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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

CFHA represents thousands of professionals across the country who are implementing integrated care —the coordination of medical and behavioral health care in primary care and specialty settings. It offers care where people already are: their doctor’s office, their community mental health clinic, their OB/GYN’s exam room.

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

Annals of Family Medicine

Context: Medication review is an essential part of most office visits. Objective: We aimed to compare medication review activities between private and public clinics. Study Design: Survey of medication review activities after primary care visits. Outcome Measures: Regimen changes and medication related safety issues.

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Implementation of Combined PCBH and CCBHC Models: Key Considerations

Integrated Care News by CFHA

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., Consider a tiered approach where generalist BHCs work within primary care while specialists manage higher-acuity cases through the CCBHC framework.

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

Annals of Family Medicine

Setting or Dataset: Data includes secondary data gathered through Epic electronic medical records system as well as primary data collected from physicians, APPs, and staff working in the MU. Results: We observed an increase in telehealth visits from 4% to 9% and uptake of ambient documentation by 9 of 10 providers during a pilot period.

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Clinical outcomes of administering an ePROM of barriers to adherence to ART to people with HIV through a patient portal [Clinical research (other)]

Annals of Family Medicine

Objective: To describe patient and service-related outcomes of the I-Score intervention and outline adherence barrier management by physicians. Setting: A hospital-based clinic in Montreal, Canada. For service outcomes, we report frequencies and proportions of clinical visits where physicians took actions based on I-Score results.

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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.