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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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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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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Study Design: Secondary data analysis of patient demographic, referral, and encounter-level data extracted from site eMR (Epic). 8% (n= 1,146) were ordered for medical condition management.

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Patient experiences navigating US healthcare with long-COVID - Part 3 of 3 [COVID-19]

Annals of Family Medicine

In principle, primary care is well-situated to manage long-COVID. Objective: This study aimed to analyze the expectations and experiences of primary care patients seeking treatment for long-COVID in an academic medical center referral clinic. Transcripts were analyzed using inductive qualitative content analysis.

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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. Even within practices, some staff members may not be aware of which patients require more proactive management due to multiple chronic conditions. Have open gaps in care or medications not filled.

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Coming Soon: Logansport Memorial Pain Management Center

Logansport Memorial Hospital

Logansport Memorial Hospital is pleased to announce the opening of a new pain management center on April 1, 2024. The Logansport Memorial Pain Management Center will be located at 1201 Michigan Avenue, Suite 70, Logansport, IN 46947. The Logansport Memorial Pain Management Center is now accepting new patients.

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Addressing diabetes management in the context of social needs: a qualitative study of primary care providers [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. Setting: Ambulatory clinics (e.g.,