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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

Referrals were not placed for patients being discharged to another facility or who already had an outside primary care provider. Intervention: A team was created with an attending physician, care coordinators, and front office staff. Results: The no-show rate to TCM appointments was 44% prior to the intervention.