The Patient Centered Management Module (PCMM) Web application assists VA facilities in implementing and monitoring patient and staff assignments in both primary care and non‑primary care teams. PCMM Web is a web browser, user interface integrated through the Clinical Information Support System (CISS) portal.
The newly developed Primary Care (PC) system balances productivity with quality, access, and patient service. In a PC setting and in the Patient-Aligned Care Team (PACT) model, patients are assigned a Primary Care Provider (PCP) who is responsible for delivering essential health care, coordinating all health care services, and serving as the point of access for VA care. A team is formed based on specific care type (i.e., Primary Care, Mental Health) and aligned around a patient, including providers across multiple VA sites and in non-VA settings for efficient care coordination and communication. The PCP works together with a team of professionals which includes nurses, pharmacists, social workers, health care professions, trainees, clerks, and more. Additionally, teams can be grouped together for a larger collaborative team
Within PCMM Web, users can establish and define a healthcare team, assign staff and health professions trainees to team roles within the team, assign patients to the team, and assign patients to practitioners, including trainees. A patient can be assigned to multiple PACT teams. Those assignments are tracked across VA stations through Multiple PACT requests, which require an approval or a denial from all involved stations. Multiple assignment requests for the same patient for different stations are allowed, but there can only be one active assignment per patient, per station at a time.
When PCMM Web data is entered in a standardized manner, it can be used to analyze the system and PACT workload nationally by Veterans Integrated Service Network (VISN), and by a facility and its substations, as well as at the team level. PACTs manage the overall care provided to a majority of VA health care systems, and their workload capacity is an important factor in determining the total number of patients that can be cared for in the system.