Attachment 3 - VHA Patient Aligned Care Team Ratios.pdf

The number of Primary Care Providers (PCPs) required is determined by PC patient panel size. The number of PCPs determines the number of support staff needed to optimize patient management. Similarly, the number of Mental Health Care Providers (PHPs) required is determined by MH patient panel size. The number of MHPs determines the number of support staff needed to optimize patient management.

The table below lists the VHA ratios of support staff per PCP, MHP, Mid-Level Providers (both PC & MH), and Social Workers.

Position Unique

Patients (Users) per Provider

Type

VHA PACT Ratios Minimum Direct

Patient Care FTEE

Provider Type PCP(s) MH Provider Social Worker

Chief Medical Officer

(MD) 1.00

Clinic Manager 1.00

Primary Care Physician (PCP)

1,200 1.00

Primary Care Midlevel

(PCP) 900 1.00

Mental Health Care Psychiatrist (MHP) 700 .25

Mental Health Care (MHP) Midlevel 500

RN 1 RN : 1 PCP 1 RN : 1 MHP 1.00

LPN 1 LPN : 1 PCP 1.00

Clerk 1 Clerk : 1 PCP 1 Clerk : 1 MHP 0.5 Clerk : 1 SW 1.00

TCT 1.00

Clinical Pharmacy Specialist 1 PharmD : 3 PCPs

Social Worker* 1 SW : 2 PCPs 1.00*

Licensed Clinical Social Worker, or Psychologist*

2 LCSW : 1 MHP 0.5 LCSW*

* A Licensed Clinical Social Worker may be initially utilized part-time to assist Primary Care until MH enrollment levels exceed 200 at which time a full-time LCSW for Mental Health Care services is required. LCSW cannot neglect MHC services if serving in a dual role.

** This is a generalization – consult contract table for full Mental Health Care Staffing guidance.

36C24920R0088 - Attachment 3