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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

Referrals were not placed for patients being discharged to another facility or who already had an outside primary care provider. A referral order was created in the hospital system’s electronic health record to the "Hospital Discharge Clinic," and referrals were placed for urgent (7-day) or routine (14-day) TCM appointments.

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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). Many of these patients are clinically complex and receive care from multiple professionals—which creates unique management hurdles.

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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.

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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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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.

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

GeriPal

We’ve also invited two amazing cardiologists, Parag Goyal and Nicole Superville, to join us about GDMT in heart failure with reduced ejection fraction (HFrEF) and in Heart Failure with preserved EF (HFpEF). He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Parag 01:06 Thank you.