Integrated Care News by CFHA

MAY 19, 2025

This position statement from the Collaborative Family Healthcare Association (CFHA) outlines our organizational commitment to Measurement-Based Care (MBC) as a foundational element of integrated healthcare. Families, Systems, & Health, 39(2), 259–268. Position Statement on Utilization of Measurement Based Care. DeSantis, B.,

Integrated Care 100

Integrated Care Mental Health Healthcare Clinical Practice 100

Annals of Family Medicine

NOVEMBER 20, 2024

Successful implementation required the development of a scalable family history collection tool, the Genetic and Wellness Assessment (GWA) and Breast Health Assessment (BHA) tools; integrated pharmacogenomics programming; educational programming; electronic medical record integration; and robust clinical decision support tools.

Community 130

Community Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Within primary care most administrative work requires both information management and clinical judgment. Therefore, we developed a typology as part of the analysis.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

PEMBlog

AUGUST 30, 2023

Numerous studies have found that radiographs performed in these clinical conditions rarely reveal information necessitating a change in ED management despite high CXR utilization and wide variation in both children’s specialty hospitals and general EDs. But it’s just a CXR right?

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

Permanente Medicine

MAY 20, 2025

These priorities include supporting the physician workforce, utilizing data and predictive interventions to improve patient outcomes, and boosting quality and affordability for patients. I’m a family physician by training. And I would remiss not to mention my wife and my family who might love and enjoy time with to travel.

Patient-Centered 52

Patient-Centered Patients IT Medical 52

GeriPal

JULY 19, 2024

Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. Well, because they’re hard on people with dementia and they can be very hard on families, and they’re a form of crisis. Is that right, Soo? Soo 00:32 Thanks.

Screening 120

Screening Primary Care Patient-Centered IT 120

The Motivated MD

NOVEMBER 26, 2024

There are also homeowners insurance costs, property taxes, flood insurance (depending on where you live), any upgrades to the home, utilities (sometimes included in rent expenses), upfront costs to include a downpayment, and closing fees. In this example, the interest rate is the deciding factor on whether this home is affordable or not.

Finance 52

Finance Insurance Individual Medical Advice 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: American Family Cohort, a data asset including electronic health records of 8 million patients from family practices across 50 US states. These findings inform our understanding of PCC burden and may have clinical utility for directing care where most needed.

Primary Care 130

Primary Care Patients Diagnosis Family Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Identify patient, provider, and healthcare process and utilization factors associated with rates of secondary acceptance of the HPV vaccine. Existing research on secondary acceptance has focused on demographics and initial declination with little evidence around factors associated with increased rates of secondary acceptance.

Vaccination 130

Vaccination DO Family Medicine Primary Care 130

GeriPal

OCTOBER 19, 2023

It’s like how liberating it is to eliminate resentments, regrets and envy from our lives and how great it is in our clinical practice when we’re able to help families reconcile after an estrangement, how much relief that brings. Karl: Okay. Karl: You can write it in. That’s part of why that not part of the form, right?

Patient-Centered 127

Patient-Centered IT Patients Illness 127

GeriPal

MAY 15, 2025

We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? Their family members want them to get out of the hospital sooner.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

PEMBlog

MARCH 27, 2024

Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. So, importantly, you may not have a positive family history.

Consulting 59

Consulting Individual Family Families 59

GeriPal

JANUARY 20, 2023

As somebody who works in a nursing home, I can barely read a nursing home note anymore because if it’s on electronic medical record, it’s usually a bunch of check boxes, several pages. Mike: Electronic record keeping, Eric, is the government’s gift to defense attorneys. It’s just these clicks.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

APRIL 6, 2023

That’s why we use the terms assessment and intervention and we think of assessment as a skill of a very advanced skill that chaplains have of doing an in-depth evaluation of a patient or family member, and then the interventions should certainly follow naturally from that. LaVera: I trained at UCSF in family medicine.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We all focused on studying the outcomes for patients and families of our intervention and then the processes to get there. And I actually think the cool thing about a needs-based approach would allow us to better utilize the service.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

MARCH 28, 2024

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families.

Consulting 116

Consulting Patient-Centered IT Patients 116

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Corita 09:39 Yeah, so we used the electronic health record, I think, in support. What does that mean?

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. This is reaching the highest utilizers with a wraparound suite of services. This is Eric Widera. Alex: This is Alex Smith.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. There was a difference, though, in hospice utilization, right? So I don’t know how clinically meaningful that week difference was to families.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. It’s hard for your family to know. So one that the primary outcome was supposed to be documentation, which it improved documentation, it wasn’t powered to actually look at any utilization or hard outcomes. [laughter].

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JULY 13, 2023

” And I saw Randy run family meetings before I knew he was famous, before I knew he was this legendary researcher. And he was just such a great doctor and such a great advocate for families. So sharing one electronic health record, but three separate hospitals within them. And the guy was just so good. Erin: Correct.

Patient-Centered 84

Patient-Centered IT Hospital Patients 84

GeriPal

JULY 20, 2023

We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of. So if you count talking to a nurse on the telephone and then writing an electronic prescription as a form of telemedicine, that was the norm for hospice prescribing of controlled substances even before the pandemic.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73