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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. Population Studied: Inpatients were referred if they were being discharged from the Family Medicine service to home.

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An Open Letter to Robert F. Kennedy, Jr. On Why Integrated Care Should Be a Cornerstone of the HHS Agenda

Integrated Care News by CFHA

It moves away from fragmented systems, provides alternatives to medication-only treatment paths, and leads patients to practical pathways for healing—whether for anxiety, diabetes management, depression, or addiction. Also encourage state Medicaid offices to renew efforts to limit regulation related to integrated care practices.

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Evaluating the Impact of Data Visualization with China-PAR on Hypertension Management in Primary Care: A Pilot Study [Hypertension]

Annals of Family Medicine

Objective This study aims to investigate the impact of data visualization using China-PAR on managing hypertension among primary care patients. Moreover, the intervention has been shown to reduce hospital admission rates among patients with hypertension (RR=10.26, 95% CI 1.24-84.82).

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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02). Study Design: Retrospective cohort study.

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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. What hasn't changed is that our family medicine residents remain excited about health policy and advocacy. Phillips, Jr.

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Learning from primary care in Canada and Europe

The Health Policy Exchange

What can family medicine in the U.S. The study found that countries with more robust primary care had lower hospitalization rates and less socioeconomic inequality in self-rated health, in addition to better chronic disease outcomes. learn from the organization of primary care in other Western countries? What lessons should U.S.

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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. Care Management was the second common theme. Care Management was the second common theme.

Utilities 130