Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Outcome Measures: Number of patients engaged, resulting referrals, Navigator time per patient, and hemoglobin A1c measures across 2-years.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Referrals were not placed for patients being discharged to another facility or who already had an outside primary care provider. Intervention: A team was created with an attending physician, care coordinators, and front office staff.

Appointment 130

Appointment Hospital Management Family Medicine 130

Integrated Care News by CFHA

MAY 1, 2025

I believe that as clinicians, educators and supervisors, we are called to guide this shift. Three reasons why learning Artificial Intelligence in health care may be a responsibility and not an option: 1. Evidence‑informed care was literally at his fingertips. For AI in Primary Care, Start With the Problem.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Dr. Zaar

JUNE 1, 2025

Understand the Different Types of Diabetes Doctors Before searching for a diabetes doctor, it’s important to understand the types of medical professionals who treat Type 2 diabetes: Primary Care Physician (PCP): Often the first point of contact, they handle basic diabetes management.

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Physician's Weekly

JUNE 25, 2025

It takes more than just a physician’s clinical expertise to achieve optimal outcomes for these patients; it also requires effective communication and care coordination to ensure that physicians receive all the information necessary to care for their patients. Conduct a daily morning huddle.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

GeriPal

JULY 21, 2022

Emmy: So I think shifting that a little bit is what helped me do a lot of the education that I do to therapists and physicians, just to have it on their radar. ” Emmy: I think it’s important to recognize that many primary care providers don’t have the time to be doing really comprehensive kinds of assessments.

Families 102

Families IT Family Diagnosis 102

GeriPal

SEPTEMBER 7, 2023

So I would say that a lot of the education we received were on cutting edge research and the latest drugs in clinical trials, the latest cellular therapies that are coming out. Or is it the primary care document, who’s busy doing other things too, who probably won’t have the time to do a comprehensive geriatric assessment?

Patient-Centered 129

Patient-Centered IT Patients Clinic 129