Integrated Care News by CFHA

MAY 19, 2025

This position statement from the Collaborative Family Healthcare Association (CFHA) outlines our organizational commitment to Measurement-Based Care (MBC) as a foundational element of integrated healthcare. MBC supports optimal clinical practice, demonstrates the value of integrated care teams, and improves outcomes. 3, 5, 6) b.

Integrated Care 100

Integrated Care Mental Health Healthcare Clinical Practice 100

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. Clinicians from rural and Northern Ontario particularly benefited as access to specialists in their areas was sparse to none.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Medical Manpower Indicators: Are policymakers using poor surrogate indicators of access to Family Doctor services ? In 2012, the Quebec Ministry of Health and Social Services (MSSS) reported that the population of Montreal consumed the services of 1,663 family doctors (FTE consumed).

Family Doctor 130

Family Doctor Family Families Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied Providers participating in MaPCReN represented 306,394 patients with ≥1 visit between January 1, 2016 and December 31, 2021. A reference set included n=854 randomly selected adults aged ≥60 years, including 148 (17.3%) patients with ≥1 UTI encounter and 703 (82.6%) patients with no UTI encounters.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 130

Annals of Family Medicine

MAY 27, 2025

Promoting adherence to medical recommendations remains one of the oldest yet most persistent challenges of modern clinical practice.

Diagnose 242

Diagnose Clinical Practice Relationship Clinic 242

Physician's Weekly

JUNE 26, 2025

Ihuoma Eneli, MD, MS, discusses early intervention in childhood obesity to reduce long‑term risk and supporting families with tailored, accessible care. Past evidence suggests StEP is highly effective for reducing childhood obesity , though the benefits are better sustained when families attend most or all StEP sessions.

Family 52

Family Families Preventive Care Preventative Care 52

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: To explore and measure the outcomes of HTA organizations’ guidelines in family medicine. Population Studied: Family physicians, general practitioners, and patients. learning), the use of guideline-based information in clinical practice, and subsequent patient health outcomes.

General Practitioner 130

General Practitioner Lab Testing Relationship Family Physician 130

Common Sense Family Doctor

MAY 1, 2025

A patient with a history of headaches is brought by ambulance to the emergency department for the abrupt onset of weakness and decreased sensation in their left arm and leg. A code stroke is called. Are these symptoms of an acute stroke or a stroke mimic , such as a hemiplegic migraine ?

Primary Care 52

Primary Care Family Physician Clinical Practice Diagnose 52

Annals of Family Medicine

NOVEMBER 20, 2024

The capacity to translate basic research discoveries to clinical application and to synthesize, disseminate, and integrate clinical research results into health care decision-making and clinical practice remain challenging.

Clinic 130

Clinic Family Doctor Chronic Disease Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Patient focus groups and semi-structured physician interviews were conducted and transcribed, with thematic analysis used to identify themes from the resultant data. Setting or Dataset: Six virtual patient focus groups with a total of 30 patients and nine telephone physician interviews conducted in 2020.

Clinical Practice 130

Clinical Practice Management Relationship Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Card studies have been influential in changing clinical practice, such as the reduction of antibiotics in patients with upper respiratory infections. Cards are usually printed on heavy-stock paper, include 2-5 questions, and take >3 minutes to complete at a patient visit.

PCP 130

PCP PCP Primary Care Clinical Practice 130

The Clinical Problem Solvers

OCTOBER 18, 2022

Incarceration negatively affects the physical and mental health of people who are incarcerated as well as their family members and loved ones, and limits access to healthcare before, during, and after incarceration. All healthcare professionals will have patients who are directly or indirectly impacted by the carceral system.

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

CDOCS

APRIL 14, 2025

Whether it's with patients, colleagues, or mentors, that human connection is central to his philosophy — and it shows in every story he tells. This episode of Bonded isn't just about introducing a new faculty member — it's about welcoming a kindred spirit into the CDOCS family.

Relationship 52

Relationship Clinical Practice Family Families 52

ABIM

JUNE 12, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. For example, in specialties like cardiovascular disease and medical oncology with prevalent geriatric patient populations, concepts like frailty and falls may not be covered in assessment materials.

Board-Certified 52

Board-Certified Internal Medicine Government Community 52

PEMBlog

SEPTEMBER 27, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. isolation for SARS-CoV-2).

Patients 52

Patients Illness Hospital Management 52

PEMBlog

AUGUST 30, 2023

This is a blog post and a podcast episode designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

GeriPal

JULY 19, 2024

Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients. Is that right, Soo? Soo 00:32 Thanks.

Screening 119

Screening Primary Care Patient-Centered IT 119

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.

Diagnosis 52

Diagnosis Management Patient-Centered Diagnose 52

Annals of Family Medicine

NOVEMBER 20, 2024

A Mobile Harm Reduction Team (MHR) partnered with public health bureau to develop low-barrier primary care addiction medicine in a trusted location, prioritizing relationship-centered care to promote patient engagement. Population Studied: Patients with high risk of overdose death. IRB determined project as not research.

Relationship 130

Relationship Clinical Practice Clinic Patient-Centered 130

GeriPal

MAY 5, 2022

Was there any mention about the impact that hearing loss has in communication or what we should do about it in clinical practice? And so often we get consulted by teams that say, “I have this older patient and they’re pretty isolated and I think they have dementia. I’m guessing not. It’s amazing.

IT 102

IT Screening Hospital Clinic 102

Common Sense Family Doctor

MAY 30, 2025

The US Preventive Services Task Force , the American Academy of Family Physicians , and the American College of Chest Physicians recommend annual low-dose computed tomography (CT) screening for adults 50 to 80 years of age who have at least a 20 pack-year smoking history and currently smoke or have smoked within the past 15 years.

Primary Care 59

Primary Care Screening Family Physician DO 59

GeriPal

FEBRUARY 16, 2023

Summary Transcript Summary Think about the last time a patient yelled at you in anger. Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Ask why: What is underneath the anger for this particular patient? Taking care of the hateful patient.

Patients 109

Patients IT Family Families 109

The Clinical Problem Solvers

MAY 2, 2022

Dr. Okah is a family medicine clinician and NRSA research fellow at the University of North Carolina School of Medicine, and she studies the association between the use of race in medical decision-making and beliefs regarding the etiology of disparities in health outcomes.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: We previously reported on the effectiveness of PINCER at reducing hazardous prescribing in primary care in a cluster randomised trial, and the subsequent roll out of the intervention in one region of England; PINCER has now been rolled out nationally to over 2,800 general practices in England.

General Practice 130

General Practice Primary Care Clinical Practice Patients 130

GeriPal

OCTOBER 10, 2024

And it not only leads to better outcomes for patients, it leads to our better sustainability. For instance, a family meeting or an update or communication with families. And just to name a few of the more of those from the book, this is on the clinical education and training chapter. We can do this work longer.

Screening 119

Screening IT Family Families 119

Annals of Family Medicine

NOVEMBER 20, 2024

In the UK, IMGs and candidates who attempted PLAB part 1, ≥4 times vs first attempters, and candidates who attempted PLAB part 2, ≥3 times vs first attempters were more likely to be censured in future practice.

Medical 130

Medical Clinical Practice Patients Clinic 130

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Other states set lower bars, including oral assignment of surrogate decision-makers. What words to use?

Family 112

Family Families Patient-Centered IT 112

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. And so when you have that, that’s so good for the family. That’s so good for us.

IT 102

IT Family Families Clinic 102

GeriPal

JUNE 27, 2024

How, though, do we navigate anxiety and help our patients who may end up in the anxiety spiral that becomes so hard to get out of? Something I’ll often point out to patients is, you know, how do you identify your emotions? The question I would ask is, how helpful is that in our clinical practice?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Early data on efficacy in patients with anxiety and demoralization are promising. And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And so, let’s help them.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 13, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. But, should we as clinicians care about the social lives of our patients?

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. In one room the physician under study interacts with a white patient-actor, and in another room interacts with a Black patient-actor. Amber: Thank you guys.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Alex: Okay.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

OCTOBER 19, 2023

Caveat as well that RCTs should not be placed on pedestal as the only answer- often patients enrolled in RCTs do not represent real world patients – observational studies do. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

MARCH 28, 2024

What we did was ask clinicians earlier in the ICU stay for very sick patients to document prognosis, and for those who they thought would survive, to document six-month functional prognosis. Eric: And who are the patients including in this trial, again? Kate: These are very sick patients. And that’s it. Kate: Sure.

Consulting 115

Consulting Patient-Centered IT Patients 115