Trial Outcomes & Findings for Implementation of Women's Health Patient Aligned Care Teams (NCT NCT02039856)
NCT ID: NCT02039856
Last Updated: 2023-06-18
Results Overview
The Women's Health Patient-Aligned Care Team achievement, based on four patient-reported measures of access to care, patient-provider communication, comprehensiveness of care, and gender-appropriateness of care. The WH-PACT achievement is an aggregate score from -4 to +4, with the higher score meaning better PACT achievement.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
3900 participants
Primary outcome timeframe
Baseline to 24-month
Results posted on
2023-06-18
Participant Flow
Random samples of women Veteran clinic users (patient surveys) and census of each VAMC's primary care and women's health providers and staff in PACT and WH-PACT (web surveys) at 12 participating VAMCs recruited through the WH Practice Based Research Network
Unit of analysis: VA medical centers
Participant milestones
| Measure |
EBQI-Supported WH-PACT Implementation
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
PACT implementation is a nationally mandated VA initiative for medical home implementation in VA primary care and women's health clinics, supported by VA Handbooks on PACT and Women's Health policy and practice guidance from national VA primary care and women's health program offices that are disseminated nationally to all VA facilities.
|
|---|---|---|
|
Overall Study
STARTED
|
2720 8
|
1180 4
|
|
Overall Study
Baseline Started - Patients
|
2183 8
|
919 4
|
|
Overall Study
Baseline Completed - Patients
|
953 8
|
442 4
|
|
Overall Study
Baseline Started - Providers/Staff
|
537 8
|
261 4
|
|
Overall Study
Baseline Completed -Providers/Staff
|
194 8
|
94 4
|
|
Overall Study
Total Baseline Completed
|
1147 8
|
536 4
|
|
Overall Study
12-month Started-patients
|
953 8
|
442 4
|
|
Overall Study
12-month Completed- Patients
|
580 8
|
241 4
|
|
Overall Study
12-month Providers/Staff
|
0 0
|
0 0
|
|
Overall Study
24-month Started
|
1518 8
|
746 4
|
|
Overall Study
24-month Started - Patients
|
953 8
|
442 4
|
|
Overall Study
24-month Completed - Patients
|
519 8
|
222 4
|
|
Overall Study
24-month Started Providers/Staff
|
565 8
|
304 4
|
|
Overall Study
24-month Completed Providers/Staff
|
174 8
|
105 4
|
|
Overall Study
Total 24-month Completed
|
693 8
|
327 4
|
|
Overall Study
COMPLETED
|
693 8
|
327 4
|
|
Overall Study
NOT COMPLETED
|
2027 0
|
853 0
|
Reasons for withdrawal
| Measure |
EBQI-Supported WH-PACT Implementation
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
PACT implementation is a nationally mandated VA initiative for medical home implementation in VA primary care and women's health clinics, supported by VA Handbooks on PACT and Women's Health policy and practice guidance from national VA primary care and women's health program offices that are disseminated nationally to all VA facilities.
|
|---|---|---|
|
Overall Study
Death
|
5
|
3
|
|
Overall Study
Partial survey completion
|
61
|
26
|
|
Overall Study
Lost to Follow-up
|
388
|
206
|
|
Overall Study
Withdrawal by Subject
|
1573
|
618
|
Baseline Characteristics
There are 4 patients with missing age information, 1 in the EBQI arm and 3 in the control arm.
Baseline characteristics by cohort
| Measure |
EBQI-Supported WH-PACT Implementation
n=1147 Participants
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
n=536 Participants
VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities
|
Total
n=1683 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
Patients
|
53.39 years
STANDARD_DEVIATION 13.99 • n=952 Participants • There are 4 patients with missing age information, 1 in the EBQI arm and 3 in the control arm.
|
51.54 years
STANDARD_DEVIATION 13.76 • n=439 Participants • There are 4 patients with missing age information, 1 in the EBQI arm and 3 in the control arm.
|
52.80 years
STANDARD_DEVIATION 13.94 • n=1391 Participants • There are 4 patients with missing age information, 1 in the EBQI arm and 3 in the control arm.
|
|
Age, Customized
20-29 years
|
7 Participants
n=194 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
3 Participants
n=94 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
10 Participants
n=288 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
|
Age, Customized
30-39 years
|
36 Participants
n=194 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
19 Participants
n=94 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
55 Participants
n=288 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
|
Age, Customized
40-49 years
|
48 Participants
n=194 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
20 Participants
n=94 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
68 Participants
n=288 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
|
Age, Customized
50-59 years
|
65 Participants
n=194 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
30 Participants
n=94 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
95 Participants
n=288 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
|
Age, Customized
60+ years
|
23 Participants
n=194 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
10 Participants
n=94 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
33 Participants
n=288 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
|
Age, Customized
missing
|
15 Participants
n=194 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
12 Participants
n=94 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
27 Participants
n=288 Participants • There are 27 providers and staff with missing age information; 15 in the EBQI arm and 12 in the control arm.
|
|
Sex: Female, Male
Female
|
953 Participants
n=953 Participants • Patients only
|
442 Participants
n=442 Participants • Patients only
|
1395 Participants
n=1395 Participants • Patients only
|
|
Sex: Female, Male
Male
|
0 Participants
n=953 Participants • Patients only
|
0 Participants
n=442 Participants • Patients only
|
0 Participants
n=1395 Participants • Patients only
|
|
Race/Ethnicity, Customized
American Indian or Alaska Native
|
4 Participants
n=194 Participants • Providers/staff
|
0 Participants
n=94 Participants • Providers/staff
|
4 Participants
n=288 Participants • Providers/staff
|
|
Race/Ethnicity, Customized
Asian
|
7 Participants
n=953 Participants • Patients only
|
3 Participants
n=442 Participants • Patients only
|
10 Participants
n=1395 Participants • Patients only
|
|
Race/Ethnicity, Customized
Black or African American
|
190 Participants
n=953 Participants • Patients only
|
129 Participants
n=442 Participants • Patients only
|
319 Participants
n=1395 Participants • Patients only
|
|
Race/Ethnicity, Customized
White
|
630 Participants
n=953 Participants • Patients only
|
225 Participants
n=442 Participants • Patients only
|
855 Participants
n=1395 Participants • Patients only
|
|
Race/Ethnicity, Customized
More than one race
|
83 Participants
n=953 Participants • Patients only
|
40 Participants
n=442 Participants • Patients only
|
123 Participants
n=1395 Participants • Patients only
|
|
Race/Ethnicity, Customized
Hispanic or Latino
|
33 Participants
n=953 Participants • Patients only
|
37 Participants
n=442 Participants • Patients only
|
70 Participants
n=1395 Participants • Patients only
|
|
Race/Ethnicity, Customized
Unknown or Not Reported
|
10 Participants
n=953 Participants • Patients only
|
8 Participants
n=442 Participants • Patients only
|
18 Participants
n=1395 Participants • Patients only
|
|
Post-traumatic stress disorder (PTSD)
PTSD positive
|
364 Participants
n=953 Participants • Patients only
|
194 Participants
n=442 Participants • Patients only
|
558 Participants
n=1395 Participants • Patients only
|
|
Post-traumatic stress disorder (PTSD)
PTSD negative
|
578 Participants
n=953 Participants • Patients only
|
244 Participants
n=442 Participants • Patients only
|
822 Participants
n=1395 Participants • Patients only
|
|
Post-traumatic stress disorder (PTSD)
Missing
|
11 Participants
n=953 Participants • Patients only
|
4 Participants
n=442 Participants • Patients only
|
15 Participants
n=1395 Participants • Patients only
|
|
Military Sexual Trauma (MST)
MST positive
|
575 Participants
n=953 Participants • Patients only
|
266 Participants
n=442 Participants • Patients only
|
841 Participants
n=1395 Participants • Patients only
|
|
Military Sexual Trauma (MST)
MST negative
|
362 Participants
n=953 Participants • Patients only
|
167 Participants
n=442 Participants • Patients only
|
529 Participants
n=1395 Participants • Patients only
|
|
Military Sexual Trauma (MST)
Missing
|
16 Participants
n=953 Participants • Patients only
|
9 Participants
n=442 Participants • Patients only
|
25 Participants
n=1395 Participants • Patients only
|
|
VA care utilization
VA-only
|
608 Participants
n=953 Participants • Patients only
|
259 Participants
n=442 Participants • Patients only
|
867 Participants
n=1395 Participants • Patients only
|
|
VA care utilization
VA and non-VA
|
345 Participants
n=953 Participants • Patients only
|
183 Participants
n=442 Participants • Patients only
|
528 Participants
n=1395 Participants • Patients only
|
|
Education
Less than college
|
180 Participants
n=953 Participants • Patients only
|
72 Participants
n=442 Participants • Patients only
|
252 Participants
n=1395 Participants • Patients only
|
|
Education
Some college
|
416 Participants
n=953 Participants • Patients only
|
193 Participants
n=442 Participants • Patients only
|
609 Participants
n=1395 Participants • Patients only
|
|
Education
College degree
|
355 Participants
n=953 Participants • Patients only
|
176 Participants
n=442 Participants • Patients only
|
531 Participants
n=1395 Participants • Patients only
|
|
Education
missing
|
2 Participants
n=953 Participants • Patients only
|
1 Participants
n=442 Participants • Patients only
|
3 Participants
n=1395 Participants • Patients only
|
|
Employment
Employed
|
356 Participants
n=953 Participants • Patients only
|
193 Participants
n=442 Participants • Patients only
|
549 Participants
n=1395 Participants • Patients only
|
|
Employment
un-employed
|
44 Participants
n=953 Participants • Patients only
|
29 Participants
n=442 Participants • Patients only
|
73 Participants
n=1395 Participants • Patients only
|
|
Employment
Not in labor force
|
330 Participants
n=953 Participants • Patients only
|
125 Participants
n=442 Participants • Patients only
|
455 Participants
n=1395 Participants • Patients only
|
|
Employment
Not in labor force due to disability
|
220 Participants
n=953 Participants • Patients only
|
90 Participants
n=442 Participants • Patients only
|
310 Participants
n=1395 Participants • Patients only
|
|
Employment
missing
|
3 Participants
n=953 Participants • Patients only
|
5 Participants
n=442 Participants • Patients only
|
8 Participants
n=1395 Participants • Patients only
|
|
Stranger harassment from male veterans
Never
|
737 Participants
n=953 Participants • Patients only
|
324 Participants
n=442 Participants • Patients only
|
1061 Participants
n=1395 Participants • Patients only
|
|
Stranger harassment from male veterans
Sometimes
|
144 Participants
n=953 Participants • Patients only
|
90 Participants
n=442 Participants • Patients only
|
234 Participants
n=1395 Participants • Patients only
|
|
Stranger harassment from male veterans
Usually
|
36 Participants
n=953 Participants • Patients only
|
14 Participants
n=442 Participants • Patients only
|
50 Participants
n=1395 Participants • Patients only
|
|
Stranger harassment from male veterans
Always
|
29 Participants
n=953 Participants • Patients only
|
13 Participants
n=442 Participants • Patients only
|
42 Participants
n=1395 Participants • Patients only
|
|
Stranger harassment from male veterans
Missing
|
7 Participants
n=953 Participants • Patients only
|
1 Participants
n=442 Participants • Patients only
|
8 Participants
n=1395 Participants • Patients only
|
|
Marital status
Single/windowed/divorced/seperated
|
573 Participants
n=953 Participants • Patients only
|
277 Participants
n=442 Participants • Patients only
|
850 Participants
n=1395 Participants • Patients only
|
|
Marital status
Married/civil union/ significant other
|
371 Participants
n=953 Participants • Patients only
|
159 Participants
n=442 Participants • Patients only
|
530 Participants
n=1395 Participants • Patients only
|
|
Marital status
Missing
|
9 Participants
n=953 Participants • Patients only
|
6 Participants
n=442 Participants • Patients only
|
15 Participants
n=1395 Participants • Patients only
|
|
Are you currently working in WH-PACT?
WH-PACTs
|
84 Participants
n=194 Participants • Providers/staff
|
27 Participants
n=94 Participants • Providers/staff
|
111 Participants
n=288 Participants • Providers/staff
|
|
Are you currently working in WH-PACT?
PACTs
|
97 Participants
n=194 Participants • Providers/staff
|
58 Participants
n=94 Participants • Providers/staff
|
155 Participants
n=288 Participants • Providers/staff
|
|
Are you currently working in WH-PACT?
not sure
|
11 Participants
n=194 Participants • Providers/staff
|
5 Participants
n=94 Participants • Providers/staff
|
16 Participants
n=288 Participants • Providers/staff
|
|
Are you currently working in WH-PACT?
unkown/not reported
|
2 Participants
n=194 Participants • Providers/staff
|
4 Participants
n=94 Participants • Providers/staff
|
6 Participants
n=288 Participants • Providers/staff
|
|
Proportion of time interacting with patients
1%-24% of my total VA time
|
16 Participants
n=194 Participants • Providers/staff
|
8 Participants
n=94 Participants • Providers/staff
|
24 Participants
n=288 Participants • Providers/staff
|
|
Proportion of time interacting with patients
25%-49% of my total VA time
|
19 Participants
n=194 Participants • Providers/staff
|
8 Participants
n=94 Participants • Providers/staff
|
27 Participants
n=288 Participants • Providers/staff
|
|
Proportion of time interacting with patients
50%-75% of my total VA time
|
35 Participants
n=194 Participants • Providers/staff
|
18 Participants
n=94 Participants • Providers/staff
|
53 Participants
n=288 Participants • Providers/staff
|
|
Proportion of time interacting with patients
>75% of my total VA time
|
124 Participants
n=194 Participants • Providers/staff
|
60 Participants
n=94 Participants • Providers/staff
|
184 Participants
n=288 Participants • Providers/staff
|
|
Full-time VA employee
Full-time
|
178 Participants
n=194 Participants • Providers/staff
|
89 Participants
n=94 Participants • Providers/staff
|
267 Participants
n=288 Participants • Providers/staff
|
|
Full-time VA employee
Part-time
|
15 Participants
n=194 Participants • Providers/staff
|
5 Participants
n=94 Participants • Providers/staff
|
20 Participants
n=288 Participants • Providers/staff
|
|
Full-time VA employee
Missing
|
1 Participants
n=194 Participants • Providers/staff
|
0 Participants
n=94 Participants • Providers/staff
|
1 Participants
n=288 Participants • Providers/staff
|
|
How often do you see or care for women patients in the clinic?
Never
|
11 Participants
n=194 Participants • Providers/staff
|
10 Participants
n=94 Participants • Providers/staff
|
21 Participants
n=288 Participants • Providers/staff
|
|
How often do you see or care for women patients in the clinic?
Less than once per month
|
57 Participants
n=194 Participants • Providers/staff
|
41 Participants
n=94 Participants • Providers/staff
|
98 Participants
n=288 Participants • Providers/staff
|
|
How often do you see or care for women patients in the clinic?
1-2 times per month
|
31 Participants
n=194 Participants • Providers/staff
|
7 Participants
n=94 Participants • Providers/staff
|
38 Participants
n=288 Participants • Providers/staff
|
|
How often do you see or care for women patients in the clinic?
1-2 times per week
|
33 Participants
n=194 Participants • Providers/staff
|
8 Participants
n=94 Participants • Providers/staff
|
41 Participants
n=288 Participants • Providers/staff
|
|
How often do you see or care for women patients in the clinic?
several times each week
|
20 Participants
n=194 Participants • Providers/staff
|
11 Participants
n=94 Participants • Providers/staff
|
31 Participants
n=288 Participants • Providers/staff
|
|
How often do you see or care for women patients in the clinic?
almost everyday or every day
|
40 Participants
n=194 Participants • Providers/staff
|
12 Participants
n=94 Participants • Providers/staff
|
52 Participants
n=288 Participants • Providers/staff
|
|
How often do you see or care for women patients in the clinic?
Missing/not reported
|
2 Participants
n=194 Participants • Providers/staff
|
5 Participants
n=94 Participants • Providers/staff
|
7 Participants
n=288 Participants • Providers/staff
|
|
Years of service at VA
|
14.26 years
STANDARD_DEVIATION 11.77 • n=194 Participants • Providers/staff
|
14.75 years
STANDARD_DEVIATION 10.64 • n=94 Participants • Providers/staff
|
14.42 years
STANDARD_DEVIATION 11.40 • n=288 Participants • Providers/staff
|
PRIMARY outcome
Timeframe: Baseline to 24-monthPopulation: The analysis included the patients who had completed the 24-month survey. One patient in the EBQI arm had missing data for outcome measure and was excluded from the analysis.
The Women's Health Patient-Aligned Care Team achievement, based on four patient-reported measures of access to care, patient-provider communication, comprehensiveness of care, and gender-appropriateness of care. The WH-PACT achievement is an aggregate score from -4 to +4, with the higher score meaning better PACT achievement.
Outcome measures
| Measure |
EBQI-Supported WH-PACT Implementation
n=518 Participants
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
n=222 Participants
VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities.
|
|---|---|---|
|
WH-PACT Achievement
Baseline · -4
|
30 Participants
|
23 Participants
|
|
WH-PACT Achievement
Baseline · -3
|
49 Participants
|
20 Participants
|
|
WH-PACT Achievement
Baseline · -2
|
51 Participants
|
26 Participants
|
|
WH-PACT Achievement
Baseline · -1
|
49 Participants
|
24 Participants
|
|
WH-PACT Achievement
Baseline · 0
|
59 Participants
|
23 Participants
|
|
WH-PACT Achievement
Baseline · +1
|
73 Participants
|
31 Participants
|
|
WH-PACT Achievement
Baseline · +2
|
79 Participants
|
27 Participants
|
|
WH-PACT Achievement
Baseline · +3
|
75 Participants
|
28 Participants
|
|
WH-PACT Achievement
Baseline · +4
|
53 Participants
|
20 Participants
|
|
WH-PACT Achievement
24 month · -4
|
34 Participants
|
17 Participants
|
|
WH-PACT Achievement
24 month · -3
|
40 Participants
|
27 Participants
|
|
WH-PACT Achievement
24 month · -2
|
35 Participants
|
15 Participants
|
|
WH-PACT Achievement
24 month · -1
|
41 Participants
|
21 Participants
|
|
WH-PACT Achievement
24 month · 0
|
57 Participants
|
20 Participants
|
|
WH-PACT Achievement
24 month · +1
|
72 Participants
|
24 Participants
|
|
WH-PACT Achievement
24 month · +2
|
93 Participants
|
34 Participants
|
|
WH-PACT Achievement
24 month · +3
|
83 Participants
|
35 Participants
|
|
WH-PACT Achievement
24 month · +4
|
63 Participants
|
29 Participants
|
SECONDARY outcome
Timeframe: Baseline to 24-monthPopulation: Primary care and women's health providers and staff. The analysis was based on cases with non-missing outcome data. There were 28 missing cases in the EBQI arm and 9 missing in the control arm.
Gender sensitivity score based on 10 survey items related to providers' and staff's sensitivity towards women Veterans during patient care. The score ranged from 1 to 5 with the higher score reflecting greater gender sensitivity toward women Veterans.
Outcome measures
| Measure |
EBQI-Supported WH-PACT Implementation
n=146 Participants
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
n=96 Participants
VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities.
|
|---|---|---|
|
Providers' and Staff Gender Sensitivity
Baseline
|
4.04 score on a scale
Standard Deviation 0.59
|
4.15 score on a scale
Standard Deviation 0.57
|
|
Providers' and Staff Gender Sensitivity
24-month
|
4.20 score on a scale
Standard Deviation 0.48
|
4.14 score on a scale
Standard Deviation 0.62
|
SECONDARY outcome
Timeframe: Baseline to 24-monthPopulation: Primary care and women's health providers and staff. The analysis was based on cases with non-missing outcome data. There are 80 missing cases in the EBQI arm and 74 in the control arm.
Perceived team functioning of primary care and women's health providers and staff, measured based on responses to 7 survey items. The team functioning score ranged from 1 to 5 , with the higher score indicating better team functioning.
Outcome measures
| Measure |
EBQI-Supported WH-PACT Implementation
n=94 Participants
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
n=31 Participants
VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities.
|
|---|---|---|
|
Team Functioning
Baseline
|
3.70 score on a scale
Standard Deviation 0.84
|
4.10 score on a scale
Standard Deviation 0.71
|
|
Team Functioning
24 month
|
3.84 score on a scale
Standard Deviation 0.75
|
3.98 score on a scale
Standard Deviation 0.77
|
SECONDARY outcome
Timeframe: 24-monthPopulation: Primary care and women's health providers and staff. The analysis was based on cases with non-missing burnout data. There were 30 missing cases in the EBQI arm and 10 in the control arm.
Burnout was measured using one item: "How often does the following statement apply to you: I feel burned out from my work" with options for 1.Never, 2. A few times a year, 3. Every month, 4. A few times a month, 5. Every week, 6. A few times a week, 7. Every day. We recoded the responses into a binary value: never/less than a few times a month (1-4) and every week-to-everyday (5-7).
Outcome measures
| Measure |
EBQI-Supported WH-PACT Implementation
n=144 Participants
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
n=95 Participants
VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities.
|
|---|---|---|
|
Providers and Staff Burnout
nver/less than a few times a month (1-4)
|
112 Participants
|
72 Participants
|
|
Providers and Staff Burnout
everyweek to everyday (5-7)
|
32 Participants
|
23 Participants
|
SECONDARY outcome
Timeframe: Baseline to 24monthPopulation: Patients only. One patient in the EBQI arm had missing outcome information and was excluded from the analysis.
Average number of visits to VA primary care per year
Outcome measures
| Measure |
EBQI-Supported WH-PACT Implementation
n=518 Participants
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
n=222 Participants
VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities.
|
|---|---|---|
|
Patient VA Primary Care Visits Per Year
Baseline
|
6.96 average visits per year for all patients
Standard Deviation 5.57
|
6.46 average visits per year for all patients
Standard Deviation 5.14
|
|
Patient VA Primary Care Visits Per Year
24month
|
6.78 average visits per year for all patients
Standard Deviation 7.21
|
5.16 average visits per year for all patients
Standard Deviation 5.90
|
SECONDARY outcome
Timeframe: Baseline to 24monthPopulation: Patients only. One patient in the EBQI arm had missing outcome information and was excluded from the analysis.
Average number of patient visits to VA women's health care per year
Outcome measures
| Measure |
EBQI-Supported WH-PACT Implementation
n=518 Participants
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
n=222 Participants
VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities.
|
|---|---|---|
|
Patient VA Women's Health Care Visits Per Year
Baseline
|
4.05 Average visits per year for all patients
Standard Deviation 4.41
|
4.63 Average visits per year for all patients
Standard Deviation 3.74
|
|
Patient VA Women's Health Care Visits Per Year
24month
|
4.23 Average visits per year for all patients
Standard Deviation 6.23
|
3.24 Average visits per year for all patients
Standard Deviation 3.69
|
SECONDARY outcome
Timeframe: Baseline to 24-monthPopulation: Patients only. One patient in the EBQI arm had missing outcome information and was excluded from the analysis.
Average number of patient hospitalization for any cause in a year
Outcome measures
| Measure |
EBQI-Supported WH-PACT Implementation
n=518 Participants
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
n=222 Participants
VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities.
|
|---|---|---|
|
Patient VA Hospitalization
Baseline
|
0.26 Average visits per year for all patients
Standard Deviation 0.82
|
0.19 Average visits per year for all patients
Standard Deviation 0.63
|
|
Patient VA Hospitalization
24-month
|
0.17 Average visits per year for all patients
Standard Deviation 0.60
|
0.15 Average visits per year for all patients
Standard Deviation 0.41
|
SECONDARY outcome
Timeframe: baseline to 24-monthPopulation: Patients only. One patient in the EBQI arm had missing outcome information and was excluded from the analysis.
Average number of patient emergency room visits for any cause in a year
Outcome measures
| Measure |
EBQI-Supported WH-PACT Implementation
n=518 Participants
Evidence-based Quality Improvement (EBQI) is a structured research-clinical partnership approach to facilitating implementation of new care models, including multilevel stakeholder engagement, quality improvement (QI) education/training, technical support, formative feedback, external practice facilitation, and national policy guidance.
|
Routine WH-PACT Implementation
n=222 Participants
VA Handbooks on policy and practice for PACT implementation guidance and on delivery of comprehensive women's health services disseminated to all VA facilities.
|
|---|---|---|
|
Patient Emergency Room Visits
Baseline
|
0.90 Average visits per year for all patients
Standard Deviation 1.89
|
0.72 Average visits per year for all patients
Standard Deviation 1.31
|
|
Patient Emergency Room Visits
24-month
|
0.78 Average visits per year for all patients
Standard Deviation 1.50
|
0.55 Average visits per year for all patients
Standard Deviation 1.05
|
Adverse Events
EBQI-Supported WH-PACT Implementation
Serious events: 0 serious events
Other events: 0 other events
Deaths: 5 deaths
Routine WH-PACT Implementation
Serious events: 0 serious events
Other events: 0 other events
Deaths: 3 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Elizabeth M. Yano, PhD, MSPH
VA Greater Los Angeles Healthcare System
Phone: (818) 891-7711
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place