Integrated Care News by CFHA

MAY 1, 2025

That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. I believe that as clinicians, educators and supervisors, we are called to guide this shift. Within minutes he integrated the latest findings into practical recommendations for the family.

Patient-Centered 390

Patient-Centered Integrated Care Primary Care Healthcare Professional 390

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Wellstar MCG Health is a 520-bed tertiary hospital with a Family Medicine inpatient service and an attached Family Medicine resident continuity clinic. Population Studied: Inpatients were referred if they were being discharged from the Family Medicine service to home.

Appointment 130

Appointment Hospital Management Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Medical legal partnerships (MLP) are an effective intervention for social determinants of health, like housing, education, and employment status. Descriptive analysis utilized primary legal record and secondary electronic health record sources. Nine focus groups were conducted and recorded, using semi-structured interviews.

Medical 130

Medical Referral Screening Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Patients with recent hemoglobin A1c levels of ≥8% were invited to join the Diabetes Navigator program, identified through the electronic health record at two academic primary care clinics. Results: We identified 176 patients with recent hemoglobin A1c ≥8%.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Dr. Zaar

JUNE 1, 2025

Certified Diabetes Educators (CDE): While not doctors, they play a key role in diabetes education and lifestyle support. Look for patterns in reviews, such as: Timeliness Bedside manner Support staff professionalism Also, ask friends, family, or even your pharmacist for personal recommendations.

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129