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team-based care

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2020-2021 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/2020-21-Tar-Wars-Program-Guide.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

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

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

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

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

19PracticeEnhancementReferenceCommitteeReport.pdf

...even when family physicians have years of experience. Members further 26 testified of the importance to protect full spectrum primary care. The reference committee 27 acknowledged the positive comments but felt the first resolved clause was beyond the scope of the 28 AAFP. The...

Events

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

Reference Committee on Practice Enhancement Agenda and Resolutions

...14. Resolution No. 5014 Developing Point of Care Ultrasound Education and Resources for Practicing Family Physicians Resolution NO. 5001 1 2 Family Medicine Surgical and Non-surgical Obstetrical Privileges 3 4 Submitted by: Katherine Patterson, MD, FAAFP, LGBT 5 Shannon...

Events

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

duluth-2020-categorical-poe.pdf

...You are not required to fill out eight separate entries. Certain programs can be combined into one entry. For example, National Primary Care Week Celebration can be one programming entry, and you can describe the week’s activities and how they fit into that initiative. Questions...

Med School and Residency

https://www.aafp.org/dam/AAFP/documents/medical_education_residency/fmig/poe_awards/2020/duluth-2020-categorical-poe.pdf

Reducing Risks for Patient Receiving Warfarin -- Family Practice Management

...Think small Samantha Pozner, MD, a family physician in Springfield, N.J., cares for only a handful of patients on warfarin at any one time in her two-physician practice, so expensive, high-tech solutions weren’t viable options. Instead, she created her own low-cost track- ing system...

Family Practice Management

https://www.aafp.org/fpm/2002/0700/fpm20020700p35.pdf

afp20100701p43.pdf

...Care of the Returning Veteran JEFFREY D. QUINLAN, MD, Navy Medicine Support Command, Jacksonville, Florida MICHAEL R. GAURON, MD, Mike O’Callaghan Federal Hospital Family Medicine Residency Program, Nellis Air Force Base, Nevada BRUCE R. DESCHERE, MD, Naval Hospital Pensacola...

American Family Physician

https://www.aafp.org/afp/2010/0701/afp20100701p43.pdf

afp20191101p544.pdf

...to the U.S. Census Bureau.1 Most veterans receive care exclusively from family physicians or coopera- tively with the Veterans Health Administration or military treatment facility, although more than one-half receive care only from the civilian sector.2 Eligibility for benefits is...

American Family Physician

https://www.aafp.org/afp/2019/1101/afp20191101p544.pdf

Glaseroff.pdf

...Lown Right Care Reducing Overuse and Underuse Helping Ambivalent Patients Make Healthy Decisions About COVID-19 Alan Glaseroff, MD, Stanford Clinical Excellence Research Center, Stanford, California Ann Lindsay, MD, Stanford University School of Medicine, Stanford, California...

American Family Physician

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

How to Prepare for and Survive a Violent Patient Encounter

...U.S. Bureau of Labor Statistics, more than 70 percent of all workplace assaults occur in the health care and social services industry.3 Reasons for this include feel- ings that health care services have become more impersonal, longer wait times, unmet patient expectations, increased...

Family Practice Management

https://www.aafp.org/fpm/2018/1100/fpm20181100p5.pdf

afp20210315p334.pdf

...Lown Right Care Reducing Overuse and Underuse Helping Ambivalent Patients Make Healthy Decisions About COVID-19 Alan Glaseroff, MD, Stanford Clinical Excellence Research Center, Stanford, California Ann Lindsay, MD, Stanford University School of Medicine, Stanford, California...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p334.pdf

Acute Kidney Injury: A Guide to Diagnosis and Management

...kidney injury is two to three cases per 1,000 persons.3 Seven percent of hospitalized patients and about two-thirds of patients in intensive care units develop acute kidney injury,2 often as part of the multiple organ dysfunction syndrome.4 Acute kidney injury is associated with...

American Family Physician

https://www.aafp.org/afp/2012/1001/afp20121001p631.pdf

fpm20161100p14.pdf

...challenges in today’s health care environment, the importance of leadership from family physicians cannot be understated. Influencing policy, trail-blazing new practice models, helping to shift the focus from health care to health, leading effective care teams in clinics, or...

Family Practice Management

https://www.aafp.org/fpm/2016/1100/fpm20161100p14.pdf

Nonpharmacologic Management of Chronic Insomnia

December 15, 2016 Scientific

American Family Physician

https://www.aafp.org/afp/2015/1215/afp20151215p1058.pdf

afp20190415p476.pdf

...beyond the clinical setting. A previous editorial in American Family Physician explained how community vital signs can be used in patient care to address social determinants of health (SDOH).1 SDOH are contextual environmental factors that can give rise to health inequity; they...

American Family Physician

https://www.aafp.org/afp/2019/0415/afp20190415p476.pdf

Editorials

...tion of structured data elements, decision support tools, longitudinal view of patient data, and improved access to laboratory and health care summary data.4 Immunization rates can be improved with use of reminder or recall systems, which can be delivered via a telephone autodi-...

American Family Physician

https://www.aafp.org/afp/2011/0315/afp20110315p659.pdf

Microsoft PowerPoint - Escobar - FM_Disasters.pptx

...The Role of the Family Medicine Physician in Disasters: Bridging the Gap with GloCal Care Shaunna L. Escobar, MD, MPH, CPH, MHL Disclosures I have nothing to disclose 2 Objectives 1. Discover the resources of the ICS (Incident Command System) 2. Recognize...

Events

https://www.aafp.org/dam/AAFP/documents/events/global_health/2020-ghs-breakouts/Escobar%20-%20FM_Disasters.pdf

Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders

October 15, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/1015/afp20171015p515.pdf

Practice Pearls

...Break the rules for better patient care Medical practices have many rules governing patient care, ranging from treatment protocols and HIPAA requirements to room- ing procedures. These rules are typically designed to make your practice operate smoothly and protect patients,...

Family Practice Management

https://www.aafp.org/fpm/2017/1100/fpm20171100p35.pdf

Winnable Battles: Family Physicians Play an Essential

...in the United States, and family physicians are uniquely positioned to address these issues. This highlights a need for transforming primary care practices and teams to systematize the recognition and management of unhealthy behaviors, and for alter- native payment models that...

American Family Physician

https://www.aafp.org/afp/2014/0601/afp20140601p872.pdf

afp20180215p232.pdf

...Voluntary Value Program (VVP). Commissioners said MIPS is too flawed to achieve CMS’ goals of reducing overall costs and improving patient care. They were concerned that because MIPS allows physicians to select the quality measures they want to be graded on, there is little basis...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p232.pdf

fpm20070900p32.pdf

...one. Instead, they’re stuck trying to adapt to a generic office footprint, and the space is rarely optimized for the delivery of primary care. However, there are things medical practices can do to make the best out of a tough situation. As a practice enhancement facilitator at...

Family Practice Management

https://www.aafp.org/fpm/2007/0900/fpm20070900p32.pdf

Family Practice Management

...progressive Family care was inundated for years with patient complaints about excessive wait times. A reflective adaptive process (RAp) team discussion revealed that blood draws were overloading the clinical support staff and causing seri- ous backups in the schedule, frustrating...

Family Practice Management

https://www.aafp.org/fpm/2010/0300/fpm20100300p31.pdf

Implementing Advanced Access in a Group Practice Network -- Family Practice Management

...Primary care practices face numerous challenges on their way to improving patient access. Patients compare the service they receive in health care to the service they receive in other industries and expect equivalent convenience. Since patients are increas- ingly likely to choose or...

Family Practice Management

https://www.aafp.org/fpm/2004/0500/fpm20040500p35.pdf

fpm20071100p29.pdf

...T he number of patients a physician can effectively care for is not unlimited. Having a panel of manageable size promotes higher quality care by enabling physicians to see their patients in a timely manner without inevitably off-loading them to other providers, which can reduce...

Family Practice Management

https://www.aafp.org/fpm/2007/1100/fpm20071100p29.pdf

afp20180601p702a.pdf

...Original Article: Preventive Health Care for Women Who Have Sex with Women Issue Date: March 1, 2017 Available online at: https://www.aafp.org/afp/2017/0301/p314. html To the Editor: I appreciated this timely article, but the authors neglect to mention a crucial element of...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p702a.pdf

afp20180601p703.pdf

...Original Article: Preventive Health Care for Women Who Have Sex with Women Issue Date: March 1, 2017 Available online at: https://www.aafp.org/afp/2017/0301/p314. html To the Editor: I appreciated this timely article, but the authors neglect to mention a crucial element of...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p703.pdf

afp20180601p700.pdf

...Original Article: Preventive Health Care for Women Who Have Sex with Women Issue Date: March 1, 2017 Available online at: https://www.aafp.org/afp/2017/0301/p314. html To the Editor: I appreciated this timely article, but the authors neglect to mention a crucial element of...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p700.pdf

Primary Brain Tumors in Adults: Diagnosis and Treatment

Date xx, xxxx Scientific

American Family Physician

https://www.aafp.org/afp/2016/0201/afp20160201p211.pdf

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