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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

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.

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An Open Letter to Robert F. Kennedy, Jr. On Why Integrated Care Should Be a Cornerstone of the HHS Agenda

Integrated Care News by CFHA

It offers care where people already are: their doctor’s office, their community mental health clinic, their OB/GYN’s exam room. What You Can Do Direct HHS to prioritize integration in every health reform initiative—especially in mental health, pediatric + maternal health, and chronic disease management.

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Advancing Primary Care through a Model Unit for Innovative Practice Enhancement [Practice management and organization]

Annals of Family Medicine

Intervention/Instrument: In its first phase, the MU incorporated three interventions tailored specifically to its context: nurse-led hypertension management, integration of blocks of telehealth consultations into routine clinician schedules, and a pilot of an ambient documentation system to supplant clinician-generated visit notes.

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Understanding Primary Care Inbox Management: A Qualitative Study of Patient Message Prioritization and Inbox Workflow [Practice management and organization]

Annals of Family Medicine

Objective Our goal was to examine how message prioritization (as distinct from categorization) occurs in primary care, and to understand the approaches primary care clinicians deployed for managing their inbox workflows. Study Design Semi-structured interviews and inbox work observations at MedStar Health.

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Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]

Annals of Family Medicine

To prepare family medicine (FM) residents for OUD care post graduation, it is critical they receive robust residency training in OUD diagnosis and management. Results Residents primarily managed patients with OUD in MAT clinic and on inpatient rotations but also encountered them in primary care clinics.

Education 130
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Celebrating Ten Years of ECHO Ontario Chronic Pain and Opioid Stewardship [Pain management]

Annals of Family Medicine

Context Chronic pain is a common, complex, and costly condition that is managed primarily in primary care in Canada. The goal of ECHO Pain is to educate, support, and improve chronic pain and opioid management in Ontario’s rural, remote, and underserved areas.

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Intensity of medication review activities in private and public clinics [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

Objective: We aimed to compare medication review activities between private and public clinics. Setting: One private primary care clinic and two clinics of a safety net hospital system that serves inner-city populations with significant socio-economic challenges. vs 2.1%), self-management (21.3 vs 41.1%) background.

Clinic 130