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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. A referral order was created in the hospital system’s electronic health record to the "Hospital Discharge Clinic," and referrals were placed for urgent (7-day) or routine (14-day) TCM appointments.

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Association of Tobacco Assessment and Cessation Assistance with Social Determinants of Health Risk in Primary Care [Smoking cessation]

Annals of Family Medicine

Setting or Dataset: Electronic health record data from 11 community-based clinics within a safety-net system in the Midwest from 07/01/2021-3/31/2024. Referral to counseling (7.5% Objective: To examine the association of level of risk of 11 SDOH indicators and provision of assistance for tobacco cessation.

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Episode 384: Antiracism in Medicine – Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1

The Clinical Problem Solvers

There are a growing number of Child Psychiatric Access Programs, including one in Massachusetts, which provide quick access to psychiatric consultation and facilitates referrals for accessing ongoing behavioral health care. Accessed 2024. Disclosures The hosts and guests report no relevant financial disclosures. Ring the Alarm.

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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. And so helping physicians have more fluency in general spiritual care and how to make referrals to specialists when needed. Eric: LaVera, I got a question for you. Alex, is it okay if I ask? Alex: Yeah.

IT 99
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Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

GeriPal

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. I don’t know if we captured where the hospice referral came from. This 2024 is the year of AI. We won’t kill your patient.

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Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson

GeriPal

And interesting enough, this is a really fascinating study that just got published in JAMA I M in December of 2024. Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. Sydney 21:41 So we did find increased documentation of the primary outcome in the electronic health records.