and administrative clerk. This team specifically worked to improve the care for patients with chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF). Care team members were trained to work together, utilizing shared medical records and frequent meetings, which ultimately resulted in improved patient outcomes, reduced hospitalizations, and lower healthcare costs for these patients.

VA Palo Alto Health Care System, California: PACT was instrumental in reducing the no-show rate for mental health appointments at this VA facility. By organizing a team consisting of a primary care provider, mental health professional, and support staff, PACT facilitated better patient engagement and appointment scheduling. They utilized various tactics, such as reminder calls, flexible appointment times, and offering urgent care appointments during open access times. As a result, the no-show rate for mental health appointments decreased from 18% to 8%.

VA Northeast Ohio Healthcare System, Cleveland: This facility introduced PACT to address the problem of extended waiting periods for specialized care by enhancing communication between primary and specialty care teams. PACT introduced the concept of “Clinical Video Telehealth (CVT),” employing secure video conferencing to bridge the gap between primary care and specialty care providers. This enabled quicker access to specialists and minimized wait times for patients while maintaining high-quality care. As a result, patients could access specialized care and receive timely treatment without needing to travel long distances or wait for extended periods of time.These examples demonstrate the positive impact that PACT has had on improving the quality of care and patient outcomes at VA facilities across the United States. By facilitating better communication and a more efficient care system, PACT has had a significant impact on the overall healthcare experience of veterans.

FAQs: Patient Aligned Care Teams (PACT)

What is a Patient Aligned Care Team (PACT)?

A Patient Aligned Care Team (PACT) is a team-based care approach designed to provide Veterans with comprehensive, patient-centered care. PACTs consist of a primary care provider, nurse care manager, clinical associate, and administrative assistant working together to address patients’ healthcare needs in a personalized and timely manner.

How does the PACT model improve care for veterans?

The PACT model fosters active communication and collaboration among team members, ensuring more efficient coordination of care for veterans. This approach helps identify and address health concerns early on, leading to better health outcomes for patients and more effective utilization of VA resources.

Who is involved in a PACT?

A typical PACT includes a primary care provider (such as a doctor, nurse practitioner, or physician assistant), a nurse care manager, a clinical associate (such as a pharmacist, social worker, or mental health provider), and an administrative assistant. Team members may also involve other providers or specialists if needed, to ensure a comprehensive care plan for veterans.

What are the benefits of participating in a PACT?

By participating in a PACT, veterans can expect better access to care, improved communication with healthcare providers, and more personalized, coordinated services. The PACT model allows patients to actively participate in their care and collaborate with their care team to set goals, make informed decisions, and address their healthcare needs effectively.

How do I become part of a PACT?

To become part of a PACT, you must be enrolled in the VA healthcare system. Contact your local VA Medical Center or Community-Based Outpatient Clinic to discuss your eligibility and to request enrollment in a PACT. Your primary care provider and team members will work with you to develop a comprehensive care plan tailored to your needs and preferences.

What can I expect during my appointments with my PACT?

During your appointments, your PACT will review your health history, discuss your current concerns, and develop a personalized care plan to address your needs. You will work together to set goals, make informed decisions, and monitor your progress. The PACT model emphasizes communication and collaboration, ensuring that you have an active role in your care and a strong support system to help you achieve your healthcare goals.

Related VA Benefit Terms

  • Primary Care Provider (PCP)
  • Integrated Care Services
  • Healthcare Coordination
  • Chronic Disease Management
  • Preventive Care and Wellness

Sources for More Information

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