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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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How to Improve Care for Patients With Multiple Chronic Conditions

Physician's Weekly

For example, many population health management tools can run reports that identify patients who: Have not been seen by their PCP in a year (and thus aren’t engaged in their care or completed preventive exams). Access hospital patient records through courtesy privileges and ADT feeds.

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

Dr. Zaar

Understand the Different Types of Diabetes Doctors Before searching for a diabetes doctor, it’s important to understand the types of medical professionals who treat Type 2 diabetes: Primary Care Physician (PCP): Often the first point of contact, they handle basic diabetes management.

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Misconceptions of Employer Sponsored Direct Primary Care (DPC)

Plum Health

Misconception #2: DPC Mandates a Switch in Primary Care Providers (PCP) Employees aren't required to change their PCP under the employer-sponsored DPC model. If you have a great relationship with your PCP, keep it! Sadly, up to 80% do not. We invite you to speak with a member of our team for more information.

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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

Going into patient’s homes was eye opening. There were trip hazards, loose carpets, some people were hoarders. And yet, after assisting the older adult to their feet, the EMS providers would leave. Their job was done. It’s not surprising that the number of repeat calls for falls is alarmingly high. Alex: I think this is a first.

Community 114
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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.