Integrated Care News by CFHA

MARCH 21, 2025

On January 7, 2025, SAMHSA announced the award of one-year Certified Community Behavioral Health Clinics (CCBHCs) Demonstration planning grants to 14 states and Washington, D.C., Leverage Technology and Data Implement measurement-based care tools that work across both systems to track patient outcomes and demonstrate effectiveness.

Behavioral Health Services 130

Behavioral Health Services Primary Care Integrated Care Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Northern New England CO-OP Practice and Community-Based Research Network (NNE CO-OP PCBRN) conducted an operational survey to gather insights from primary care (PC) practices across Northern New England (NNE). Data analysis included descriptive statistics and qualitative analysis of open-ended responses.

Primary Care 130

Primary Care Telehealth Patient-Centered Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: As part of a large multi-center pragmatic randomized comparative effectiveness trial funded by PCORI, we recruited 141 adults with upper respiratory tract infections as part of a pilot feasibility demonstration. Patients were recruited from primary care practices, emergency rooms and urgent care centers, and the community (e.g.,

Telemedicine 130

Telemedicine Primary Care Emergency Room Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Little is known about variation in adoption of CCS modalities in federally qualified health centers (FQHCs) in communities where cervical cancer disparities persist. Setting or dataset: Electronic health record data from 25 primary care clinics in 3 FQHCs in Washington and Idaho PBRN from 2012-2017.

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Permanente Medicine

JUNE 10, 2025

June 10, 2025) — Maria Ansari, MD, FACC , co-CEO of The Permanente Federation at Kaiser Permanente, has been named to Modern Healthcare’s list of 50 Most Influential Clinical Executives for 2025. The result is high-quality, high-value care within an integrated system — improving lives and shaping the future of health care.”

Clinic 59

Clinic Patient-Centered Healthcare Medical 59

Annals of Family Medicine

NOVEMBER 20, 2024

Context Two thirds of diabetes patients complicated with hypertension, and comorbidity increase 4-fold risk of atherosclerotic cardiovascular disease (ASCVD). Study design and analysis This is a multiple-center retrospective real-world cohort study. Setting or Dataset Five electronic systems of community clinic.

Hypertension 130

Hypertension Diabetes Patients Transportation 130

A Country Doctor Writes

MAY 18, 2025

This was in part because we shared patients and patient experiences between our departments and had a bidirectional way of making warm handoffs. If a primary care patient was going through a difficult time with their social life or mental health, we would walk them down the hall to meet a therapist right then and there.

Primary Care 130

Primary Care Patient-Centered Nurse Practitioner Primary Care Doctor 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Genomic and personalized medicine implementation efforts have largely centered on specialty care in tertiary health systems. In 2014, Endeavor Health (formerly NorthShore University HealthSystem) launched the Center for Personalized Medicine to catalyze the delivery of personalized medicine.

Community 130

Community Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

CONTEXT Primary care (PC) is well-positioned to address rapidly evolving public health priorities and research meaningful to patients and other stakeholders. The 60+ Clinical and Translational Science Award (CTSAs)-supported institutional programs also offer robust training (e.g., SETTING: Academic medical center.

Primary Care 130

Primary Care Education Mental Health Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: This presentation looks back on 4 years of working in full partnership with three Atikamekw communities (Manawan, Wemotaci et Opitciwan) in Quebec to better understand, define and co-develop an intervention model to ensure cultural safety in care.

Community 130

Community Patient-Centered Relationship Government 130

Annals of Family Medicine

NOVEMBER 20, 2024

Blood pressure (BP) control (<130/80 systolic/diastolic) is poor nationally, and is inequitable by race/ethnicity, with minimal understanding of the differences within Latino patients by country of origin. Setting: 953 community-based primary care clinics in a national network from 25 states across the United States.

Hypertension 130

Hypertension Community Primary Care Patient-Centered 130

Mesa Family Physician

MARCH 13, 2025

For residents of Mesa and the surrounding East Valley communities, staying current with recommended preventive care can lead to better health outcomes and reduced healthcare costs. Our female practitioners understand the unique health needs of women in our community.

Preventative Care 100

Preventative Care Preventive Care Family Physician Screening 100

Physician's Weekly

JUNE 13, 2025

Lymphoma treatments have advanced rapidly, yet only a small percentage of adults with cancer many of whom are of racial and ethnic minorities participate in clinical trials. Patient Navigators: Guide patients through clinical trial processes, help address logistical and emotional barriers, provide education, and link patients to resources.

Patient-Centered 52

Patient-Centered Community Transportation Education 52

Minnesota Academy of Family Physicians

APRIL 24, 2025

Minnesota’s Health Care Homes (HCH) certification program is transforming primary care by recognizing clinics that prioritize patient-centered, team-based care. This free and voluntary program offers significant benefits to clinics, health care professionals and patients across the state.

Primary Care 52

Primary Care Board-Certified Patient-Centered Family Medicine 52

Integrated Care News by CFHA

MAY 8, 2025

Below is a summary of the findings published in that review, which includes structural and operational approaches as well as interventions for clinical encounters. Cost and Incentives Reducing or eliminating costs is one of the most effective ways to improve access and increase vaccine uptake.

Vaccination 130

Vaccination Healthcare Professional Integrated Care Healthcare 130

The Clinical Problem Solvers

JUNE 23, 2021

Kristen Austad Kirsten Austad MD, MPH is an Assistant Professor of Family Medicine at Boston University School of Medicine and a hospitalist at Boston Medical Center. She completed her residency in Family Medicine at Boston Medical Center, the largest safety-net hospital in New England. Chan School of Public Health.

Clinic 52

Clinic Family Medicine DO Patient-Centered 52

Minnesota Academy of Family Physicians

FEBRUARY 18, 2025

We’ve been hearing from family physicians across Minnesota about the rapid pace of recent federal policy changes and concerns about their impact on patient care and the communities we serve. To help you navigate these changes, we’ve compiled a list of timely resources for family physicians.

Family Physician 52

Family Physician Family Families Patient-Centered 52

Logansport Memorial Hospital

MARCH 4, 2024

Logansport Memorial Hospital is pleased to announce the opening of a new pain management center on April 1, 2024. The Logansport Memorial Pain Management Center will be located at 1201 Michigan Avenue, Suite 70, Logansport, IN 46947. The Logansport Memorial Pain Management Center is now accepting new patients.

Management 52

Management Patient-Centered Community Referral 52

The Clinical Problem Solvers

MAY 8, 2019

This summer, he will start a fellowship in academic hospital medicine at UCSF focusing on medical education, point of care ultrasound, and improving the care of hospitalized patients with limited English proficiency. She is a member of the steering group for the CDC’s Healthcare-Associated Infections Community Interface.

Clinic 52

Clinic Internal Medicine Patient-Centered Education 52

Physician's Weekly

JUNE 11, 2025

Patients with hidradenitis suppurative seek advice online, highlighting unmet needs in clinician-patient education regarding daily self-management strategies. For clinicians treating patients with HS, the findings may inform more tailored patient engagement. Patients inquired about general advice for managing HS symptoms.

Education 52

Education Patients Management Patient-Centered 52

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Patients at a large primary care practice in the Mayo Clinic Health System located in Mankato, MN. Outcome Measures: Program reach, descriptive information on the patient population, and HEC effort spent on cases, community engagement, administrative tasks, and presentations.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Community health centers (CHCs) provide critical safety-net health care for millions of underserved patients in the U.S., The Person-Centered Contraceptive Counseling (PCCC) measure evaluates the quality of contraceptive counseling. Population Studied: Ten CHCs, representing 30 clinical sites across eight states.

Patient-Centered 130

Patient-Centered Screening Electronics Utilities 130

Permanente Medicine

APRIL 16, 2025

NWP and TPMG are physician-led, independent Permanente Medical Groups who partner exclusively with Kaiser Foundation Health Plan to provide care for their patients in Oregon, southwest Washington, and Northern California. By collaborating clinically, sharing innovations, and supporting physicians and staff, NWP will improve quality of care.

Medical 52

Medical Patient-Centered Community Hospital 52

Physician's Weekly

JUNE 17, 2025

Patients with ulcerative colitis report better quality of life after IPAA, but bowel symptoms like urgency and incontinence continue to have a negative impact. They asked the patients with various pouch-related conditions about their post-IPAA experiences and symptoms. Barnes, MD, MPH tells Physician’s Weekly ( PW ).

Patient-Centered 52

Patient-Centered Complication Patients Healthcare Professional 52

Annals of Family Medicine

NOVEMBER 20, 2024

A poll from March of 2021 by the Kaiser Family Foundation found that vaccine hesitancy was highest in rural communities, with 21% of rural residents stating they would "definitely not" get a vaccine compared with 10% of urban residents. Vaccine hesitancy remains a major hurtle in ending this pandemic.

Vaccination 130

Vaccination Patient-Centered Primary Care Community 130

The Clinical Problem Solvers

MAY 7, 2019

This summer, he will start a fellowship in academic hospital medicine at UCSF focusing on medical education, point of care ultrasound, and improving the care of hospitalized patients with limited English proficiency. She is a member of the steering group for the CDC’s Healthcare-Associated Infections Community Interface.

Clinic 52

Clinic Internal Medicine Patient-Centered Education 52

The Clinical Problem Solvers

SEPTEMBER 19, 2024

This year’s episode, our fourth conducted at SGIM, is focused on the importance of qualitative research and the role it plays in antiracism research, community-based work, and scholarship. Describe the positive impacts of qualitative methods on healthcare provision and/or policies in clinical settings.

Internal Medicine 52

Internal Medicine Patient-Centered Specialization Community 52

Physician's Weekly

JUNE 17, 2025

Patients with this condition experience “symmetric distal degeneration of peripheral nerves and impaired nerve regeneration,” according to the study authors. Assessing Postural Sway in DPN Prior research suggests that patients with diabetes experience increased postural sway even with their eyes open.

Diabetes 52

Diabetes Patient-Centered Screening Utilities 52

Physicians Alliance of Connecticut

MAY 20, 2025

The demand for medical office assistants is growing in clinics, hospitals, and private practices, including here at PACT. They support patients and clinical staff by handling the essential administrative tasks that keep healthcare facilities running smoothly. Confirming patients’ insurance coverage.

Medical 52

Medical Healthcare Professional Patient-Centered Healthcare 52

Logansport Memorial Hospital

JUNE 28, 2024

He is a primary care physician with a passion for providing full-spectrum primary care for his patients. Beginning in August, Dr. Anderson-Been will see patients in LMPN Family Medicine, located on the second floor of Medical Office Building West.

Primary Care Physician 52

Primary Care Physician Primary Care Family Medicine DO 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Cervical cancer burden is high in the Chinese and Latinx communities. Partnerships between Comprehensive Cancer Centers and federally qualified health centers (FQHCs) in these communities is critical to build capacity among primary care providers (PCPs) and staff (e.g.,

Education 130

Education Screening Patient-Centered Primary Care 130

The Clinical Problem Solvers

FEBRUARY 24, 2021

Learning Objectives After listening to this episode listeners will be able to… Recognize the importance of yielding privilege and power to better center marginalized voices and communities through individual, interpersonal, institutional, and systemic actions. Credits Written and produced by: Utibe R.

Vaccination 52

Vaccination Community Individual Patient-Centered 52

The Clinical Problem Solvers

DECEMBER 16, 2020

Nwamaka Eneanya and Jennifer Tsai to discuss the limitations and harms of race-based medicine in clinical practice. Our guests explain how we can incorporate race-conscious medicine in clinical settings, medical education, and biomedical/epidemiological research to responsibly recognize and address the harms of racial inequality.

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

Physicians Alliance of Connecticut

APRIL 12, 2025

They handle a variety of clinical and administrative tasks to ensure the medical practice runs smoothly. Clinical Tasks The clinical tasks that medical assistants are allowed to do vary by state. For medical assistant positions in CT, typical tasks may include: Interviewing patients about their symptoms and main complaints.

Medical 52

Medical Healthcare Patient-Centered Primary Care Physician 52

Permanente Medicine

MAY 22, 2025

As chief quality officer at The Permanente Federation, Dr. Bridges oversees coordination of national clinical quality care programs across Kaiser Permanente for its 12.6 As an experienced physician leader, she is known for always going the extra mile for our patients and colleagues. million members.

Appointment 52

Appointment Board-Certified Patient-Centered Integrated Care 52

The Clinical Problem Solvers

JUNE 9, 2021

Recognize how racist ideologies are often perpetuated in medical education and ways that academic medical centers can revise their curricula to prepare a physician workforce that is invested in recognizing and addressing the root cause of health disparities. Does the institution involve community members in training?

Education 52

Education Medical Community Patient-Centered 52