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. 2014 Apr 9;29(Suppl 2):563–571. doi: 10.1007/s11606-014-2773-5

Table 2.

Summary of Coach Assessment Score at End of PACT Collaborative by Pillar and Aims

Pillar/ Aims Access Care Coordination and Management Practice Redesign
A1 A2 CCM1 CCM2 CCM3 PR1 PR2
Exemplar teams (*Scoring at least 4.0) n 75 80 74 61 34 74 107
% 53 % 57 % 52 % 43 % 24 % 53 % 77 %
Work-in-progress teams (*Scoring 3.0 – 3.5) n 51 47 42 50 35 43 23
% 35 % 33 % 29 % 35 % 24 % `30 % 16 %
Low-score teams (*Scoring at most 2.5) n 15 13 25 29 71 23 9
% 10 % 9 % 17 % 20 % 49 % 16 % 6 %

AIMS:

A1: Offer same day appointments

A2: Increase non-face to face care

CCM1: Identify and actively manage high risk patients

CCM2: Improve handovers with inpatient

CCM3: Improve handovers with specialty

PR1: Start appointments within 10 mins of scheduled time

PR2: Improve team communication

*Scoring 1-5 scale:

4.0 = Achieved Aims

3.0 = Several successful tests of change with outcomes

3.5 = Testing multiple changes; measurable progress over > 3 data points

2.5 = Tests of change begun, no measurable Progress

*Based on the Institute for Healthcare Improvement Breakthrough Series Model Assessment Scoring 1-5 scale (Appendix F)