1. Karen M. Ott, DNP, RN Hunter G. Ford, MPA, MHSA, PMP

2. Assessment G Team:  Examined “the staffing level at each medical facility of the Department and the productivity of each health care provider…”  Finding: “Insufficient clinical and administrative support staff ratios is a key barrier to optimizing productivity.” Source: Appendix G (Staffing/Productivity): Independent Assessment of the Health Care Delivery Systems and Management Processes of the Department of Veterans Affairs. (September, 2015). pp G-1 - G-2.

3.  Recommendation: “VHA should conduct a program review of the implementation of the PACT staffing model in primary care to identify the causes of the gaps on access to quality care, the appropriateness of current guidelines, and performance standards, and determine areas for improvement.” Source: Appendix G (Staffing/Productivity): Independent Assessment of the Health Care Delivery Systems and Management Processes of the Department of Veterans Affairs. (September, 2015). p G-3.

4.  Recommendation: “VHA should develop and implement staffing models for outpatient specialty care services and improve existing performance measurement systems to realize the benefits of specialty care staffing models.” Source: Appendix G (Staffing/Productivity): Independent Assessment of the Health Care Delivery Systems and Management Processes of the Department of Veterans Affairs. (September, 2015). p G-3.

5.  Recommendation: “VHA should refine and implement the National Nurse Staffing Methodology across inpatient services and improve the performance measurement system to relaize the benefits of the methodology.” Source: Appendix G (Staffing/Productivity): Independent Assessment of the Health Care Delivery Systems and Management Processes of the Department of Veterans Affairs. (September, 2015). p G-3.

6. Certain elements of the Staffing Methodology for Nursing Personnel can support PACT staffing