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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. Population Studied: Inpatients were referred if they were being discharged from the Family Medicine service to home.

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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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Describing Differences Across Place and Provider in Canadian Team-Based Care Settings Using Electronic Health Records [Health care informatics]

Annals of Family Medicine

In both cases, TBC can help by providing a collaborative approach to care that can better manage the complex needs of patients.

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Pain-Related Medication in Adults with Intellectual Disability: a systematic review [Pain management]

Annals of Family Medicine

Intervention/Instrument: No intervention; study included if reported any analgesic or non-analgesic medication used to manage pain or treat a painful condition. Measures: Varied by study design; self/carer-report or electronic health records (EHR). Results: 21,603 articles identified.

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Cardiovascular risk management of patients with depression in Dutch general practices [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

In the Netherlands GPs are also responsible for cardiovascular risk management (CVRM), for which a guideline is made. Objective: To investigate whether the cardiovascular risk management of Dutch GPs differs in patients with and without depression. Outcome Measures: Registration of cardiovascular risk management.

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A Multisite CFIR Study of Readiness to Implement Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) [Dissemination and implementation research]

Annals of Family Medicine

Setting: Three academic health systems with EPIC and Oracle electronic health records. Population Studied: Primary care team members involved in high blood pressure management. Intervention: COACH — a patient-facing decision support tool integrated into the electronic record. Study design: Deductive qualitative analysis.

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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. What hasn't changed is that our family medicine residents remain excited about health policy and advocacy. Phillips, Jr.