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

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. Check Experience With Type 2 Diabetes Patients Not all endocrinologists or general practitioners have extensive experience with Type 2 diabetes.

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

Edge Family Medicine

APRIL 10, 2025

Why Primary Care Relationships Matter A trusted PCP gets to know you — not just your chart. This deeper understanding leads to more personalized care and better medical decisions. Learn more about our medical services 2. Your PCP helps monitor symptoms, adjust medications, and coordinate with specialists.

Primary Care 130

Primary Care Relationship PCP PCP 130

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. 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. Carmen: Yeah.

Community 114

Community Transportation IT PCP 114

GeriPal

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113