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 can and should be applied to all models of integrated healthcare, current or emerging. 3, 4) Why is MBC important?

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Integrated Care Mental Health Healthcare Clinical Practice 100

Physician's Weekly

JUNE 22, 2025

Secondary outcomes included the use of primary and secondary healthcare, nursing home (NH) admission, health-related quality of life (HRQoL), satisfaction, and mortality. The results showed that 303 individuals were recruited with a mean age of 83.2 The primary outcome measured was functional status. Functional decline occurred 26.4%

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General Practitioner GP Primary Care Community 52

GeriPal

JULY 19, 2024

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. If so, how do we screen and who do we screen? What should we use to screen individuals? Cognitive screening.

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Screening Primary Care Patient-Centered IT 119

Joy in Family Medicine Coaching

JANUARY 17, 2025

Limit bed activities to sleep and intimacy—no screens, books, or work in bed to signal your brain it's time to sleep. Screen time: Limit 1–2 hours before bed. FOMO and Screen Time: The "I deserve to (blank) mindset can be counter productive." Let’s apply these proven sleep hygiene tips to our own lives.

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Screening Physicals IT Healthcare Professional 130

Physician's Weekly

JUNE 13, 2025

Many of us are taught in medical school and residency the importance of patient communication on improving patient satisfaction scores, quality metrics, and professional fulfillment. However, a less examined aspect is patient and community engagement outside traditional healthcare settings.

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Chronic Disease Management Community Chronic Disease Education 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In Ontario, patients who move increasingly keep their family physician (FP) because no one in their new community is accepting new patients, creating long distances to seek primary care. Healthcare utilization outcomes included the number of core primary care visits, continuity of care to own group, and emergency department visits.

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Family Physician Primary Care Families Family 130

The Medical Futurist

JUNE 2, 2025

Although features like continuous aFib screening (or blood pressure monitoring, alerts about changes in respiratory patterns, in gait, reminders on medication or drinking enough, and so on, and so on) would do more favor for the seventy-somethings than for the twenty-somethings, we just seem to acknowledge the status quo.

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Screening Healthcare Individual IT 74

BMJ

NOVEMBER 26, 2021

However, screening diabetes and prediabetes management delivery are still a challenge in practice for the entire US population. This finding suggested that the health care providers might pay more attention to a high-risk population in prediabetes management. Did doctors’ advice facilitate people’s practice of lifestyle change?

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Diabetes Management Healthcare Patient-Centered 40

Physician's Weekly

JUNE 19, 2025

Hospital Consumer Assessment of Healthcare Providers, Systems, and Patient‑Experience scores —and word of mouth—suffer when bias is perceived, jeopardizing both reimbursement and community trust. Screen pain objectively. Safety net at capacity. Integrate brief, case-based bias modules into annual competency training.

Mental Health 52

Mental Health Physicals Patient-Centered Patients 52

East Cary Family Physicians

FEBRUARY 27, 2024

It’s important to take medications as prescribed and attend regular follow-up appointments with healthcare providers. Get regular check-ups and screenings to monitor blood sugar levels, especially if there’s a family history of diabetes.

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Diabetes Management Family Physician Individual 52

The Physicians Foundation

FEBRUARY 14, 2025

primary care is posing a grave threat to the wellbeing of communities nationwide. State Highlights: Montana provides 65% of its medical training in community-based settings, far surpassing the national average of 16%. In 2022, only 24.4% of new physicians entered primary care—or 19.8% Koller, President of the Milbank Memorial Fund.

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Primary Care Chronic Disease Primary Care Physician Nurse Practitioner 52

Permanente Medicine

MAY 22, 2025

Kaiser Permanente’s physician-led, integrated care model focuses on prevention, screening, treatment, and research to drive continuous improvement in care quality standards that have gained national recognition. We are dedicated to the mission of improving the health of our patients and communities.

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Appointment Board-Certified Patient-Centered Integrated Care 52

Annals of Family Medicine

NOVEMBER 20, 2024

In the province of Ontario, a well-established cervical screening program is in place within a universal health care system. Despite this program, and the benefits of early detection on patient health outcomes, screening disparities persist with racialized populations remaining under screened. Jamaica, Trinidad) and Asia (e.g.,

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Screening Community Family Physician Individual 130

Permanente Medicine

MAY 20, 2025

They’re due for cervical cancer screening, that they get that if they are due for a lab test, they get that. In Kaiser Permanente here, we exist to provide high-quality, affordable health care for our patients in the communities we serve. The reception does the same thing, the medical assistant does the same thing.

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Patient-Centered Patients Medical IT 52

GeriPal

JANUARY 23, 2025

And our next guest is Amy Linsky, who’s a physician and researcher at the VA Boston Healthcare System and associate professor at Boston University University. Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA.

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Specialization IT Patient-Centered Medical 119

GeriPal

JUNE 20, 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. So it works.

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IT Patient-Centered Patients Clinic 120

Annals of Family Medicine

NOVEMBER 20, 2024

Cervical cancer screening rates among middle to older age Latinas (>45yrs) - roughly 6.5 Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. Our Community Advisory Board (CAB) guided this work. million people in the U.S. – lag behind.

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Diagnosis Screening Transportation Diagnose 130

Mesa Family Physician

MARCH 6, 2025

Unlike appointments that address specific illnesses or injuries, preventive care visits focus on screening for potential health issues, assessing your overall wellness, and helping you establish healthy habits before problems develop. Evidence-based screening tests based on current medical guidelines, your age, and risk factors.

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Preventative Care Preventive Care Appointment Screening 100

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. These early visits also help children become comfortable with healthcare settings, reducing anxiety about medical care as they grow older.

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Family Physician Preventative Care Preventive Care Families 100

Permanente Medicine

JUNE 3, 2025

Maria Ansari, MD, FACC , and Ramin Davidoff, MD , co-CEOs of The Permanente Federation, recently spoke on innovation and care access with Becker’s Healthcare Podcast. “And our patients are saying that they actually feel that the doctor is looking at them and not the computer screen.” The post Drs.

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Utilities Chronic Condition Healthcare Patients 52

Mesa Family Physician

JUNE 11, 2025

Preventive care is often referred to as the first line of defense in healthcare—and for good reason. Think vaccinations, annual checkups, screenings for blood pressure or cholesterol, and lifestyle counseling. Examples of Preventive Healthcare There are many ways to practice preventive care, both in and out of the doctor’s office.

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Illness Preventative Care Preventive Care Insurance 100

The Clinical Problem Solvers

DECEMBER 20, 2021

Understand how engaged community-based work, centered on trust and accountability, has supported the health of communities served by Oakland, CA’s Asian Health Service. By appreciating the impact of factors affecting entire communities, we can be better positioned to act upon them. Insufficient language services (i.e.,

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Community Patient-Centered Relationship Healthcare 52

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To determine if there are differences in HPV vaccine uptake among children and adolescents in community-based healthcare organizations by ethnicity and country of birth, stratified by sex. It remains uncertain how ethnicity and country of birth relate to HPV vaccination among younger Latinos.

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Vaccination Community Clinic Screening 130

Maine Academy of Family Physicians

OCTOBER 28, 2023

Users can navigate pre-deployment preparation, on-the-ground assistance, post-deployment resources, and more—at the touch of a button from the home screen. Key Takeaways Recommendations developed during a consensus conference can help healthcare facilities and communities be ready to respond if a mass shooting occurs nearby.

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Mental Health Behavioral Health Services Provider Healthcare 52

Permanente Medicine

JUNE 25, 2025

By building an integrated, patient-centered colorectal cancer screening program, we doubled screening rates, cut deaths by 50%, and made major strides in closing racial disparities in outcomes. The approach was simple: consistently alert patients that it’s time to get screened and make getting screened as easy as possible.

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Screening Preventive Care Preventative Care Patient-Centered 52

The Clinical Problem Solvers

MARCH 4, 2024

Her research, writing, and community engagement focuses on shifting consciousness in medical education toward abolitionist possibilities. For instance, Toni Morrison’s “Home” depicts scenes of a community of Black women nursing a woman who has been the victim of medical racism and violence.

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Community Education Patient-Centered Relationship 52

GeriPal

JUNE 23, 2022

Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening rise with age, peak when women are in their 60s, and decline thereafter. This is about cancer screening in older adults. Summary Transcript Summary. Mara: Thank you so much.

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Screening PCP PCP IT 99

GeriPal

OCTOBER 10, 2024

It’s all what we signed up for when we signed up on the dotted line to be in healthcare and palliative care. So this is applicable to anybody in healthcare and actually any kind of team. So that means that we all screen for every domain in our interactions. Is constant, and we co create a plan together.

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Screening IT Families Family 120

GeriPal

NOVEMBER 14, 2024

Summary Transcript CME Summary Falls are very common among older adults but often go unreported or untreated by healthcare providers. What are ways we should screen for falls? Sarah 03:57 Yeah, it’s a pretty big problem for older adults, I’d say in community dwellers. How do you screen or assess for risk for falls?

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IT Screening Patient-Centered Community 124

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. What can we do as a community?

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Community Transportation IT PCP 115

The Clinical Problem Solvers

FEBRUARY 8, 2023

Identify realistic solutions to drug policy reform that promote health equity among marginalized communities living in the United States. Screening for substance use and offering connections to treatment and community-based services are important strategies that clinicians can implement in their own practice today.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

Myriad Genetics

NOVEMBER 25, 2024

November is Family Health History Month, an observance dedicated to sharing crucial health information within families and encouraging individuals to take proactive steps in their healthcare. I have breast exams, I have annual dermatology appointments, I do prostate screenings.” risk of developing male breast cancer.

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Families Family Screening Individual 52

GeriPal

MARCH 9, 2023

Psychedelics have been used by communities around the globe for hundreds of years (or more). Stacy: We’re using anxiety, baseline anxiety, as our screening. Alex: So that’s not our prototypical screening ESAS question. Ethical issues , including colonization of psychedelics by big pharma.

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Patient-Centered Community IT Medical 91

GeriPal

JANUARY 25, 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. David: Right.

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Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

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Primary Care Diagnosis Screening IT 96

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

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Patient-Centered IT Patients Clinic 129

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. Certainly my bias is that healthcare professionals really do have a role in this discussion. “Do you guys do this?” Eric: Yeah. Emmy: Yeah.

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Families IT Family Diagnosis 102