Academic Patient Aligned Care Team (Academic PACT or APACT)
Boise VA Medical Center
Academic Partners: Gonzaga University School of Nursing; University of Washington, School of Medicine Idaho State University School of Pharmacy and Nursing
Academic Partners: Gonzaga University School of Nursing; University of Washington School of Medicine; Idaho State University Schools of Pharmacy and Nursing; Northwest Nazarene University School of Nursing
Formal training, workplace learning and reflection drive the Boise Center of Excellence’s team-based primary care curricula. This interprofessional curriculum supports several disciplines, particularly nurse practitioner, internal medicine and pharmacy residents, and psychology interns and post-doctoral fellows. To deepen trainees’ understanding of interdependent roles and optimize preparation for practice in a transforming healthcare system, the Center also fosters multidisciplinary, continuous quality improvement (CQI) projects.Program Highlights
PACT Interprofessional Care Update "ICU" - is a weekly case conference that:
Referral patterns of patients from Silver Team addressed during PACT ICU reflect how the Center is embracing more multidisciplinary perspectives. In particular, involvement of pharmacy, psychology and social work in providing care has increased, compared with control teams, especially for "warm handoffs."
Curriculum of Inquiry - begins with a seminar series that addresses systems issues and incentives, guidelines for framing a good question and evidence-based practice. Criteria for project development and presentation include:
To cite an example project, a study of the literature and accrediting bodies of NPs, Internal Medicine, Clinical Pharmacy and Clinical Psychology has yielded a cross-sectional matrix of differences and similarities between disciplines’ competencies, amount of schooling, work experience, and state licensing. This breakdown, summarized in Venn diagrams, has helped facilitate dialogue and increase understanding across medical disciplines at the Boise VA and when presented at other venues.