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team-based care

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July/August 2017

...Treating Anxiety and Depression in Primary Care: Reducing Barriers to Access Karen Colorafi; Jillian Vanselow; Tiffany Nelson Building Capacity to Care for Refugees Jeffrey Walden; Olga Valdman; Ranit Mishori; Martha Carlough Reducing Frustration and Increasing...

Family Practice Management

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

fpm20141100p23.pdf

...TEAM-BASED CARE: Saving Time and Improving Efficiency Kevin D. Hopkins, MD, and Christine A. Sinsky, MD This used to be the start of a typical day in my (Dr. Hopkins’) office: 18-25 patient visits on the schedule, 30 test results in my inbox, and 20 phone encounters that I...

Family Practice Management

https://www.aafp.org/fpm/2014/1100/fpm20141100p23.pdf

From the Editor: Care Management and the Quadruple Aim

...Care Management and the Quadruple Aim Care management not only addresses the Triple Aim. It could also help improve our work life. Care management is a strategy primary care practices use to manage the care of popu- lations. Developed in response to the limitations of providing...

Family Practice Management

https://www.aafp.org/fpm/2021/0300/fpm20210300p5.pdf

Coding Changes for Family Medicine in 2018

...COGNITIVE ASSESSMENT AND CARE PLAN SERVICES A new CPT code enables payment for the in-depth assessment and care planning that is often needed for patients who are suffering from cognitive decline. Code 99483, Assessment of and care planning for a patient with cognitive...

Family Practice Management

https://www.aafp.org/fpm/2018/0100/fpm20180100p5.pdf

Care Management in the Real World: A Small, Private Practice's Journey

...Care Management in the Real World: A Small, Private Practice’s Journey Through the addition of a care management function, practices can help high-risk patients navigate complex conditions and vulnerable care transitions. ABOUT THE AUTHORS Dr. Hodge is director of...

Family Practice Management

https://www.aafp.org/fpm/2021/0300/fpm20210300p33.pdf

The New Model of Family Medicine: What’s In It for You -- Family Practice Management

...Team-based, proactive care supported by effective office systems, technology and a culture of improvement will help your patients and your bottom line. Dr. Bagley is the AAFP’s medical director of quality improvement. He was formerly in private practice for more than 25 years in...

Family Practice Management

https://www.aafp.org/fpm/2005/0500/fpm20050500p59.pdf

fpm20120500p26.pdf

...published in the Annals of Family Medicine, researchers estimated the number of hours a primary care physician would have to work each day to provide recommended chronic disease care to an average panel of 2,500 patients.1 Looking at the 10 most common diseases only, they found that...

Family Practice Management

https://www.aafp.org/fpm/2012/0500/fpm20120500p26.pdf

fpm20110500p27.pdf

...care is a team sport that requires a clear game plan. AN ORGANIZED APPROACH TO CHRONIC DISEASE CARE ROBERT K. LYON, MD, AND JAMES G. SLAWSON, MD S T U A R T B R A D F O R D A s primary care physicians, we spend the majority of our time caring...

Family Practice Management

https://www.aafp.org/fpm/2011/0500/fpm20110500p27.pdf

fpm20121100p19.pdf

...Delivering patient-centered care using a team-based approach can require significant changes in how work is distributed - changes that may meet resistance, create anxiety, and necessitate developing new levels of trust and communication among physicians and staff. Our practice, a family...

Family Practice Management

https://www.aafp.org/fpm/2012/1100/fpm20121100p19.pdf

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@39076fc3

...Preventive care November/December 2014 Issue SHOTS 2014 [SPPACES: App Reviews] SHOTS 2014 enables health care professionals to review immunization schedules and readily answer vaccine questions at the point of care. July/August 2014 Issue Offering Oral Health Services...

Family Practice Management

https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=164&page=1

General -- FPM

...Patients and physicians agree: not enough time for care If you don’t feel you’re spending enough time with your patients during appointments to provide the best care, it’s likely your patients agree with you. [Read More] Posted at 05:00PM Oct 06, 2017 by David Twiddy |...

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/general.html

fpm20130500p35.pdf

...conditions.2 The time their physicians need to effectively address chronic conditions, provide recommended preven- tive health care, and treat acute problems far exceeds the number of hours available in a physician’s day.3,4 Although medications for chronic illnesses play a major...

Family Practice Management

https://www.aafp.org/fpm/2013/0500/fpm20130500p35.pdf

fpm20201100p29.pdf

...ownership and autonomy with your care team In the past, the physician was directing or providing nearly all the care for the patient. More recently, the primary care physician directs a more diverse care team working at the top of their training to care for a population of patients....

Family Practice Management

https://www.aafp.org/fpm/2020/1100/fpm20201100p29.pdf

fpm20130300p20.pdf

...Redesigning Your Work Space to Support Team-Based Care rimary care physicians face an overwhelming volume of work. According to one estimate, man- aging patients’ direct patient care, chronic care, and preventive care needs in the current system would require 21.7 hours per...

Family Practice Management

https://www.aafp.org/fpm/2013/0300/fpm20130300p20.pdf

Tools for Better Dementia Care

...Tools for Better Dementia Care Quality measures and clinical tools can bring focus and clarity to caring for patients with cognitive impairment and supporting their caregivers. ABOUT THE AUTHORS Dr. Unwin is a practicing geriatrician and a professor of family and community...

Family Practice Management

https://www.aafp.org/fpm/2019/0100/fpm20190100p11.pdf

How to Excel at Access-and Why It Matters

...How to Excel at Access - and Why It Matters Patients do better and cost less when they have ready access to primary care, but could your practice be thinking about access all wrong? ABOUT THE AUTHOR Dr. Mills is medical director of Ascension Medical Group - St. John Clinic in...

Family Practice Management

https://www.aafp.org/fpm/2018/0900/fpm20180900p27.pdf

Opinion: Beyond Burnout: Addressing System-Induced Distress

...a deep sense of altruism and proven resilience. Our health care system, on the other hand, is broken: It is configured around and constrained by warped financial incentives, which often conflict with patient-centric values.5 It is hampered by many areas of inefficiency. In the...

Family Practice Management

https://www.aafp.org/fpm/2019/0900/fpm20190900p4.pdf

fpm20140300p3.pdf

...Will team-based care be our salvation? Do you sometimes feel inadequate? Time pressured? Are you overwhelmed by all the care recommen-dations you are expected to meet? In 2003, Yarnall et al. from Duke University’s Depart- ment of Community and Family Medicine published an...

Family Practice Management

https://www.aafp.org/fpm/2014/0300/fpm20140300p3.pdf

Risk Stratification: A Two-Step Process for Identifying Your Sickest Patients

...provide immunizations to our most vulnerable patients quickly. But how could we find them out of the thou- sands who regularly look to us for care? Earlier in the year, through a process known as risk stratification, we had evaluated our entire patient panel and assigned a risk...

Family Practice Management

https://www.aafp.org/fpm/2019/0500/fpm20190500p21.pdf

Two Habits of a Healthy Team: Managing Conflict and Practicing Gratitude

...Strategies for Personal Health and a Culture of Wellness, and has been recognized as a leader in wellness, education, research, and clinical care. Her recent awards include the 2019 Society of Teachers of Family Medicine Humanism Award and the 2019 Family Medicine Education...

Family Practice Management

https://www.aafp.org/fpm/2020/0700/fpm20200700p11.pdf

It’s Not Hard to Be Humble: The Role of Humility in Leadership

...arro-gant leaders who have soured company culture and driven valuable employees to underperform or leave. In health care, the ongoing evolution toward team-based care and quality measure- ment calls for leaders who can attract and inspire followers, but a big, self-confident...

Family Practice Management

https://www.aafp.org/fpm/2018/0500/fpm20180500p25.pdf

fpm20120300p15.pdf

...led to a new set of buzz words - accountable care, value-based care, and shared savings, to name just a few. Although the lingo is new, the goal has remained the same for the past 20 years: to find a way to integrate our fragmented health care system. One of the leading ideas...

Family Practice Management

https://www.aafp.org/fpm/2012/0300/fpm20120300p15.pdf

fpm20140300oa1.pdf

...Even if a practice offers excellent care at an afford-able price, it can always do better. That was the thinking five years ago at Terry Reilly Health Services when the system’s leadership wondered if being the cheap, easily available health care option to the area’s needy patients...

Family Practice Management

https://www.aafp.org/fpm/2014/0300/fpm20140300oa1.pdf

fpm20140300p10.pdf

...care, generate additional net revenue, and prepare your practice for the future. Adding HEALTH EDUCATION SPECIALISTS to Your Practice M. Lee Chambliss, MD, MSPH, Suzanne N. Lineberry, MPH, MCHES, CHC, William M. Evans, MPH, MCHES, CHC, and Daniel L. Bibeau, PhD, CHC P...

Family Practice Management

https://www.aafp.org/fpm/2014/0300/fpm20140300p10.pdf

Panel Size Is Just a Number: A Rubric for Opening and Closing Panels

...care redesign. If we could cap our panels at just the right number, we would provide better care for our patients and have more joy in our work, or so the conventional wisdom goes. But in leading the empanelment effort in our health care system of more than 20 sites and 130 primary...

Family Practice Management

https://www.aafp.org/fpm/2020/0300/fpm20200300p7.pdf

fpm20160500p23.pdf

...Setting a goal, identifying the right patients, and implementing team care can help bring hypertension under control. Improving Blood Pressure Control With Strategic Workflows Arnold E. Cuenca, DO, CAQSM, FAAFP The Centers for Disease Control and Prevention (CDC) reports...

Family Practice Management

https://www.aafp.org/fpm/2016/0500/fpm20160500p23.pdf

FPM-Media-Kit-2020.pdf

...ing care er. Fam ily P rac tice Ma nag em ent | A pee r-re view ed j our nal SPE CIA L S UP PLE ME NT AD OLE SCE NT IMM UN IZA TIO NS 9 IMP RO VIN G P ATI EN T C AR E How to I den tify , Und erst...

Family Practice Management

https://www.aafp.org/dam/AAFP/documents/journals/fpm/FPM-Media-Kit-2020.pdf

What Can a Scribe Do for You?

...University of Colorado Health System. Mary McDaniel is a clinical nurse educator for ambulatory services with oversight over seven primary care practices; the Center for Dependency, Addiction, and Rehabilitation (CeDAR); Lone Tree Medical Center; and Boulder Health Center. Dr....

Family Practice Management

https://www.aafp.org/fpm/2020/1100/fpm20201100p17.pdf

fpm20130300p7.pdf

...In 2008, the Commonwealth of Pennsylvania began a statewide chronic care initiative to adopt the patient-centered medical home (PCMH). The initial target disease was diabetes. Our research team, comprising experts in medicine, communication, social work, and practice facilitation,...

Family Practice Management

https://www.aafp.org/fpm/2013/0300/fpm20130300p7.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

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

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

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

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

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

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

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

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

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