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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

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. Referrals were not placed for patients being discharged to another facility or who already had an outside primary care provider.

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10 Tips to Find the Best Diabetes Doctor for Type 2 Diabetes

Dr. Zaar

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.

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How to Improve Care for Patients With Multiple Chronic Conditions

Physician's Weekly

It’s easy to understand why communication barriers can hinder care coordination between primary care physicians (PCPs), specialists, hospitalists, and professionals at other facilities. Have open gaps in care or medications not filled. Have clinical indicators of disease complexity or advancement. Conduct a daily morning huddle.