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. 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

MARCH 21, 2025

A recent inquiry within the CFHA community sought recommendations on implementing the Primary Care Behavioral Health (P CBH) model at a Federally Qualified Health Center (FQHC) that had received CCBHC Demonstration. Ensure that you engage in culture-building across the FQHC to maintain the primary care focus.

Behavioral Health Services 130

Behavioral Health Services Primary Care Integrated Care Mental Health 130

Canadian Family Physician

MAY 14, 2025

Objective To determine the major themes among clinical questions asked to addiction medicine specialists sent by primary care providers (PCPs) via the Champlain Building Access to Specialists through the eConsultation (BASE™) electronic consultation (eConsult) service and the PCP-perceived benefits of this service.

Primary Care 52

Primary Care Consulting Electronics Provider 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits. This study aims to analyze electronic medical record (EMR) data to understand these workload dynamics. referrals, and 6.6 (2.8)

Primary Care 130

Primary Care Referral Provider Electronics 130

Physician's Weekly

JUNE 25, 2025

Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles. It’s easy to understand why communication barriers can hinder care coordination between primary care physicians (PCPs), specialists, hospitalists, and professionals at other facilities.

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. Choosing the right diabetes doctor can make a major difference in how effectively your condition is managed, your quality of life, and your long-term health outcomes.

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. Fortunately, I am at an institution where they value patient-centered care and they give us that extra time. Well, I do it personally.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130