Integrated Care News by CFHA

MAY 1, 2025

That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. Our Patients Are Already Using AI Many people now ask their first health question to a chatbot rather than to a clinician. Below, I share three reasons why.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 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. family medicine, general internal medicine, endocrinology) affiliated with an academic medical center serving a diverse population in a mid-western metropolitan area.

Primary Care 130

Primary Care Diabetes Management Provider 130

Physician's Weekly

JUNE 13, 2025

There is robust data regarding the importance of patient connection and engagement in the hospital and clinic setting. Many of us are taught in medical school and residency the importance of patient communication on improving patient satisfaction scores, quality metrics, and professional fulfillment.

Chronic Disease Management 52

Chronic Disease Management Community Chronic Disease Education 52

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Through food pharmacies, food insecurity screenings and innovative community partnerships, health care providers are ensuring patients get the nourishment they need to thrive. Encourage Healthy Eating Through Vouchers: Many clinics and systems have voucher programs in place to help supplement food for patients.

Family Physician 52

Family Physician Community Families Family 52

Noreta Family Medicine

MARCH 26, 2025

I’ve written blogs that discuss my perspective on why Direct Primary Care (DPC) is helpful to both patients and physicians in Columbia, SC (and beyond!). patients feel heard and valued. patients feel supported, both in our office and between visits. patients feel supported, both in our office and between visits.

Primary Care 52

Primary Care Appointment Family Medicine DO 52

The Physicians Foundation

AUGUST 15, 2024

is honored for his transformative work, connecting patients with primary care and critical health resources BOSTON, August 15, 2024 – The Physicians Foundation is proud to announce Jubril Oyeyemi, M.D., His dedication to this cause should serve as an inspiration to the entire medical community.” Jubril Oyeyemi, M.D.,

Primary Care 40

Primary Care Community Chronic Disease Management Education 40

Vascular Physician

JULY 11, 2021

What do patients with Raynaud's Phenomenon experience? Patients can experience numbness, aching, pain, clumsiness of motor skills of the hand, and sensations of "pins and needles". Evaluation begins with three screening questions: Are your fingers or toes unusually sensitive to cold? How is Raynaud's Phenomenon diagnosed?

Referral 52

Referral Mental Health Patients Diagnose 52

Blood, Sweat, and Tears

MAY 24, 2022

I was so burnt out, dragging my feet, lugging my head from patient to patient. She was always the first one to notice and address patient difficulties. We didn’t have to wait long before the first patient came in. Sister N pointed to the screen with a blood pressure reading of 180/110. Everyone loved her.

Referral 52

Referral Community Patients Specialization 52

Permanente Medicine

JUNE 3, 2025

They candidly discuss the unique challenges and opportunities health care organizations face in meeting patient expectations. Assistant Regional Medical Director, Care Experience Southern California Permanente Medical Group Podcast transcript Transcript is autogenerated. Guest Wadie L. Marcos, D.O. That’s one component.

IT 52

IT Patient-Centered Patients Medical 52

Edge Family Medicine

APRIL 10, 2025

This deeper understanding leads to more personalized care and better medical decisions. Personalized & Continuous Care When your provider understands your personal and family medical history, they can more accurately diagnose issues and recommend care strategies that reflect your unique needs.

Primary Care 130

Primary Care Relationship PCP PCP 130

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). That rings true to me.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And so, let’s help them.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? Welcome back, William. William: Thanks so much.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. How should we screen for cognitive impairment? He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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

JUNE 5, 2025

The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. Practical strategies to overcome these barriers and enhance care. Thank you so much.

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Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 21, 2022

Initially, it was just because there weren’t really answers for my patients. Emmy: But we know that physiologic changes with aging, like decreasing night vision and so forth, as well as medications, as well as medical conditions, can all affect whether you can drive. “When can I get back to driving?”

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IT Families Family Diagnosis 102

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” It is a screening? These studies are important. What’s involved in this?

IT 99

IT Patient-Centered Families Family 99

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. I think this is a really difficult topic to talk about with patients. She has a point. Prognosis is inherently uncertain. James: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

AUGUST 24, 2023

Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. We talk with Harvey about how he defines “dignity” and how we can understand what it means to our patients. Scientific American Letter to the Editor: Response to Downar et al.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment. Nursing homes are subsidized by their Medicare, by their rehab patients.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. And maybe we should have more patient-centered conversations. We want to do meaningful work and so we want to know that the conversations we have impact patient care. And I kind of think our patients are on this longer journey, right?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JULY 20, 2023

Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic. Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73