Annals of Family Medicine

MAY 27, 2025

PURPOSE This study aimed to assess how agile implementation–driven iterative processes and tailored workflows can facilitate the implementation of a digital cognitive assessment (DCA) tool for patients aged 65 years or older into primary care practices. DCA screening was completed in 1,808 (10.8%) of 16,708 eligible visits.

Primary Care 130

Primary Care Screening Referral Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

SUD screening is not universally done in primary care (PC). In our institution, screenings are completed for patients ≥15 years during well visits; those not presenting for well visits and under 15 may represent missed opportunities. A score ≥2 constitutes a positive screen for possible substance misuse.

Primary Care 130

Primary Care Screening Referral Wellness Visit 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: The rise in social needs screening in primary care settings has led to questions about program design and implementation strategies. Multisector coordination is critical for effective screening and referral initiatives.

Primary Care 130

Primary Care Referral Screening Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Recognizing that health-related social needs drive health inequities, healthcare settings are increasingly beginning to screen and refer patients for social needs. Yet, many patients who screen positive for social needs decline to be referred to resources or do not have their needs resolved.

Primary Care 130

Primary Care Screening Patients Referral 130

Integrated Care News by CFHA

MAY 1, 2025

Evidence‑informed care was literally at his fingertips. Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025). For AI in Primary Care, Start With the Problem. References Menchaca, J. JAMA , 329(16), 1333–1336.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives Describe perspectives of clinicians and implementation leads on the role of primary care in ADRD early detection. Setting Primary care settings in the DAC-SP early detection program. Population Studied HCPs administering the DCA and BBM tools and team leads responsible for planning and implementation.

Primary Care 130

Primary Care Screening Healthcare Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

A recent review of national diabetes treatment guidelines recommended adjustments to DM to reduce financial strain (eg, selecting lower cost medications), as well as directly intervening in response to an identified social need (eg, referral to a community-based service).

Primary Care 130

Primary Care Diabetes Management Provider 130

Common Sense Family Doctor

MARCH 15, 2025

Michelle Rockwell and colleagues at the Carilion Clinic in Roanoke, Virginia, performed a sludge audit of their colorectal cancer (CRC) screening services in 2021 and 2022. Finally, neither patients nor primary care clinicians could easily access the results of colonoscopies or stool-based tests.

Screening 52

Screening Insurance Primary Care Referral 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!). Many of our patients have shared how they often felt rushed at their previous primary care doctor’s office, leaving appointments with lingering concerns.

Primary Care 52

Primary Care Appointment Family Medicine DO 52

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Recognizing the critical connection between access to nutritious food and health, health care systems across Minnesota are taking innovative steps to address food insecurity. Food Insecurity Screenings: Hennepin Health Care has integrated the Hunger Vital Signs tool into routine screenings to identify and support at-risk patients.

Family Physician 52

Family Physician Community Families Family 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., Dr. Oyeyemi founded CHFC, which provides free primary health care throughout Southern New Jersey. Jubril Oyeyemi, M.D.,

Primary Care 40

Primary Care Community Chronic Disease Management Education 40

Vascular Physician

APRIL 22, 2024

Benefits of Vascular Ultrasound Undergoing a vascular ultrasound can provide a variety of benefits to individuals who have been diagnosed with a vascular condition or who are interested in using it as a screening tool. Some of these benefits include: Detecting blood clots in the deep veins of the body, such as the legs, (DVT).

IT 52

IT Diagnose Specialization Healthcare 52

Edge Family Medicine

APRIL 10, 2025

Establishing a long-term relationship with a primary care provider can make a profound difference in how effectively your health is managed over time. Why Primary Care Relationships Matter A trusted PCP gets to know you — not just your chart. Preventive Care that Works Primary care is your first line of defense.

Primary Care 130

Primary Care Relationship PCP PCP 130

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. So, we are not screening for substance use in cancer care, so we don’t get good estimates among people with cancer, which is really how we would prefer to ask the question.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 5, 2025

The obstacles hindering referrals to palliative care services. Practical strategies to overcome these barriers and enhance care. 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.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. There’s really no added extra resource or time that the coordinators really need to put to doing the screening, themselves.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 15, 2024

So one of the big pieces of this is that idea of a referral at a second time when they’re less overwhelmed and stressed to figure out what happened. They know what their dog’s name are sometimes, which we don’t even have from a primary care level, and so that’s kind of a fascinating lens of opportunity.

Community 115

Community Transportation IT PCP 115

GeriPal

JULY 21, 2022

Is there a screening tool that we can use, or just questions that you ask older adults around driving safety? We and many others have tried to come up with a short, validated screening tool. And the primary care provider had assumed he was no longer driving, I think. “How are things going?”

IT 102

IT Family Families Diagnosis 102

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. Eric: … there was care processes. Eric: What does unpleasant look like?

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

JULY 20, 2023

Joe: Well, the proposed rule changes would’ve included, for example, that you have to have a face-to-face encounter with a patient in order to prescribe over telemedicine, or you have to have received a referral from someone who did have a face-to-face, and they also would’ve had to be DEA certified. What state are they in?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73