Integrated Care News by CFHA

MARCH 21, 2025

Enhance Care Coordination Across Both Models Establish workflows that integrate care coordination efforts between PCBH teams and CCBHC case managers to ensure smooth transitions between brief interventions in primary care and longer-term behavioral health services when necessary.

Behavioral Health Services 130

Behavioral Health Services Primary Care Integrated Care Mental Health 130

Logansport Memorial Hospital

MARCH 4, 2024

Logansport Memorial Hospital is pleased to announce the opening of a new pain management center on April 1, 2024. The Logansport Memorial Pain Management Center will be located at 1201 Michigan Avenue, Suite 70, Logansport, IN 46947. The Logansport Memorial Pain Management Center is now accepting new patients.

Management 52

Management Patient-Centered Community Referral 52

Annals of Family Medicine

NOVEMBER 20, 2024

In principle, primary care is well-situated to manage long-COVID. Objective: This study aimed to analyze the expectations and experiences of primary care patients seeking treatment for long-COVID in an academic medical center referral clinic.

Healthcare 130

Healthcare Primary Care Patients Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

One potential solution is to facilitate patient access to programs that develop skills and confidence in managing their own care. Anyone suffering from pain could register for the program without needing a referral or formal diagnosis from a health care practitioner.

Management 130

Management Utilities Referral Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Conclusions: Common barriers to providing DM in the context of social needs focused on limitations related to addressing the social needs themselves rather than adjusting diabetes management strategy.

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

MARCH 24, 2025

BACKGROUND We evaluated the effectiveness of a structured family-based cardiovascular health promotion intervention model in improving weight management among adults. Weight, body mass index (BMI), and waist circumference were measured at baseline, 1 year, and 2 years to assess the intervention’s effect on weight management.

Families 130

Families Family Management Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits. Outcome measures: Average number of prescriptions, referrals, and laboratory tests per encounters among primary care providers in Nova Scotia from 2007 to 2022.

Primary Care 130

Primary Care Referral Provider Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Multisector coordination is critical for effective screening and referral initiatives. Objective: To assess the function and impact of a new role, a Health Equity Coordinator, on the reach of the social needs screening and referral program.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results: Participants spontaneously raised the issue of administrative burden, describing it as both the volume of paperwork and "never ending" inbox management decreasing time for direct patient care. physician assistants, nurse practitioners) to help "de-clutter the inbox" and manage referrals.

Primary Care 130

Primary Care Nurse Practitioner Family Physician Referral 130

Dr. Zaar

JUNE 1, 2025

Managing Type 2 diabetes requires more than just medication—it demands a long-term partnership with a skilled healthcare provider who understands your individual needs. Choosing the right diabetes doctor can make a major difference in how effectively your condition is managed, your quality of life, and your long-term health outcomes.

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

Providers were alerted of positive screens by rooming staff to either assess further or refer to our Pediatric SUD Clinic to manage. For patients screened positive, chart reviews were conducted and the number of referrals to SUD Clinic was tracked. Outcomes: Percentages of positive CRAFFT screens in the 3 practices were calculated.

Primary Care 130

Primary Care Screening Referral Wellness Visit 130

Annals of Family Medicine

NOVEMBER 20, 2024

Restrictions and subsequent adaptions to routine care may have affected a variety of outcomes for young children including growth and development, referral rates and wait times, and the identification and management of developmental delays.

Primary Care 130

Primary Care Referral Relationship Management 130

Concierge Choice Physicians

FEBRUARY 20, 2025

​By Wayne Lipton Managing Partner, Concierge Choice Physicians ​The Origin Story It was the early 1990s when I embarked on a career in concierge medicine. At one time it seemed concierge medicine was incompatible with a vertically integrated healthcare organization that relies on third party payers and referrals.

Private Practice 130

Private Practice Relationship Healthcare Primary Care Physician 130

Canadian Family Physician

MAY 14, 2025

The most common question types involved pharmacologic (77.5%) and nonpharmacologic (65.1%) management of patients with substance use. Providers reported finding the eConsult responses helpful, with nearly one-third of PCPs reporting a potential referral was avoided following an eConsult from specialists.

Primary Care 52

Primary Care Consulting Electronics Provider 52

Physician's Weekly

JUNE 22, 2025

Primary care practices used varied strategies to adopt CGM, with diabetes care specialists playing a key role in shaping implementation choices. According to a study published in the June 2025 issue of BMC Primary Care, most diabetes management takes place in primary care, highlighting the growing use and benefits of continuous glucose monitoring (..)

Primary Care 52

Primary Care Diabetes Family Physician Referral 52

Hitchcock Family Medicine

AUGUST 26, 2024

A family doctor is often your main healthcare provider tasked with everything from routine check-ups to chronic disease management. Tip 1: Do Research and Obtain Referrals Start your search by asking friends, family, and colleagues for recommendations. You'll also want to check the doctor's hours and availability.

Family Doctor 52

Family Doctor Families Family Board-Certified 52

Annals of Family Medicine

MAY 27, 2025

The brain health navigator received 447 referrals for further assessment of a positive or borderline screening result. These insights can guide future efforts for early detection and management of cognitive impairment in primary care, ultimately improving patient outcomes and easing the burden on health care professionals.

Primary Care 130

Primary Care Screening Referral Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

Adults with T2D often face unmet social needs, such as food insecurity, compounding the challenges associated with their engagement in disease management interventions. Results: Social and economic factors, such as housing instability and limited income, presented significant barriers to management of T2D and intervention engagement.

Diabetes 130

Diabetes Clinic Transportation Internal Medicine 130

Physician's Weekly

JUNE 24, 2025

With the rising prevalence of obesity and related liver diseases, it is essential to have clear, evidence-based guidelines for managing these conditions. This is pivotal for both specialists and general practitioners as it reinforces the importance of weight management in treating liver diseases.

Patient-Centered 52

Patient-Centered Diabetes Referral Primary Care Doctor 52

Mesa Family Physician

APRIL 15, 2025

If you suspect environmental triggers, you can even learn how to test allergens in your home to further limit exposure. What Happens After Testing?

Asthma 100

Asthma Healthcare Professional Integrated Care Referral 100

Dr. Zaar

MAY 20, 2025

Instead of waiting for months for in-Persen referrals, women can now receive timely assessment and recommendations from the comfort of their homes. Management of PCOS often requires a multi-disciplinary approach that includes hormone evaluation, lifestyle coaching, medicine, and follow-up. Why Virtual Care works for PCOS?

Consulting 52

Consulting Appointment Insurance Management 52

Physician's Weekly

JUNE 13, 2025

Physicians may participate in more traditional community engagement venues such as community health fairs or organizing screenings, providing educational workshops on nutrition exercise and disease prevention or helping facilitate small group chronic disease management.

Chronic Disease Management 52

Chronic Disease Management Community Chronic Disease Education 52

Annals of Family Medicine

NOVEMBER 20, 2024

Though dementia can be managed in primary care, the complexity of the condition and high prevalence of multimorbidity often require advice from a variety of specialists. PCPs indicated that an in-person referral was avoided in 39% of community cases (n=38) and 41% of LTC cases (n=22).

Primary Care 130

Primary Care Consulting Community PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Rural health system leaders described 5 methods to provide rural specialty access: community-based, visiting, referrals to larger towns, telehealth, and management by primary care with specialist support. Barriers included workforce shortages, travel times, geography, inclement weather, and insurance limitations.

Primary Care 130

Primary Care Community Telehealth Referral 130

Hitchcock Family Medicine

DECEMBER 26, 2023

If it's determined that you need more specialized treatment, a referral can be made to a cardiologist. A primary care doctor can help with the maintenance management of cardio problems that are also being treated by a specialist. Mild or moderate conditions should first be analyzed with your internist.

Internal Medicine 52

Internal Medicine Primary Care Doctor Primary Care Referral 52

Physicians Alliance of Connecticut

MARCH 22, 2025

Those goals could include reaching a healthy blood pressure, lowering your cholesterol levels or managing complications associated with diabetes. Regular physical activity: Exercise is an important part of managing diabetes because it helps your body use insulin more effectively, which can help you control your blood sugar.

Treatment Plan 52

Treatment Plan Diabetes Consulting Management 52

Annals of Family Medicine

NOVEMBER 20, 2024

referral networks, technology infrastructure) to drive the transformation needed to facilitate early detection for cognitive impairment in primary care. Conclusions To meet pressing needs for ADRD diagnosis and management, early detection of cognitive issues in primary care settings is needed.

Primary Care 130

Primary Care Screening Healthcare Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

We utilized theoretical constructs of salutogenesis – manageability, meaningfulness, and coherence; and resilience. Participants provided short reflections about their surgical journey or referral experiences, along with elaborations in quantitative categories.

Referral 130

Referral Healthcare Provider Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Most children with functional abdominal pain (FAP) and irritable bowel syndrome (IBS) could be managed in primary care (PC). Insight in patient characteristics in both settings might invite to reflect upon referral strategies of general practitioners (GPs) and interpretation of study results from hospital care.

Primary Care 130

Primary Care General Practitioner GP Diagnosis 130

Vascular Physician

FEBRUARY 23, 2020

· Diabetic management is important in preventing the progression of disease. Referrals to nutritional programs or specialists can be beneficial. · · Ensure appropriate hypertension management and medication. With adequate examination, referral and intervention, many of these limbs could have been saved. (1)

Referral 40

Referral Diabetes Management Physicals 40

PEMBlog

JULY 14, 2023

Management The XRays of stress fractures and acute fractures can look similar, but the management differs significantly. Neurovascular compromise is, as always, a cause for immediate referral. The rate of nonunion in displaced fractures managed conservatively may be up to 50%. See the following XRays for example.

Management 97

Management Diagnosis Referral Patients 97

PEMBlog

NOVEMBER 17, 2023

Management The XRays of stress fractures and acute fractures can look similar, but the management differs significantly. Neurovascular compromise is, as always, a cause for immediate referral. The rate of nonunion in displaced fractures managed conservatively may be up to 50%. See the following XRays for example.

Management 94

Management Referral Diagnosis Patients 94

Vascular Physician

FEBRUARY 23, 2020

Interventional Radiologist- similar expertise to vascular surgeons in balloons and stents ONLY- If long term medical management or open surgery is a better option for the patient, they refer them to a vascular surgeon. Vein Doctors- Many specialties have learned how to treat veins AFTER their formal training.

Referral 40

Referral Management Complication Specialization 40

CDOCS

FEBRUARY 11, 2021

important; text-align: center;"><span style="font-size:28px;">New Feature<br /> Find a CDOCS Doctor Map</span></h4> <p style="font-family:ubuntu">Introducing our new& <a href="[link] a CDOCS Doctor&rsquo;</a>& referral map.

Families 52

Families Family Referral Management 52

Plum Health

MAY 22, 2023

DPC clinics provide members with: Personalized, preventive care Management of chronic conditions No co-pays or insurance billing Treatment of ailments and illnesses Same-day appointments and no wait times Unlimited appointment lengths 24/7 access to care Exams, labs, and testing Specialist referrals, as necessary And much more.

Primary Care 52

Primary Care PCP PCP Insurance 52

Tiny Physician

JULY 12, 2021

Patient load Image taken from [link] Ward management is as important as ICU care and you spend around 12 to 14 months at the ward in the 36 months long residency. Casualty OP patient load decides the number of ward admission as the sick children often come at casualty and not at referral OP. are more challenging in them.

Internal Medicine 52

Internal Medicine Management ER Referral 52

Physicians Alliance of Connecticut

MARCH 5, 2025

While primary care providers are trained to manage conditions like diabetes, they rely on endocrinologists to provide more specialized care. You might get referred to an endocrinologist if your condition is complex or difficult to manage. At PACT Endocrinology, a referral isn’t required.

Board-Certified 52

Board-Certified Primary Care Insurance Diabetes 52