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How doctors took back control from hospital executives

KevinMD

Several decades ago at our local hospital in northern Los Angeles County, an onslaught against doctors began. It was not due to a lack of medical skill or knowledge, as certain physicians were labeled “troublemakers” and “threats” to health care in our small community.

Hospital 161
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Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Annals of Family Medicine

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. Results: Robust legal, privacy, and technical processes were developed and applied to securely link and merge datasets.

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Do Masks Still Matter in Hospitals? Here’s What the Data Says

Dr. Shin's Notes

Imagine a hospital—a place where we go to heal, but also a hotspot for germs. A recent study from Harvard Medical School offers some eye-opening insights. After hospitals… Read More » Do Masks Still Matter in Hospitals? After hospitals… Read More » Do Masks Still Matter in Hospitals?

Hospital 130
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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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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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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