Annals of Family Medicine

NOVEMBER 20, 2024

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

Appointment 130

Appointment Hospital Management Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Live discharges may be problematic if they lead to high rates of hospice readmissions, high rates of hospital utilization following discharge, or occur after 180 days in hospice. Outcome measures: Reason for live discharge, length of hospice stay, discharge planning steps documented, clinical course for 6 months post-discharge.

Primary Care Physician 130

Primary Care Physician Utilities PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

According to clinical guidelines, patients discharged with chest pain should follow-up with a medical doctor (MD) within 72 hours. In Ontario, MD follow-up after ED discharge for chest pain is mostly provided by primary care physicians (PCPs) and sometimes cardiologists. Outcome Measures: Factors associated with PCP follow-up.

Primary Care 130

Primary Care PCP PCP Patients 130