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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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Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]

Annals of Family Medicine

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. Study Design A behavioral health curriculum was designed for second year residents.

Education 130
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Practice and Community-Level Variations in Primary Care Panel Size [Health care services, delivery, and financing]

Annals of Family Medicine

Methods: We queried the 2021 Virginia All-Payer Claims Database (APCD) to estimate panel size by identifying the number of unique patients seen by each PCP. The count, median, mean, and standard deviation of the number of patients seen by PCPs were calculated.

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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

Context: Hospice aims to manage a patient’s symptoms as they near end of life. Coordination of PCP follow-up was done for 13% of discharged patients and 22% had documentation of at least one step of the discharge planning process (e.g. ordering meds).

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Feasibility,reliability,validity of an electronic Frailty Index based on Comprehensive Geriatric Assessment in Primary Care [Community based participatory research]

Annals of Family Medicine

To promote early management of frailty, we developed an electronic Frailty Index based on deficit accumulation in a Comprehensive Geriatric Assessment (eFI-CGA) from electronic health records. Here, we examined the feasibility, reliability, and validity of the eFI-CGA by primary care providers (PCP). by PCP, r≥0.45

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Card studies using EHR alerts linked to REDCap questionnaires: a practical session on how to build the tools [Research methodology and instrument development]

Annals of Family Medicine

Background Researchers use card studies to obtain observational data about primary care provider (PCP) knowledge, attitudes, and behaviors on a variety of topics. Card responses were easily managed in the REDCap database, not in the medical record. A survey of PCP users showed equal satisfaction with paper or EHR-based cards.

PCP 130
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Using eConsult to access specialist advice for persons living with dementia - A cross-sectional analysis [Geriatrics]

Annals of Family Medicine

Though dementia can be managed in primary care, the complexity of the condition and high prevalence of multimorbidity often require advice from a variety of specialists. eConsult is a secure web-based platform that may make communication with specialists more accessible for primary care providers (PCPs).