Title:PACT Patient Experiences Survey, VA Form 10-0536.
OMB Control Number:2900—New.
Type of Review:New data collection.
Abstract:The data collected on VA Form 10-0536 will be used to implement a patient-centered medical home at all Veterans Health Administration Ambulatory Primary Care sites. The medical home provides accessible, coordinated, comprehensive, patient-centered care, and is managed by primary care providers with the active involvement of other clinical and non-clinical staff. The medical home allows patients to have a more active role in their health care and is associated with increased quality improvement, patient satisfaction, and a decrease in hospital costs due to fewer hospital visits and readmissions. The information collected will be used by the VAAAHS PACT Demonstration Laboratory and the Ambulatory Care Service to evaluate the universal VHA PACT Systems Redesign, document patient experiences over time, and improve patient care through specific mechanisms.
Affected Public:Individuals or households.
Estimated Annual Burden:2,400 hours.
Estimated Average Burden Per Respondent:30 minutes.
Frequency of Response:On occasion.
Estimated Number of Respondents:2,400.
Estimated Number of Responses:4,800.
Dated: August 16, 2012.
By direction of the Secretary.
Program Analyst Director, Enterprise Records Service.