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team-based care

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AAFP Letter in Response to CMS on Physician Self-Referral Regulations - December 27, 2019

...and efficient care. As we have previously stated, and literature supports, achieving meaningful transformation of our health care system starts with creating such a system based in foundational primary care - and one which supports an increased investment in primary care to sustain...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-PhysicianSelfReferralRegulations-122719.pdf

AAFP Letter to CMS on the RFI Regarding the Physician Self-referral Law - August 22, 2018

...other physicians and health care professionals to provide team-based, patient-centered care that incorporates new technologies and focuses on reducing the total cost of care. Overall, CMS must make available clear safe harbors for advanced primary-care models, covering operational...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-PhysSelfRef-082218.pdf

AAFP Response to OIG on Anti-kickback Request for Information - October 25, 2018

...and medical students across the country, I write in response to the request for information (RFI) titled, Medicare and State Health Care Programs: Fraud and Abuse as published by the Office of Inspector General (OIG) in the August 27, 2018, Federal Register. The AAFP welcomes and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-OIG-Antikickback-102518.pdf

AAPF Letter to Ways and Means on Stark Law and MACRA

AAFP response to a request for information from the Senate Finance and House Ways and Means Committees, on the topic of what modifications to the Stark Law are needed for MACRA implementation.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-WaysandMeans-StarkLaw-020516.pdf

Screening for Depression in Adults: Recommendation Statement

August 15, 2016: USPSTF

American Family Physician

https://www.aafp.org/afp/2016/0815/afp20160815od1.pdf

Considerations on Reopening Your Practice

...Due to the COVID-19 pandemic, family physicians should consider the following factors on resuming in-person primary care. 1. Prevalence and trends of COVID-19 testing and cases in your city, state, or region; coordinate with local public health efforts and state policies. 2....

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/public_health/COVID19-Considerations-Resuming-Inperson-Visits.pdf

AAFP Statement on Regulatory and Adminstraive Reforms - January 30, 2017

...Primary care - and particularly family medicine - is foundational to continued progress in reforming our nation’s health care system. Family medicine and primary care are delivered by dedicated individual family physicians and their health care teams in urban and rural communities....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/campaigns/ST-Reg-Admin-Reform-013117.pdf

AAFP Response to CMS on the 2021 and 2022 Part C and Part D Proposed Rule - April 6, 2020

...Advantage Program, Medicare Prescription Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elder as published by the Centers for Medicare and Medicaid Services (CMS) in the February 18, 2020 Federal Register. This rule...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2021PartCD-040620.pdf

Joint Letter to CMMI on Alternative Payment Models - May 25, 2021

AAFP and others offer recommendations to CMMI on the implementation of APMs, specifically advancing health equity, physician participation, incentive payments, and investments.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMMI-APMs-052521.pdf

Joint Letter to CMS Opposing Expansion of Scope of Practice for NPPs in IRF Settings - ...

...IRF-level care, as well as the clinicians and institutions that furnish services to the broader Medicare population, the undersigned organizations write to express our concerns that this proposal will undermine delivery of and access to physician-led team-based care in the IRF...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-CMS-NPsIRFSetting-061120.pdf

FMX 2021 CME Topics

...CME TOPICS TRANSFORM YOUR DELIVERY OF CARE Family medicine is breaking boundaries, and you’re invited! Explore the latest clinical recommendations covering top health issues and challenges-all taught by leading family medicine experts. Our topics are designed to arm you with new skills...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/fmx-cme-topics.pdf

fpm20091100p18.pdf

...of Family Medicine (FFM) report published in 2004 called for a new, idealized model of care that had 11 key elements:1• Personal medical home, • Patient-centered care, • Team approach to care, • Elimination of barriers to access, • Advanced information systems, including a...

Family Practice Management

https://www.aafp.org/fpm/2009/1100/fpm20091100p18.pdf

fpm20130900p12.pdf

...Some practices have had great success in improving access with this model, while others have failed. A study of six primary care practices found that five of the six improved access but none achieved same-day access, and the improvements were often not sustainable over time.2 A...

Family Practice Management

https://www.aafp.org/fpm/2013/0900/fpm20130900p12.pdf

fpm20170300p19.pdf

...As the health care system undergoes tremendous change and the primary care physician shortage continues, family physicians are repeatedly being asked to see more patients in less time while providing greater care coordination than ever before. It is therefore not surprising that...

Family Practice Management

https://www.aafp.org/fpm/2017/0300/fpm20170300p19.pdf

Quality Measures: How to Get Them Right

...of family medicine and community health at the University of Massachusetts School of Medicine in Worcester, Mass., and co-founder of Care That Matters, a physician advocacy group. Sami Hamdan is a fourth-year medical student at Tufts University School of Medicine, Boston. Dr....

Family Practice Management

https://www.aafp.org/fpm/2018/0700/fpm20180700p23.pdf

The Right-Sized Patient Panel: A Practical Way to Make Adjustments for Acuity and ...

...to improve flow and reduce delays in the health care industry. Dr. Murray, who practiced family medicine for 25 years, is owner of Mark Murray and Associates consulting company. He has long been an authority on access in health care and has written numerous published articles on the...

Family Practice Management

https://www.aafp.org/fpm/2019/1100/fpm20191100p23.pdf

afp20190201p141.pdf

...Letters to the Editor Group Prenatal Care to Reduce Preterm Labor and Improve Outcomes Original Article: Preterm Labor: Prevention and Management Issue Date: March 15, 2017 Available online at: https://www.aafp.org/afp/2017/0315/p366. html To the Editor: We would like to...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p141.pdf

afp20190201p143.pdf

...Letters to the Editor Group Prenatal Care to Reduce Preterm Labor and Improve Outcomes Original Article: Preterm Labor: Prevention and Management Issue Date: March 15, 2017 Available online at: https://www.aafp.org/afp/2017/0315/p366. html To the Editor: We would like to...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p143.pdf

afp20190201p142.pdf

...Letters to the Editor Group Prenatal Care to Reduce Preterm Labor and Improve Outcomes Original Article: Preterm Labor: Prevention and Management Issue Date: March 15, 2017 Available online at: https://www.aafp.org/afp/2017/0315/p366. html To the Editor: We would like to...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p142.pdf

AAFP Comments to CMS on the 2018 Inpatient Proposed Rule

...solely to primary care. Family physicians conduct approximately one in five office visits. This represents more than 192 million visits annually, which is 48 percent greater than the next most visited medical specialty. Today, family physicians provide more care for America’s...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-IPPSProposedRule-060817.pdf

fpm20130900p12-rt1.pdf

...Follow Lucy on her access journey to find out whether she gets the best possible care, when she gets an appointment, and whether she sees her own family physician. START HERE 1 JUST DROP BY CLINIC This clinic does not make appointments. Patients who want to be seen must...

Family Practice Management

https://www.aafp.org/fpm/2013/0900/fpm20130900p12-rt1.pdf

afp20160515p820.pdf

...aimed at improving how primary care is delivered and how primary care physicians are paid. The Com- prehensive Primary Care Plus model is a five-year test that will begin in January 2017. The initiative, which will build on the Comprehensive Primary Care initiative that launched in...

American Family Physician

https://www.aafp.org/afp/2016/0515/afp20160515p820.pdf

afp20200901p264.pdf

...Editorials Health Equity in Preventive Services: The Role of Primary Care Steven Teutsch, MD, MPH, University of California, Los Angeles, and University of Southern California, Los Angeles, California Timothy S. Carey, MD, MPH, University of North Carolina at Chapel Hill,...

American Family Physician

https://www.aafp.org/afp/2020/0901/afp20200901p264.pdf

fpm20130700p8.pdf

...Advancing Multidisciplinary Team Care Elizabeth Joy, MD, MPH A novel approach to treating patients with eating disorders may be a model for those with other complex conditions. Up to 10 million females and 1 million males suffer from anorexia nervosa or bulimia nervosa in the...

Family Practice Management

https://www.aafp.org/fpm/2013/0700/fpm20130700p8.pdf

admin-simplification-principles.pdf

...Principles for Administrative Simplification The regulatory framework with which primary care physicians must comply is daunting and often demoralizing. Standardization is not required among public or private payers, and many physicians participate with 10 or more payers. Physicians are...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/policies/admin-simplification-principles.pdf

fpm20160700p23.pdf

...More than three-quarters of hospital- and office-based care is provided using electronic health records (EHRs), and significant government incentives (and penalties) are increasing that percentage.1,2 Incentives aside, most of us adopt EHRs to improve the efficiency, quality, and...

Family Practice Management

https://www.aafp.org/fpm/2016/0700/fpm20160700p23.pdf

99213 or 99214? Three Tips for Navigating the Coding Conundrum

...Marting is an attorney practicing with Forbes Law Group in Overland Park, Kan., where she focuses on regulatory compliance and health care reimbursement. Author disclosure: no relevant financial affiliations disclosed. © J IM F R A Z IE R Perhaps one of the most...

Family Practice Management

https://www.aafp.org/fpm/2018/0700/fpm20180700p5.pdf

Seven Habits for Reducing Work After Clinic

...guidelines, and elec-tronic health records (EHRs) can all frustrate physicians’ efforts to focus on providing high-quality patient care. These administrative hassles undoubtedly contribute to the rise in work after clinic as well as physician dissatisfaction and burnout. A recent...

Family Practice Management

https://www.aafp.org/fpm/2019/0500/fpm20190500p10.pdf

AAFP News: AFP Edition

...advanced practice registered nurses (APRNs) in VA facilities independent practice authority, saying it will undermine the quality of health care received by veterans. The AAFP understands the VA’s concerns about long wait times for veterans, said AAFP President John Meigs, MD....

American Family Physician

https://www.aafp.org/afp/2017/0201/afp20170201p143.pdf

Ways to Engage with the AAFP

...Engage with the AAFP Working together to transform health care Standing together-131,400 strong-we are the American Academy of Family Physicians (AAFP). Collectively, our members work diligently toward a common goal-to achieve the best possible health outcomes for our patients and...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/strategic_partnerships/common/ways-to-engage.pdf

Ways to Engage with the AAFP

...Engage with the AAFP Working together to transform health care Standing together-131,400 strong-we are the American Academy of Family Physicians (AAFP). Collectively, our members work diligently toward a common goal-to achieve the best possible health outcomes for our patients and...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/Engage-With-AAFP.pdf

AAFP News: AFP Edition

...which objects to the time-consuming processes [that] bur- den family physicians, divert valuable resources away from direct patient care, and can inadvertently lead to negative patient outcomes. For more information, go to http://www.aafp.org/news/practice-professional-...

American Family Physician

https://www.aafp.org/afp/2017/0715/afp20170715p80.pdf

afp20190615p733.pdf

...Editorials Identification of and Treatment for Unhealthy Alcohol Use in Primary Care Settings Elizabeth Salisbury-Afshar, MD, MPH, American Institutes for Research, Chicago, Illinois Michael Fleming, MD, Northwestern University, Chicago, Illinois See related U.S. Preventive...

American Family Physician

https://www.aafp.org/afp/2019/0615/afp20190615p733.pdf

2021 Practice Enhancement Reference Committee Report

...in lieu of Resolution No. 19 5005. 20 21 Item 6: Adopt Substitute Resolution No. 5006: AAFP Support for Family Physician-Led Primary 22 Care in lieu of Resolution No. 5006. 23 24 Item 7: Adopt Resolution No. 5007: AAFP Advocate with Society of Hospital Medicine for Family 25...

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/business/practice-enhancement-ref-committee-report.pdf

AAFP Backgrounder - Scope of Practice: Pharmacists

...role pharmacists play in the delivery of high- quality health care. The pharmacy professional and physician should work collaboratively to optimize the therapeutic effect of pharmaceutical agents in patient care through the use of collaborative practice agreements (CPAs) between...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/BKG-Scope-Pharmacists.pdf

afp20180601p741.pdf

...until a related condition emerges. A patient- focused approach that includes education; cancer-specific monitoring; and team-based care, including palliative care, with continuous communication is recommended.4 Most oncologic emergencies can be categorized as metabolic,...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p741.pdf

Postpartum Hemorrhage: Prevention and Treatment

April 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401p442.pdf

AAFP Backgrounder - Scope of Practice: Physician Assistants

...health professionals to work together as clinically integrated teams in the best interest of patients. Patients are best served by a health care team led by a physician. Education and Training There are significant differences in the educational and training requirements between...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/BKG-Scope-PhysicianAssistants.pdf

fpm20141100p5.pdf

...How can we be more efficient in primary care? How can we focus on doing things only physicians are trained to do and avoid doing clerical tasks and other things that less expensive employees can perform? Going even further, how can we make everyone in the office more productive,...

Family Practice Management

https://www.aafp.org/fpm/2014/1100/fpm20141100p5.pdf

Generation Gap: Effectively Leading Physicians of All Ages

...ne major challenge currently facing physician leaders is nego-tiating the differing behavior and values of nurses, doctors, and other health care personnel born of differ- ent generational age groups. These groups are popularly known as the traditionalists, the baby boomers,...

Family Practice Management

https://www.aafp.org/fpm/2013/0500/fpm20130500p29.pdf

Physician Leadership: A New Model for a New Generation -- Family Practice Management

...the leader’s attitudes and behaviors have a direct impact on morale, employee retention and customer service. Following the spirit of team-based care outlined by the Future of Family Medicine project,2 the physician leader sets a tone that defines his or her practice. What’s your...

Family Practice Management

https://www.aafp.org/fpm/2006/0200/fpm20060200p51.pdf

National Research Network Advisory Group Resident Representative 2020 Annual Report

...established in 1999 to conduct, support, promote, and advocate for primary care research in practice- based settings. The AAFP NRN assists in realizing overall strategies for achieving improved primary care for the nation. This includes asking important questions and advancing...

Events

https://www.aafp.org/dam/AAFP/documents/events/nc/congress/2020/nc20-nrn-resident-2.pdf

fpm20150500p5.pdf

...in family medicine, differences between the needs of employed family physicians and owner physicians, and the rapid pace of change in health care delivery, among other things, complicate this task. But deciding what topics to target is actually the easier part. Because FPM is a...

Family Practice Management

https://www.aafp.org/fpm/2015/0500/fpm20150500p5.pdf

Ten EHR Strategies for Efficient Documentation

...10. Consider using a scribe or team documentation. Primary care offices have typically employed one medical assistant per physician, but some practices have begun utilizing additional staff to help with electronic documentation. Depending on your practice style, practice setting,...

Family Practice Management

https://www.aafp.org/fpm/2020/0700/fpm20200700p5.pdf

fpm20130100p40.pdf

...The definitions can vary among payers and accrediting organizations, and they often include buzz words such as team-based care, shared deci- sion making, or risk-stratified care management. Forget those definitions for a moment. To best describe what a patient-centered medical...

Family Practice Management

https://www.aafp.org/fpm/2013/0100/fpm20130100p40.pdf

AAFP Executive Summary of Alternative Payment Models - March 14, 2017

...Advanced Primary Care: A Foundational Alternative Payment Model (APM) for Delivering Patient-Centered, Longitudinal, and Coordinated Care MACRAready The Shift to Value-Based Payment January 2017 The U.S. health care system is undergoing an intense period of transformation...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/ES-AdvancedPrimaryCare-121316.pdf

fpm20160500p15.pdf

...Patient satisfaction scores are increasingly affecting reimbursement for medical care as value-based purchasing becomes more prevalent. Succeeding in this payment model requires physicians and their organizations to first understand how patients judge ser- vice quality and then to...

Family Practice Management

https://www.aafp.org/fpm/2016/0500/fpm20160500p15.pdf

The Nurse Closer: Using Nonclinician Staff to Make Patient Visits More Efficient

...of First Care Clinic in Hays, Kan. Bryan Brady is CEO of First Care Clinic. Rhiannon Maier is the director of quality and data at First Care Clinic. Jordan Gabel is the nursing supervisor at First Care Clinic. Danielle Windholz is the operations manager at First Care Clinic. Author...

Family Practice Management

https://www.aafp.org/fpm/2019/0700/fpm20190700p13.pdf

Retail Health Clinics Are Rolling Your Way -- Family Practice Management

...by the in-store pharmacy to fill a prescription if needed. If the problem requires a physician, patients are referred to their primary care physicians. If they do not have one, the nurse practitioner refers them to one off the clinic’s referral list. s e a n k a n e...

Family Practice Management

https://www.aafp.org/fpm/2006/0500/fpm20060500p65.pdf

Increasing Pneumococcal Immunization Rates

...developed QI projects and outcomes that had an impact on direct patient care and system changes. Education and/or QI projects included team-based approaches and behavioral change resources for health care clinicians and their practice teams. As part of their QI initiative, the...

Family Practice Management

https://www.aafp.org/fpm/2020/0700/fpm20200700p17.pdf

fpm20161100p25.pdf

...we are learning the extent to which Medi- care payment will be transformed.1 Our payments will now be directly connected to the quality and cost of the care we provide. Those of us who provide higher quality, lower cost care will be paid more, and those who do not will be paid...

Family Practice Management

https://www.aafp.org/fpm/2016/1100/fpm20161100p25.pdf

Patient Navigators Connecting Patients to Community Resources to Improve Diabetes Outcomes

...diabetes management, the use of available community resources by both patients and their primary care providers (PCPs) remains low. The patient navigator model, widely used in can- cer care, may have the potential to link PCPs and community resources for reduction of risk and...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/loskutova_citiesforlife_jabfm_2016.pdf

fpm20080100p32.pdf

...owned nonprofit health care system located in Anchorage, Alaska, has a story to tell. Ten years ago, SCF was a typical, inefficient health care system. Patients had to wait weeks to get an appointment and had to wait again when coming into the office. Care was impersonal. Patients...

Family Practice Management

https://www.aafp.org/fpm/2008/0100/fpm20080100p32.pdf

fpm20160900p12.pdf

...In Defense of Direct Primary Care Philip Eskew, DO, JD, MBA Direct primary care will continue to grow because it empowers price transparency, quality, and patient satisfaction. Direct primary care (DPC) is a growing movement across the United States involving at least 429...

Family Practice Management

https://www.aafp.org/fpm/2016/0900/fpm20160900p12.pdf

fpm20170500p25.pdf

...of providing health care from payers to physicians and other health care providers by tying reimbursement to value. This shift is part of an effort to achieve the triple aim of improving population health, reducing health care costs, and improving the patient care experience. The...

Family Practice Management

https://www.aafp.org/fpm/2017/0500/fpm20170500p25.pdf

Developing Standing Orders to Help Your Team Work to the Highest Level

...and chronic care for a panel of 2,500 patients.1 Add to this the ever- growing requirements for quality reporting, and it’s no wonder physicians are burned out. Using standing orders is one way to redistribute the physician workload across the primary care team, allowing the...

Family Practice Management

https://www.aafp.org/fpm/2018/0500/fpm20180500p13.pdf

Choose Family Medicine Poster

...lives of the people you care for. You won’t just be a doctor; you’ll be a confidant, a coach, and a shoulder to lean on. Family medicine is at the heart of it all. Location doesn’t matter- urban, rural, hospital, solo practice-take your pick. Family medicine will...

Med School and Residency

https://www.aafp.org/dam/AAFP/documents/medical_education_residency/fmig/choose-fammed-posters.pdf

2019 NCCL Summary of Actions

...FamMedPAC review the candidates' voting records to ensure that they align with American Academy of Family Physicians' commitment to Health Care for All, affordable prescription drugs, and gun violence prevention in determining whether or not funds should be allocated for such a...

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/2019NCCLSummaryofActions.pdf

AAFP Response to the 2020 Proposed Medicare Physician Fee Schedule - September 18, 2019

...program for all beneficiaries-and in improving access to high-quality, comprehensive, and coordinated care, especially your efforts to support family medicine and primary care. We look forward to working with CMS on designing and implementing policies that support these shared goals...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-CMS-2020ProposedMPFSComments-091819.pdf

Preparations for Treating Opioid Use Disorder in the Office

...rural areas. Buprenorphine can be prescribed for the treatment of OUD by certified providers, widening the availability of MAT to pri- mary care practices. Buprenorphine, a partial agonist, is an effective alternative with several pharma- cokinetic features that favor its use...

Family Practice Management

https://www.aafp.org/fpm/2018/1100/fpm20181100p21.pdf

Joint Letter to Congress on Telehealth Principles - July 1, 2020

...competence regarding emergency readiness and response through the lens of COVID-19, with the aim of building capacity for primary care providers to care for children and their families affected by COVID-19. A recent survey of AAFP members found that 81 percent of family physicians...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-Congress-TelehealthHELP-070120.pdf

AAFP Comment Letter on 2019 Final Medicare Physician Fee Schedule - December 28, 2018

...that CMS has shown a strong commitment to supporting primary care in recent years-and we look forward to working with CMS to share our data, member experiences, and analyses to ensure appropriate valuation of primary care services over the next two years. At the same time, we look...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2019FinalMPFS-122818.pdf

AAFP letter on the Reauthorizing and Extending America’s Community Health (REACH) Act ...

...physicians and medical students across the country, I write to express our appreciation for action to reauthorize several expiring primary care programs within the Reauthorizing and Extending America’s Community Health (REACH) Act of 2019 (HR 2328). The bill extends the Teaching...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-E&C-PrimaryCareExtensionsREACH-071719.pdf

19HealthPublicScienceReferenceCommitteeReport.pdf

...17 18 ITEM NO. 2: RESOLUTION NO. 3002: IMPROVING ACCESS TO CARE FOR HOMEBOUND 19 PATIENTS 20 21 RESOLVED, That the American Academy of Family Physicians recognize the lack of 22 access to care for homebound patients and the role of the family medicine physician in 23 providing...

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/business/19HealthPublicScienceReferenceCommitteeReport.pdf

fpm20150700p28.pdf

...Steer patients away from inappropriate and overused procedures that can diminish health care. About the Authors Dr. Lin is associate professor of family medicine, director of the Robert L. Phillips Jr. Health Policy Fellowship at Georgetown University School of Medicine in...

Family Practice Management

https://www.aafp.org/fpm/2015/0700/fpm20150700p28.pdf

A Practical Approach to Screening for Social Determinants of Health

...determinants of health) create access, adherence, or performance barriers, often impeding their efforts to provide evidence-based clinical care that improves overall health.3,4 For example, a patient who lacks safe housing, reliable transportation, or adequate food resources may...

Family Practice Management

https://www.aafp.org/fpm/2018/0500/fpm20180500p7.pdf

afp20181201p645.pdf

...evolve, clinicians will likely care for an increasing number of transgender persons.3 However, data from a large observational study suggests that 24% of transgender persons report unequal treatment in health care environments, 19% report refusal of care altogether, and 33% do not...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p645.pdf

2021 Practice Enhancement Agenda w Resolutions

...Contracting Practices 5. Resolution No. 5005 The Reality of Telehealth 6. Resolution No. 5006 AAFP Support for Family Physician-Led Primary Care 7. Resolution No. 5007 AAFP Advocate with Society of Hospital Medicine for Family Medicine-Trained Hospitalists and Disparities 8....

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/business/practice-enhancement-agenda-resolutions.pdf

afp20210201p138.pdf

...Much of the burden of managing these mil- lions of new cases of disease falls to primary care clinicians. There is a substantial opportunity cost, diverting attention and resources away from patients who would benefit most. What appear to be small changes to disease definitions...

American Family Physician

https://www.aafp.org/afp/2021/0201/afp20210201p138.pdf

fpm20150500p24.pdf

...Meeting patients’ needs for access to care is one of the most frustrating challenges fam-ily physicians face. Physicians generally want to provide care for their patients at all times - when they are sick and when they are healthy, for acute care or for routine check-ups - but doing...

Family Practice Management

https://www.aafp.org/fpm/2015/0500/fpm20150500p24.pdf

afp20191001p416.pdf

...Opioid use disorder should be treated as a chronic condition with longitudinal, team-based, patient-centered care. Similar to type 2 diabetes mellitus or hypertension, opioid use disorder has genetic, environmental, and behavioral causes; the disorder responds best to long-term...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p416.pdf

From the Editor: Focusing on the Patient and Physician Experience

...Focusing on the Patient and Physician Experience Let FPM help you take care of your patients and find the joy in practice. I am honored and delighted to take on the role of medical editor of FPM. I have been a long-time reader and contributor to the journal and am excited about the...

Family Practice Management

https://www.aafp.org/fpm/2019/0700/fpm20190700p5.pdf

A Practical Approach to Reducing Patients’ Prescription Costs

...at the University of Rochester Medical Center (URMC), Rochester, N.Y. Dr. Venci is a clinical pharmacy specialist in the URMC Primary Care Network. Mechelle Sanders is a PhD candidate in health services research. Angela Lanigan is research project manager for the American Academy of...

Family Practice Management

https://www.aafp.org/fpm/2019/0500/fpm20190500p5.pdf

Considerations on Re-opening Your Practice

...practices have been providing patient care exclusively via telehealth. Because reopening nonessential businesses is a localized issue, family physicians should consider the following factors on resuming nonessential, in-person primary care. 1. Prevalence and trends of COVID-19...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/covid-19/resuming-care.pdf

Tar Wars Program Guide

...in 1988 by Jeff Cain, MD, and Glenna Pember, from Hall of Life, a division of the Denver Museum of Natural History, and Doctors Ought to Care (DOC). Since its inception, Tar Wars has touched the lives of more than 10 million children worldwide. The lesson plan in this guide...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/tar_wars/program-guide.pdf

Stewart.pdf

...Editorials Prioritizing Primary Care Can Save the U.S. Health Care System Ada D. Stewart, MD, American Academy of Family Physicians, Leawood, Kansas Published online June 8, 2021. The U.S. health care system is failing many Amer- icans, and this is not only because of...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/Stewart.pdf

afp20190615od2.pdf

...James J. Stevermer, MD, MSPH, FAAFP, University of Missouri Health Care, Columbia, Missouri Robert T. Chow, MD, MBA, MACP, University of Maryland Medical Center Midtown Campus, Baltimore, Maryland Katherine K. Leon, MS, SCAD Alliance, Alexandria, Virginia Melanie D. Bird,...

American Family Physician

https://www.aafp.org/afp/2019/0615/afp20190615od2.pdf

afp20210215p219.pdf

...See related Lown Right Care at https://www.aafp.org/ afp/2020/1215/p753.html. CME This clinical content conforms to AAFP criteria for CME. See CME Quiz on page 205. Author disclosure: No relevant financial affiliations. Frailty, which is a geriatric syndrome that affects...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p219.pdf

10 Ways to Keep Your Quality Improvement Team Motivated

...Primary care practices have been tasked with reporting an increasing amount of quality data to satisfy requirements for insurance companies, accountable care organizations (ACOs), patient-centered medical home (PCMH) recognition, and various pay-for-performance programs. As a result, it...

Family Practice Management

https://www.aafp.org/fpm/2018/0900/fpm20180900p23.pdf

Innovation in Practice: Six Ways to Harness the Power of Your Ideas -- Family Practice ...

...New Model of Care proposed by the FFM project defines in broad brush strokes a redesigned practice that is just being invented today. It includes ideas such as the following: • Group visits, • Advanced access scheduling, • Online appointment scheduling, • Planned care for...

Family Practice Management

https://www.aafp.org/fpm/2005/0600/fpm20050600p37.pdf

Intimate Partner Violence

...identify intimate partner violence, make brief office interventions, offer continuity of care, and refer them for subspecialty and community-based evaluation, treat- ment, and advocacy. Primary care physicians are ideally positioned to work from a preventive framework and address...

American Family Physician

https://www.aafp.org/afp/2011/0515/afp20110515p1165.pdf

afp20191001p396.pdf

...approach to care is not new and has had international success,2 but its broader implementation in the United States is relatively recent and requires expansion of clin- ical infrastructure, reimbursement, and patient access. Unlike the HIV/AIDS epidemic, in which primary care and...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p396.pdf

fpm20140900p23.pdf

...in 2004 with a state diabetes registry program that taught my nurses and me the value of having patient-spe- cific reports at the point of care and population reports for investigating trends and goal plan- ning. Culture is critical to quality improvement work, and this program laid...

Family Practice Management

https://www.aafp.org/fpm/2014/0900/fpm20140900p23.pdf

fpm20110500p15.pdf

...care services in the United States is in a state of crisis as the demand for primary care services outpaces our supply of primary care physi- cians. The U.S. population is plagued with chronic diseases, which place an increasing burden on pri- mary care practices. The population...

Family Practice Management

https://www.aafp.org/fpm/2011/0500/fpm20110500p15.pdf

fpm20140700p13.pdf

...The degree to which pediatric patients are up-to-date on recommended immunizations is a key quality metric of well-child care - for both the patient and the practice. Inadequate immuniza- tion can increase the risk of acquiring serious infectious diseases. Low rates of immunization...

Family Practice Management

https://www.aafp.org/fpm/2014/0700/fpm20140700p13.pdf

fpm20170700p38.pdf

...Improve your team’s effectiveness A high-functioning team is criti-cal to the success of a medical practice. What steps can you take to improve its effectiveness? • Create a mission review card that staff members can fill out and turn in when they observe repeated actions or...

Family Practice Management

https://www.aafp.org/fpm/2017/0700/fpm20170700p38.pdf

Recommended Curriculum Guidelines for Family Medicine Residents Medical Informatics

Medical Informatics

Med School and Residency

https://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint288_Informatics.pdf

AAFP Response to CMS Maternal Health RFI - May 31, 2020

...care in rural communities as released by the Centers for Medicare and Medicaid Services on February 12, 2020. Maternal Health in the United States Currently, the United States’ maternal mortality rate (MMR) is alarmingly high and reveals existing faults within the health care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/LT-CMS-RuralMaternalHealth-053120.pdf

afp20110115p113.pdf

...AAFP, Other Primary Care Organizations Adopt Joint Principles for Medical Education The AAFP and three other primary care professional organizations have released a new policy to guide the edu- cation of U.S. medical school students in an era of health care reform that promotes...

American Family Physician

https://www.aafp.org/afp/2011/0115/afp20110115p113.pdf

Unlocking Clues to Current Health in Past History: Childhood Trauma and Healing

...recent ACE scor- ing systems have taken into account issues such as neighborhood safety, bullying, wit- nessing violence, racism, and foster care.5 The ACE study demonstrated that as the number of adverse experiences increased during an individual’s childhood, the number of...

Family Practice Management

https://www.aafp.org/fpm/2019/0300/fpm20190300p5.pdf

afp20190501p587.pdf

...about the effects on rates of cesarean delivery, perinatal mortality, opera- tive vaginal birth, and admission to the neonatal intensive care unit (NICU). Elective labor induc- tion does not significantly change the risk of still- birth, low Apgar score, or neonatal respiratory...

American Family Physician

https://www.aafp.org/afp/2019/0501/afp20190501p587.pdf

Recommended Curriculum Guidelines for Family Medicine Residents: Nutrition

In this document, the AAFP provides recommended curriculum guidelines for family medicine residents as it relates to nutrition. AAFP Reprint No. 275.

Med School and Residency

https://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint275_Nutrition.pdf

afp20180615p776.pdf

...making them vulnerable to disability and diminished quality of life. Although 95% of older patients with complex needs have regular access to care, 58% struggle to navigate the system, and 62% are stressed about their ability to afford housing, utilities, or meals.3 Geriatric...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p776.pdf

afp20181101p613.pdf

...review of six health care organization guidelines. In a review of these guidelines, the authors found no studies indicating that A1C targets less than 6.5% improve clinical outcomes. Moreover, using medication to achieve this level had associated harms. Guidance Statements Goals...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p613.pdf

afp20190515p654.pdf

...to fit your team’s busy schedule. Our Growing Library of Topics: • Clinical Data Registries NEW! • Continuity of Care NEW! • Team Documentation NEW! • Empanelment • Quality Improvement AAFP TIPSTM Transformation in Practice Series DPA18091380 Get...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515p654.pdf

Medicare Wellness Visits: Reassessing Their Value to Your Patients and Your Practice

...The Affordable Care Act of 2010 created the Medicare annual wellness visit (AWV) as a way to provide patients with com-prehensive preventive care services at no cost. Yet many practices have been slow to provide substantial numbers of these visits. Only 15.6 percent of eligible patients...

Family Practice Management

https://www.aafp.org/fpm/2019/0300/fpm20190300p25.pdf

fpm20120900p11.pdf

...Taking a systematic, team-based approach can make these services valuable for physicians and patients. MAKING Medicare Wellness Visits WORK IN PRACTICE Arnold E. Cuenca, DO, CAQSM More than 1.3 million Medicare patients have taken advantage of the annual wellness visit...

Family Practice Management

https://www.aafp.org/fpm/2012/0900/fpm20120900p11.pdf

Making Sense of MACRA: Questions to Ask Your Employer

...Will my compensation be adjusted based on my performance? • What was our group’s previous MIPS score/performamce? • How did my individual or team’s performance contribute to the practice’s overall MIPS score/performance? Under the group reporting option, all physicians within the...

Family Practice Management

https://www.aafp.org/fpm/2018/0500/fpm20180500p17-rt1.pdf

Title

...Trifecta: AAFP’s Comprehensive Approach to Patient Care Dana Nolte, Director, Strategic Engagements and Innovation Vince Loffredo, Director, Division of Continuing Medical Education Tracey Allen-Ehrhart, Manager, Practice Advancement Division Christina M. Hester, PhD, MPH,...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/strategic_partnerships/partner-pulse/ComprehensiveApproachtoPatientCare.pdf

2018 Agenda of the Reference Committee on Education

...1. Resolution No. 2001 Addressing the Burden of Indirect Patient Care on Physician Well-Being 2. Resolution No. 2002 Family Medicine Residency Education Involving Nurse Practitioners and Physician Assistants 3. Resolution No. 2003 Maternal Mortality in the United States 4....

Events

https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/business/18EducationReferenceCommitteeAgenda.pdf

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