Annals of Family Medicine

NOVEMBER 20, 2024

The ECHO (Extensions for Community Healthcare Outcomes) model is an ideal platform for dissemination of best practice guidelines and standards of care in common, complex, acute and chronic conditions. ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management.

Management 130

Management Education Illness Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Population Studies: NA Intervention/Instrument: NA Outcome Measures: NA Results: 45% (n = 3,889) of patients referred to ambulatory BH care had 1 or more chronic conditions.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

We utilized Amazon Sagemaker Canvas to design our machine learning model. Model design Variables included: blood pressure values, medications, chronic conditions and history of fractures. Results: Initial cohort included 264,634 people 75 and older; 18,465 had diagnosis of hypertension and at least one low blood pressure.

Patients 130

Patients Hypertension Primary Care Chronic Condition 130

GeriPal

JULY 6, 2023

60% of all medical costs have nothing to do with your health diagnosis. It has to do with genetics, 30%, 10% your diagnosis, the other 60% is your built-in environment, educational status, income and your personal choices. This is reaching the highest utilizers with a wraparound suite of services. Do I have access to good food?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 21, 2023

But what happened when we finally… When he did get the diagnosis, it all fell into place. The typical utilization of inappropriate hospitalization and emergency room and total cost of care. And those people have a higher, not just dementia, but other multiple chronic conditions. So that’s very important one.

Patient-Centered 126

Patient-Centered IT Families Family 126