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. They see it’s preserved. If you have access to that, I think, is the way to go. Eric 14:10 Yeah. Because you’re treating multimorbidity.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JULY 6, 2023

This includes transportation, driver’s license, parks, volunteerism, housing, and of course health and human services. It’s that first place that you start where it may not be the AAAs job, but we’ve organized where they have to have the partnerships and they know who the players are and they know who to make a referral to.

Community 89

Community Nurse Practitioner Provider IT 89