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. A referral order was created in the hospital system’s electronic health record to the "Hospital Discharge Clinic," and referrals were placed for urgent (7-day) or routine (14-day) TCM appointments.

Appointment 130

Appointment Hospital Management Family 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

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

Integrated Care News by CFHA

MAY 1, 2025

I believe that as clinicians, educators and supervisors, we are called to guide this shift. Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025). Below, I share three reasons why.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Dr. Zaar

JUNE 1, 2025

Certified Diabetes Educators (CDE): While not doctors, they play a key role in diabetes education and lifestyle support. Firsthand referrals often lead to trusted and patient-focused providers. Endocrinologist: A specialist trained in treating hormonal disorders, including diabetes.

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Physician's Weekly

JUNE 25, 2025

For example, although documenting in the electronic health record (EHR) can improve access to organized information, a lack of EHR interoperability may hinder communication among physicians who use disparate EHR systems. Conduct a daily morning huddle. Communicate clearly with appropriate non-clinical staff.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

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. So pretty soon, I hope, we’ll be able to do this all electronically by anyone who wants to. Or electronically, to fill out, right? Mazie: Yes.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129