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Adoption, implementation, and impact of a Diabetes Navigator program based in primary care [Diabetes and endocrine disease]

Annals of Family Medicine

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. Study Design and Analysis: Adoption and implementation of the program is described using descriptive statistics.

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Position Statement on Measurement Based Care

Integrated Care News by CFHA

Introduction The Collaborative Family Healthcare Association (CFHA) recognizes the utility and potential for Measurement Based Care (MBC) as a core feature of high-quality integrated healthcare. MBC supports optimal clinical practice, demonstrates the value of integrated care teams, and improves outcomes.

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Vaccine Uptake Strategies & Ethical Considerations- Part II

Integrated Care News by CFHA

Protocols and Reminders Reminder and recall systems (mail, phone, text, apps, other media, and electronic health records) to identify and remind or notify individuals or parents when vaccines are due to have shown evidence of increasing vaccine uptake, and they are often combined with other strategies.

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Personalized medicine in a community health system: the Endeavor Health experience [Dissemination and implementation research]

Annals of Family Medicine

Context: Genomic and personalized medicine implementation efforts have largely centered on specialty care in tertiary health systems. There are few examples of fully integrated care systems that span the healthcare continuum.

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Podcast: AI, innovation, and value-based care in medicine

Permanente Medicine

Nguyen, also the chief medical officer for care navigation with the Federation, described the innovation priorities at Kaiser Permanente. These priorities include supporting the physician workforce, utilizing data and predictive interventions to improve patient outcomes, and boosting quality and affordability for patients.

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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

It was approved by CMS last year, but key to this is enhanced care management. This is reaching the highest utilizers with a wraparound suite of services. I understand from states, our state, California, why we’re focused so much in on Medicaid and high utilization and cost and the way to try to influence that away.