Annals of Family Medicine

NOVEMBER 20, 2024

Instrument: The discussion guide included questions on 1) identifying shared social care priorities across the three groups, and 2) describing best practices, facilitators, and barriers around screening and referral for social needs learned from existing and past collaborative models.

Community 130

Community Diabetes Referral Screening 130

GeriPal

OCTOBER 17, 2024

And often patients are told there’s no cardiovascular problem, you don’t have heart failure, you’re older, or maybe it’s from another chronic condition or. People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible. Eric 14:10 Yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. This includes transportation, driver’s license, parks, volunteerism, housing, and of course health and human services. Eric: And Susan? I think most states have them.

Community 89

Community Nurse Practitioner Provider IT 89