Annals of Family Medicine

NOVEMBER 20, 2024

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. The pre-intervention no-show rate of TCM appointments at Wellstar MCG Health was 44% per month.

Appointment 130

Appointment Hospital Management Family Medicine 130

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. Have open gaps in care or medications not filled. Have clinical indicators of disease complexity or advancement.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

Dr. Zaar

JUNE 1, 2025

Managing Type 2 diabetes requires more than just medication—it demands a long-term partnership with a skilled healthcare provider who understands your individual needs. You want someone who treats it regularly and stays current on new medications, technologies, and management techniques.

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

The Clinical Problem Solvers

MARCH 14, 2025

She is the Psychiatrist-in-Chief and Chair of the Department of Child and Adolescent Psychiatry and Behavioral Sciences at the Children’s Hospital of Philadelphia (CHOP). They are often the first interface for patients experiencing mental health crises, not academic medical centers.

Mental Health 52

Mental Health Community Patient-Centered Hospital 52

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. Should eligibility and access be determined by clinician referral? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? I was always critical care bound since medical school.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

SEPTEMBER 7, 2023

So pretty soon, I hope, we’ll be able to do this all electronically by anyone who wants to. ” Whether it’s referrals that need to be made, or whether they’re specific actions that the person at home needs to take, like a home safety change. Or electronically, to fill out, right? This is terrific.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Emmy: About 25%.

Family 102

Family Families IT Diagnosis 102