Medical Construction & Design

MAR-APR 2018

Medical Construction & Design (MCD) is the industry's leading source for news and information and reaches all disciplines involved in the healthcare construction and design process.

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42 Medical Construction & Design | M A RCH /A PR IL 2018 | MCDM AG.COM BY ROB FORNEY & KIM WARD The once episodic and inpatient-oriented healthcare delivery model for veterans has improved dramatically since the introduction of community-based outpatient clinics to the healthcare landscape. The CBOC model aims to decentralize and integrate primary, secondary and tertiary care services, making it more accessible for veterans to have high-quality, comprehensive and cost- eff ective outpatient care at a convenient location. To help facilitate this, the VA has developed a proto- type for its CBOC facilities. Based on patient-aligned care teams, or PACTs, the proto- type is built on the concept of patient-centered medical staff of high-functioning teams consisting of a pri- mary care provider, RN care manager, clerical associate and administrative associ- ate. Each team then has a care team of fi ve extended health professionals that can be called in for additional patient support. This team- based approach is at the core of the PACT modules, where each veteran works together with their team to look at all aspects of his or her health with an emphasis on preven- tion and education. The development of the CBOC model also provides a framework to create better delivery and outcomes through Evidence-Based TOP CARE FOR VETERANS Considerations when designing healthcare VA facilities 9M Enrollees in VA healthcare system —va.gov 1,231 Total number (last reported) of VA outpatient facilities — va.gov 145 Total number (last reported) of VA hospitals —va.gov Specialty Spaces S ISSUE FOCUS BY THE NUMBERS

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