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team-based care

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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

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:

...staff-assisted depression care supports are in place to assure accurate diagnosis, effective treatment, and follow-up (Table 1). B recommendation. The USPTF recommends against rou- tinely screening adults for depression when staff-assisted depression care supports are not in...

American Family Physician

https://www.aafp.org/afp/2010/1015/afp20101015p976.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

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

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

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

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

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

afp20210601p698.pdf

...Team-Based Care People with diabetes and CKD have high risks of CKD progression, cardiovascular disease (CVD), and mortality, which can be reduced with a comprehensive approach to lifestyle and risk factor management in combination with appropriate pharmacotherapy (Figure 1)....

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p698.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

AAFP NEWS NOW

...that it will partner with Text4Baby to promote enrollment in Medicaid and CHIP, and to provide free text messages on important health care issues to pregnant women and new mothers. In 2011, Medicaid and CHIP covered 43.5 million children, and under the CHIP Reauthorization Act of...

American Family Physician

https://www.aafp.org/afp/2012/0401/afp20120401p675.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

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