Annals of Family Medicine

NOVEMBER 20, 2024

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. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

Appointment 130

Appointment Hospital Management Family Medicine 130

Physician's Weekly

JUNE 25, 2025

Caring for patients with multiple chronic conditions requires identifying those at risk, clear communication, and coordinated care to improve outcomes. Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles. Have open gaps in care or medications not filled.

Chronic Condition 59

Chronic Condition Patients Management Primary Care Physician 59

Dr. Zaar

JUNE 1, 2025

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. Are they patient and open to your questions?

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Plum Health

MAY 22, 2023

Employers are increasingly finding that DPC offers a personalized doctor-patient relationship, comprehensive preventive care, and overall cost savings. Thus, DPC forms a better long-term investment focused on preventive care, as opposed to only treating patients post-diagnosis. If you have a great relationship with your PCP, keep it!

Primary Care 52

Primary Care PCP PCP Insurance 52

GeriPal

FEBRUARY 15, 2024

Going into patient’s homes was eye opening. They were stunned by the number of calls for lift assistance for older adults who had fallen. 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. Alex: That is true.

Community 114

Community Transportation IT PCP 114

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. He’s in Boston. Parag 01:06 Thank you.

Primary Care 113

Primary Care Patient-Centered IT Patients 113