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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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Exploring Primary Care Provider eConsult Utilization Trends [Health care services, delivery, and financing]

Annals of Family Medicine

Objective: To determine how primary care providers (PCP) utilize the eConsult platform. Setting or Dataset: CUSOM and University Hospital. Population Studied: CUSOM PCPs. Outcome Measures: The number of eConsults by PCP and type of eConsult sent. 1,087 unique PCPs ordered at least 1 eConsult across 28 specialties.

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I survived hospice: Live discharges from a Medicare-certified home hospice program [Palliative and end-of-life care]

Annals of Family Medicine

Live discharges may be problematic if they lead to high rates of hospice readmissions, high rates of hospital utilization following discharge, or occur after 180 days in hospice. Across all discharges, 43% had at least one ED visit or hospitalization within 6 months of discharge. Medicare routinely reviews U.S. ordering meds).

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Evaluation of Primary Care Provider Utilization by Asthma Patients after the Implementation of Coach McLungsSM [Child and adolescent health]

Annals of Family Medicine

Outcome Measures: Emergency department utilization, hospitalization, steroid prescriptions, and primary care provider (PCP) utilization. 6-month pre/post evaluation, although not statistically significant, showed ED utilization, hospitalization, and steroid prescriptions decreased 30% to 25% ([95%]CI -0.18 to 0.24, p=0.28).

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Primary care follow-up after Emergency Department discharge for patients with chest pain in Ontario: a scoping review [Cardiovascular disease]

Annals of Family Medicine

In Ontario, MD follow-up after ED discharge for chest pain is mostly provided by primary care physicians (PCPs) and sometimes cardiologists. Objective: We explored factors associated with PCP follow-up for patients discharged from Ontario EDs with non-life-threatening chest pain. Outcome Measures: Factors associated with PCP follow-up.