Task Delegation and Burnout Trade-offs Among Primary Care Providers and Nurses in Veterans Affairs Patient Aligned Care Teams (VA PACTs)

From the Section of General Internal Medicine and the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (STE, EH); the Division of General Internal Medicine and Geriatrics and the Department of Family Medicine (STE), Oregon Health & Science University, Portland; the Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, US Department of Veterans Affairs, Seattle, WA (CDH, WLC, GBW); the Department of Health Services, University of Washington School of Public Health, Seattle (CDH, DG); the VA HSR&D Center for Study of Healthcare Innovation, Implementation & Policy, Greater Los Angeles Health Care System, Los Angeles, CA (LK, DER); the VISN 23 Patient Aligned Care Team Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA (GS); and the Department of Management, University of Iowa, Iowa City (GS).

From the Section of General Internal Medicine and the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (STE, EH); the Division of General Internal Medicine and Geriatrics and the Department of Family Medicine (STE), Oregon Health & Science University, Portland; the Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, US Department of Veterans Affairs, Seattle, WA (CDH, WLC, GBW); the Department of Health Services, University of Washington School of Public Health, Seattle (CDH, DG); the VA HSR&D Center for Study of Healthcare Innovation, Implementation & Policy, Greater Los Angeles Health Care System, Los Angeles, CA (LK, DER); the VISN 23 Patient Aligned Care Team Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA (GS); and the Department of Management, University of Iowa, Iowa City (GS).

From the Section of General Internal Medicine and the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (STE, EH); the Division of General Internal Medicine and Geriatrics and the Department of Family Medicine (STE), Oregon Health & Science University, Portland; the Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, US Department of Veterans Affairs, Seattle, WA (CDH, WLC, GBW); the Department of Health Services, University of Washington School of Public Health, Seattle (CDH, DG); the VA HSR&D Center for Study of Healthcare Innovation, Implementation & Policy, Greater Los Angeles Health Care System, Los Angeles, CA (LK, DER); the VISN 23 Patient Aligned Care Team Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA (GS); and the Department of Management, University of Iowa, Iowa City (GS).

From the Section of General Internal Medicine and the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (STE, EH); the Division of General Internal Medicine and Geriatrics and the Department of Family Medicine (STE), Oregon Health & Science University, Portland; the Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, US Department of Veterans Affairs, Seattle, WA (CDH, WLC, GBW); the Department of Health Services, University of Washington School of Public Health, Seattle (CDH, DG); the VA HSR&D Center for Study of Healthcare Innovation, Implementation & Policy, Greater Los Angeles Health Care System, Los Angeles, CA (LK, DER); the VISN 23 Patient Aligned Care Team Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA (GS); and the Department of Management, University of Iowa, Iowa City (GS).

From the Section of General Internal Medicine and the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (STE, EH); the Division of General Internal Medicine and Geriatrics and the Department of Family Medicine (STE), Oregon Health & Science University, Portland; the Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, US Department of Veterans Affairs, Seattle, WA (CDH, WLC, GBW); the Department of Health Services, University of Washington School of Public Health, Seattle (CDH, DG); the VA HSR&D Center for Study of Healthcare Innovation, Implementation & Policy, Greater Los Angeles Health Care System, Los Angeles, CA (LK, DER); the VISN 23 Patient Aligned Care Team Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA (GS); and the Department of Management, University of Iowa, Iowa City (GS).

From the Section of General Internal Medicine and the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (STE, EH); the Division of General Internal Medicine and Geriatrics and the Department of Family Medicine (STE), Oregon Health & Science University, Portland; the Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, US Department of Veterans Affairs, Seattle, WA (CDH, WLC, GBW); the Department of Health Services, University of Washington School of Public Health, Seattle (CDH, DG); the VA HSR&D Center for Study of Healthcare Innovation, Implementation & Policy, Greater Los Angeles Health Care System, Los Angeles, CA (LK, DER); the VISN 23 Patient Aligned Care Team Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA (GS); and the Department of Management, University of Iowa, Iowa City (GS).

From the Section of General Internal Medicine and the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (STE, EH); the Division of General Internal Medicine and Geriatrics and the Department of Family Medicine (STE), Oregon Health & Science University, Portland; the Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, US Department of Veterans Affairs, Seattle, WA (CDH, WLC, GBW); the Department of Health Services, University of Washington School of Public Health, Seattle (CDH, DG); the VA HSR&D Center for Study of Healthcare Innovation, Implementation & Policy, Greater Los Angeles Health Care System, Los Angeles, CA (LK, DER); the VISN 23 Patient Aligned Care Team Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA (GS); and the Department of Management, University of Iowa, Iowa City (GS).

From the Section of General Internal Medicine and the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (STE, EH); the Division of General Internal Medicine and Geriatrics and the Department of Family Medicine (STE), Oregon Health & Science University, Portland; the Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, US Department of Veterans Affairs, Seattle, WA (CDH, WLC, GBW); the Department of Health Services, University of Washington School of Public Health, Seattle (CDH, DG); the VA HSR&D Center for Study of Healthcare Innovation, Implementation & Policy, Greater Los Angeles Health Care System, Los Angeles, CA (LK, DER); the VISN 23 Patient Aligned Care Team Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA (GS); and the Department of Management, University of Iowa, Iowa City (GS).

From the Section of General Internal Medicine and the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (STE, EH); the Division of General Internal Medicine and Geriatrics and the Department of Family Medicine (STE), Oregon Health & Science University, Portland; the Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, US Department of Veterans Affairs, Seattle, WA (CDH, WLC, GBW); the Department of Health Services, University of Washington School of Public Health, Seattle (CDH, DG); the VA HSR&D Center for Study of Healthcare Innovation, Implementation & Policy, Greater Los Angeles Health Care System, Los Angeles, CA (LK, DER); the VISN 23 Patient Aligned Care Team Demonstration Laboratory, Iowa City VA Health Care System, Iowa City, IA (GS); and the Department of Management, University of Iowa, Iowa City (GS).