Multiple PACT Requests for a Patient

A patient can be assigned to multiple stations to facilitate and expedite encounters for that patient, especially if it's medically necessary or if a Veteran relocates. You are able to view all requested assignments for Multiple PC teams for a patient on the Patient Profile screen. There can only be one active request per patient per station at a time. There can be multiple requests for the same patient at different stations at one time.

Note: Multiple PACT requests and Multiple PCP requests refer to the same process -- they are interchangeable terms.

When a patient is being assigned to a PACT team at the local station, the patient’s PACT assignments will be evaluated enterprise-wide to determine if an active PACT assignment exists in another 3-digit code station. If it is determined that the patient has one or more active PACT assignment(s) at other 3-digit code stations, then the system will automatically generate a Multiple PACT Request (MPCP) for the current pending PACT assignment being made.

  1. The Multiple PACT request process starts when a patient is being assigned to a PACT team at the local station. See the Assign a Patient to a Team section for more information.
  2. If the system finds the patient is active at another station, The Multiple PACT Automatic Creation popup box will display. Click Assign Anyway to continue, or Cancel to cancel.  The Attention popup box will display. Click OK.
  3. The system creates a Multiple PACT request. The Multiple PACT Request section in the Patient Profile will contain a table that lists all of the requested assignments for the Primary Care teams and display the following fields:
  4. The system sends out two alerts to all involved stations (i.e. those stations holding a current active PACT assignment or the station needing assignment). An Informational Alert is sent to the station needing assignment PCMM Coordinator for awareness and an Actionable Alert to the Station Needing Assignment TVC requesting to Approve OR Deny an existing Multiple PCP Request.
  5. The authorized user (TVC) opens the Alerts list (see the View Open Alerts List for a Current Station section), locates the correlating Actionable alert for the request, and clicks the View/Action on Alerts icon in the Actions column. The system will display the Patient Profile screen.
  6. From the Multiple PACT Requests section, the user clicks the Actions icon (magnifying glass) to display the Create or Edit Multiple PACT Request popup screen. This screen will display:
  7. Click Approve to continue, or Deny to deny the requested approval. The status will be changed to Approve, the Entered by will be populated, the Approver selects a Clinical Decision by:, and comments may be entered if desired.
  8. Click Submit to continue, Withdraw the Request to withdraw, or Cancel to cancel. If Submitted, the system changes the Status to Approved in the Patient Profile and sends out an alert to the original station.

Approval Station Process:

  1. The TVC at the receiving station opens the Alerts list (see the View Open Alerts List for a Current Station section), locates the correlating Actionable alert for the request, and clicks the View/Action on Alerts icon in the Actions column. The system will display the Patient Profile screen.  
  2. The TVC opens the Multiple PACT Requests section and clicks the icon in the Action column for the corresponding record.
  3. The system displays the Multiple PACT Automatic Creation popup box. The user scrolls down to the Required PACT Approvals section.
  4. The TVC has the option of resending the alert to the stations listed by clicking the Resend Alert button in the Actions column.
  5. The TVC clicks Approve to continue (and may enter comments if desired), Deny to suspend the approval process. If Deny is selected, the user will be required to select a Reason and Date.
  6. The TVC clicks Submit and the record is saved.
  7. The request will be saved with an assignment status of Approved for the station approving the request. The overall status of the request will remain Pending until all required approvals have been obtained. An Informational Alert will be sent to all TVC(s) at the other approving station(s) except the TVC’s station that just provided the approval.

If TVC Denies the Request:

  1. The system displays the details of the submitted request in the timeline on the Patient Profile screen.

Permanent Relocation Process

See also:

View a Patient Profile

Assign a Patient to a Team

View Alerts Summary for a Station

View Open Alerts List for a Current Station