Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with diabetes who receive structured and integrated care have better control and outcomes; however, care may shift between multiple settings making coordination challenging. Outcome Measures: Number of patients engaged, resulting referrals, Navigator time per patient, and hemoglobin A1c measures across 2-years.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Integrated Care News by CFHA

MARCH 21, 2025

A recent inquiry within the CFHA community sought recommendations on implementing the Primary Care Behavioral Health (P CBH) model at a Federally Qualified Health Center (FQHC) that had received CCBHC Demonstration. Below are a few key considerations for making this type of integration work: 1. References Reiter, J.

Behavioral Health Services 130

Behavioral Health Services Primary Care Integrated Care Mental Health 130

Integrated Care News by CFHA

MAY 1, 2025

Evidence‑informed care was literally at his fingertips. Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025). How are you integrating AI into your clinical, teaching or supervisory work? References Menchaca, J.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

GeriPal

JANUARY 18, 2024

Most palliative care clinicians would refer back to their primary care provider and not change their hydrochlorothiazide dose or add another agent. Should it just be referral to their PMD, who’s all, “Why are these people telling me to do all this stuff all the time?” Most oncologists would say no.

Illness 136

Illness Patient-Centered Screening IT 136