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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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I survived hospice: Live discharges from a Medicare-certified home hospice program [Palliative and end-of-life care]

Annals of Family Medicine

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.

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How to Improve Care for Patients With Multiple Chronic Conditions

Physician's Weekly

Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles. For example, many population health management tools can run reports that identify patients who: Have not been seen by their PCP in a year (and thus aren’t engaged in their care or completed preventive exams).

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

Dr. Zaar

Understand the Different Types of Diabetes Doctors Before searching for a diabetes doctor, it’s important to understand the types of medical professionals who treat Type 2 diabetes: Primary Care Physician (PCP): Often the first point of contact, they handle basic diabetes management.

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Misconceptions of Employer Sponsored Direct Primary Care (DPC)

Plum Health

Misconception #2: DPC Mandates a Switch in Primary Care Providers (PCP) Employees aren't required to change their PCP under the employer-sponsored DPC model. If you have a great relationship with your PCP, keep it! Sadly, up to 80% do not. We invite you to speak with a member of our team for more information.

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Primary care follow-up after Emergency Department discharge for patients with chest pain in Ontario: a scoping review [Cardiovascular disease]

Annals of Family Medicine

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.

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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. I was like, “I have all these things I’m doing in the hospital to try to make people better and then I might be sending them right back to a big hazardous environment.” Eric: Oh, no.

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