PACT BASICS
These are the two options when running the post-hospital D/C report
What are discharges and observation?
Annual screening required for diabetic veterans monitored by eQMs
What is a retinal screening?
For hypertension follow-up, a patient with a newly elevated BP should be rechecked within this timeframe.
What is 1-4 weeks?
The note that you use to document immunizations
What is SBY IMMUNIZATIONS?
A VA faciltated program required prior to starting weight loss medications
This database should be checked first when veterans request medications through the VA prescribed from outside providers.
What is the VA formulary site?
Timeframe to recheck A1c when the result is 9 or greater
3 months
This lab should be up to date prior to renewing blood pressure medications
What is a BMP?
PACT teams must link this element to every progress note to ensure workload credit and proper coding.
What is the encounter location, diagnosis, and procedure?
This order can be placed by nurses per PACT protocol to evaluate DME needs for veterans
What is an RMS OT consult?
Real-time transfer of care in person or on the phone
What is a warm handoff?
This annual screening test is recommended for all Veterans with diabetes to check for early kidney disease—even when serum creatinine is normal.
What is the urine albumin-to-creatinine ratio (UACR) test?
This should be done if the initial BP reading is above 140/90
What is a manual BP?
The note that should be used when following up on a 2-7 day discharge from a VA hospital?
What is the NURSING POST DISCHARGE NOTE?
This team member can help support lifestyle modification efforts
Who is the clinical dietician?
Manages chronic disease protocols
Who is the RN Care Manager
Diabetes increases cardiovascular risk, so this type of medication is often prescribed for prevention.
What is a statin?
If a Veteran with high BP reports taking OTC cold medication, this type of ingredient may be responsible.
What is a decongestant such as pseudoephedrine?
A tool to assist in health maintenance and ensure evidence-based care completion
What are clinical reminders?
This PACT service helps Veterans with medication optimization and titration, including insulin.
Who is the clinical pharmacist (PharmD)?
This core principle of PACT emphasizes delivering the right care at the right time and place through team-based coordination
What is patient-centered care?
Lab test that should be monitored at least annually for diabetic kidney function
What is a serum creatinine/eGFR?
This medication should not be abruptly discontinued because it may trigger rebound hypertension.
What are beta blockers?
A recommended practice to complete before forwarding a request for a specialty consult to the provider
What is a CPRS chart review to check for an existing consult?
This home device program allows remote monitoring of conditions like hypertension and CHF.
What is the VA Home Telehealth/Remote Patient montoring program?