| 2026 Latest Update with Complete Solution
VHA Medical Home Analysis Worksheet (Assignment 2)
Western Governors University
D515 Enterprise Risk Management
Instructions:
Use this worksheet to analyze effective strategies for risk management and ethical
leadership in the Veterans Health Administration (VHA) Medical Home case.
Resources:
Use the following resources located in the course to complete this worksheet:
VHA Medical Home Case Questions
1. Address risks. Consider the risks from the case study concerning the implementation of
the patient-aligned care team (PACT) model. How could these risks be addressed as part
of an ERM plan?
There are several distinguishable risks to contemplate when executing a PACT model of care. These
risks include disconnected key stakeholders, recruitment, and alliance of program goals with
performance incentives (Klein, 2011). Developing a well-defined ERM plan addresses these risks and
guarantees a smoother shift to the PACT model of care. A lack of access within the VA system forces
many veterans to obtain care outside of the VA health sector. A successful ERM plan would
demonstrate how to use health information exchanges (HIEs) to support the stability of care between
outside and internal stakeholders. HIEs allow patient information to be transferred securely among
the entities. This ensures patient care remains patient-centered. The ERM would aid in supervising
, staff proficiencies to certify the delivery of care continues to be effective and efficient even with
staffing roles being transformed in the PACT model. Yearly aptitudes would be established for each
position in the PACT model and watched for efficacy by the quality team as outlined in the plan.
Developing program goals that support performance motivations is crucial to a successful PACT model
of care. The goals should be clearly defined in the ERM plan. The acknowledged critical care areas and
who and how goal development will take place should also be described in the ERM plan (Klein, 2011).
2. Identify strategies. What risk management strategies (e.g., ethical, legal, regulatory,
leadership, operational, etc.) were used? At what level and how was leadership engaged
in implementing those strategies?
Operational, regulatory, and leadership strategies were implemented during the PACT model of care
development, along with several other risk management strategies. Staff role identification and
position demarcation were two operational strategies, along with certifying staff was working to the
top of their license. These strategies guaranteed patient care was satisfactorily provided. Goals and
initiatives like HEDIS measures confirmed monitoring translucence throughout the company and
emboldened staff and leadership to track growth and make effectual modifications as necessary. In
Lincoln, Nebraska, the company went as far as to implement a survey to identify the physicians’
current standing and which areas warranted development. Management exhibited backing during the
Lincoln and Memphis undertakings by affording economic sponsorship and permitting new FTEs to be
onboarded to meet the regulatory requirements (Klein, 2011).
3. Evaluate risks for implementation. What risks were involved in implementing those
strategies?
When implementing operational and regulatory strategies, there are several risks that can be
identified. From a functional standpoint, the staff's roles, duties, and workflows changed. When
enacting such a change, one runs the risk of staff dissatisfaction with their new roles and, thus, a
disengagement from their tasks. The staff may be so focused on learning their new roles that their
attention may be averted from providing patient-centered care. Potential staff turnover due to this
strategy could make it even more challenging to apply the PACT plan. When the PACT was
implemented, goals and performance expectancies were also developed. The risks associated with this