Annals of Family Medicine

NOVEMBER 20, 2024

Context: The rise in social needs screening in primary care settings has led to questions about program design and implementation strategies. Multisector coordination is critical for effective screening and referral initiatives.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE This study aimed to assess how agile implementation–driven iterative processes and tailored workflows can facilitate the implementation of a digital cognitive assessment (DCA) tool for patients aged 65 years or older into primary care practices. DCA screening was completed in 1,808 (10.8%) of 16,708 eligible visits.

Primary Care 130

Primary Care Screening Referral Clinic 130

Integrated Care News by CFHA

MAY 1, 2025

Evidence‑informed care was literally at his fingertips. Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025). How are you integrating AI into your clinical, teaching or supervisory work? References Menchaca, J.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives Describe perspectives of clinicians and implementation leads on the role of primary care in ADRD early detection. Setting Primary care settings in the DAC-SP early detection program. clinical consensus, financing mechanisms) and the organization (e.g.,

Primary Care 130

Primary Care Screening Healthcare Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

A recent review of national diabetes treatment guidelines recommended adjustments to DM to reduce financial strain (eg, selecting lower cost medications), as well as directly intervening in response to an identified social need (eg, referral to a community-based service). Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Common Sense Family Doctor

MARCH 15, 2025

Michelle Rockwell and colleagues at the Carilion Clinic in Roanoke, Virginia, performed a sludge audit of their colorectal cancer (CRC) screening services in 2021 and 2022. Finally, neither patients nor primary care clinicians could easily access the results of colonoscopies or stool-based tests.

Screening 52

Screening Insurance Primary Care Referral 52

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Recognizing the critical connection between access to nutritious food and health, health care systems across Minnesota are taking innovative steps to address food insecurity. Encourage Healthy Eating Through Vouchers: Many clinics and systems have voucher programs in place to help supplement food for patients.

Family Physician 52

Family Physician Community Family Families 52

The Physicians Foundation

AUGUST 15, 2024

is honored for his transformative work, connecting patients with primary care and critical health resources BOSTON, August 15, 2024 – The Physicians Foundation is proud to announce Jubril Oyeyemi, M.D., Dr. Oyeyemi founded CHFC, which provides free primary health care throughout Southern New Jersey. Jubril Oyeyemi, M.D.,

Primary Care 40

Primary Care Community Chronic Disease Management Education 40

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. So, we are not screening for substance use in cancer care, so we don’t get good estimates among people with cancer, which is really how we would prefer to ask the question.

Illness 136

Illness Patient-Centered Screening IT 136

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.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 5, 2025

The obstacles hindering referrals to palliative care services. Practical strategies to overcome these barriers and enhance care. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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: Let’s say I have a panel of older adults that I’m seeing, or a palliative care outpatient clinic. We and many others have tried to come up with a short, validated screening tool.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 15, 2024

I mean, we work at a different part of the health system a lot of times, although we have acute care therapists who do the same thing, but the gap in information flow is similar. So one of the big pieces of this is that idea of a referral at a second time when they’re less overwhelmed and stressed to figure out what happened.

Community 114

Community Transportation IT PCP 114

GeriPal

MARCH 10, 2022

This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Now when I say variation, I’m not talking about small little clinically questionable variations. Eric: … there was care processes.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

JULY 20, 2023

Joe: Well, the proposed rule changes would’ve included, for example, that you have to have a face-to-face encounter with a patient in order to prescribe over telemedicine, or you have to have received a referral from someone who did have a face-to-face, and they also would’ve had to be DEA certified. What state are they in?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73