Implementation of Women's Health Patient Aligned Care Teams

NACompletedINTERVENTIONAL
Enrollment

3,900

Participants

Timeline

Start Date

May 9, 2014

Primary Completion Date

September 30, 2017

Study Completion Date

September 30, 2018

Conditions
Patient-centered Medical Home Implementation
Interventions
OTHER

Multilevel stakeholder engagement

Structured, in-person stakeholder panel meeting of VA network, VA medical center, and primary care and women's health leaders using modified Delphi panel techniques to come to consensus on a quality improvement (QI) roadmap within each participating VA network, followed by intermittent progress reporting and post-24 months in-person capstone stakeholder panel meetings

OTHER

Quality improvement (QI) education/training

Initial in-person and ongoing virtual team training in QI principles, methods, and project proposal development and refinement

OTHER

Technical support

Research team provided technical review of and feedback on local QI project proposals, helped develop and/or recommend process/outcome measures, identified and shared relevant published literature (e.g., measures, interventions), and provided general technical support (e.g., how to analyze local data, how to conduct a local focus group)

OTHER

Formative feedback

Research team provided aggregated all-site and local data from baseline patient and provider/staff surveys, 12-month patient surveys, and other data and findings to local teams for ongoing and new QI project idea development

OTHER

External practice facilitation

Within and across site calls with local teams to review progress, identify needs, help solve problems, discuss current and new projects, as well as potential for spread

OTHER

National policy guidance

VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities

Trial Locations (13)

15240

VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA, Pittsburgh

19104

Philadelphia VA Medical Center, Philadelphia, PA, Philadelphia

26301

Clarksburg Louis A. Johnson VA Medical Center, Clarksburg, WV, Clarksburg

53705

William S. Middleton Memorial Veterans Hospital, Madison, WI, Madison

55417

Minneapolis VA Health Care System, Minneapolis, MN, Minneapolis

58102

Fargo VA Healthcare System, Fargo, ND, Fargo

60612

Jesse Brown VA Medical Center, Chicago, IL, Chicago

91343

VA Greater Los Angeles Healthcare System, Sepulveda, CA, Sepulveda

06516

VA Connecticut Healthcare System West Haven Campus, West Haven, CT, West Haven

60141-5000

Edward Hines Jr. VA Hospital, Hines, IL, Hines

52246-2208

Iowa City VA Health Care System, Iowa City, IA, Iowa City

02130

VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA, Boston

01053-9764

VA Central Western Massachusetts Healthcare System, Leeds, MA, Leeds

All Listed Sponsors
collaborator

University of California, Los Angeles

OTHER

collaborator

RAND

OTHER

lead

VA Office of Research and Development

FED

NCT02039856 - Implementation of Women's Health Patient Aligned Care Teams | Biotech Hunter | Biotech Hunter