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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

CFHA represents thousands of professionals across the country who are implementing integrated care —the coordination of medical and behavioral health care in primary care and specialty settings. It provides immediate, non-stigmatized behavioral health support at the point of medical care, often in the same visit.

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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. The pre-intervention no-show rate of TCM appointments at Wellstar MCG Health was 44% per month.

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It’s time for pain protocols to catch up with the opioid crisis

KevinMD

Every medical professional is now educated on the risks of opioids. Nearly every hospital has issued guidelines about careful prescribing. We are more than a decade into what has been called the deadliest drug epidemic in American history. And yet — at the bedside, some things haven’t changed.

Education 278
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Intensity of medication review activities in private and public clinics [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

Context: Medication review is an essential part of most office visits. Objective: We aimed to compare medication review activities between private and public clinics. Study Design: Survey of medication review activities after primary care visits. Outcome Measures: Regimen changes and medication related safety issues.

Clinic 130
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Sickle Cell Crises: A Deep Dive into Patterns of Readmissions at an Academic Medical Center [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Sickle cell disease (SCD) was identified as one of our hospital's most common causes of readmission. Objective: Describe the trends in sickle cell admissions between Jan 2020 and Dec 2023 at an academic medical center (AMC) in Augusta, Georgia. We noted that a small number of patients are readmitted multiple times.

Finance 130
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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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Clap Outs

Mere Mortal MD

Friday was a special day at the rehabilitation hospital as we had what’s called a “clap out.” ” This is somewhat organized–as in, we will get an overhead page or text when it’s about to happen–and occurs when a patient has been at the hospital for a very long time.

Hospital 204