Clinic, Electronics, Healthcare and Referral

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

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

Appointment Hospital Management Family Medicine

Developing actionable strategies to implement evidence-based breast cancer follow-up in primary care using codesign [Dissemination and implementation research]

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Primary care clinics. Intervention: Ongoing codesign process to optimize electronic health record (EHR) customizations and support materials for breast cancer survivorship care. Other suggestions included clinical documentation guidance to align with broader health system goals (e.g.,

Primary Care

Primary Care Referral Electronics Utilities

Artificial Intelligence in Health Care

Integrated Care News by CFHA

MAY 1, 2025

As healthcare professionals we can: ask during history taking what the patient has already searched or generated with AI, clarify when an AI answer is helpful and when a live conversation is safer, and show patients how to write better prompts so they receive accurate, actionable advice. References Menchaca, J.

Patient-Centered

Patient-Centered Integrated Care Primary Care Healthcare Professional

10 Tips to Find the Best Diabetes Doctor for Type 2 Diabetes

Dr. Zaar

JUNE 1, 2025

Managing Type 2 diabetes requires more than just medication—it demands a long-term partnership with a skilled healthcare provider who understands your individual needs. But how do you find the right diabetes specialist in a crowded healthcare landscape? Firsthand referrals often lead to trusted and patient-focused providers.

Diabetes

Diabetes Board-Certified Management Internal Medicine

Episode 384: Antiracism in Medicine – Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1

The Clinical Problem Solvers

MARCH 14, 2025

Dr. Benton mentors clinical and research physicians, fellows, and postdoctoral trainees. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital. Child and Adolescent Psychiatric Clinics of North America.

Mental Health

Mental Health Community Patient-Centered Hospital

Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Mazie, welcome to GeriPal. William: Sure.

Patient-Centered

Patient-Centered IT Patients Clinic

Who should get Palliative Care? Kate Courtright

GeriPal

JUNE 9, 2022

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. By diagnosis? By prognosis?

Consulting

Consulting Patient-Centered Diagnosis IT

Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? I’ll just say that.

IT

IT Families Family Diagnosis

RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

APRIL 6, 2023

We just couldn’t find one that quite fit our needs, and I’m sure that they differ to some extent by the clinical context, so we reviewed a bunch of categorizations that were in the literature and this was the most parsimonious group that we could come up with, that I thought captured the core elements of spirituality.

IT

IT Patient-Centered Families Family

Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

GeriPal

SEPTEMBER 19, 2024

Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Jennifer 07:31 From.

Patient-Centered

Patient-Centered IT Patients Hospital

How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

JULY 6, 2023

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. And that referral can be done in real time, a soft handoff. And then, the system responds in turn.

Community

Community Nurse Practitioner Provider IT

Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. At a high level to sort of step in and start, you know, tinkering with workflows that, you know, are kind of as healthcare is a giant machine in primary care. We did it by the clinic level.

Primary Care

Primary Care IT Clinic Patient-Centered

Should We Shift from Advance Care Planning to Serious Illness Communication?

GeriPal

FEBRUARY 24, 2022

And I’m worried about all of us as healthcare workers, but particularly… And when I say particularly those in the hospital, because they are just tired. Should we focus on something else, both from a clinical and a research perspective? If they had a healthcare agent, then this would be better, right? Eric: On EHR?

Illness

Illness Patient-Centered IT Patients

Telemedicine in a Post-Pandemic World: Joe Rotella, Brooke Calton, Carly Zapata

GeriPal

JULY 20, 2023

If we’re going to get really academic, that’s the umbrella, and that can include a lot of things like including phone calls between a provider and a patient or messages in someone’s electronic medical record. So it developed all this issue around what is a qualifying referral that would allow me to do telehealth prescribing?

Telemedicine

Telemedicine Telehealth Patient-Centered Board-Certified

Primary Care Digest

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

Developing actionable strategies to implement evidence-based breast cancer follow-up in primary care using codesign [Dissemination and implementation research]

Trending Sources

Artificial Intelligence in Health Care

10 Tips to Find the Best Diabetes Doctor for Type 2 Diabetes

Episode 384: Antiracism in Medicine – Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1

Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

Who should get Palliative Care? Kate Courtright

Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson

Should We Shift from Advance Care Planning to Serious Illness Communication?

Telemedicine in a Post-Pandemic World: Joe Rotella, Brooke Calton, Carly Zapata

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