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hypertension

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Prioritizing Primary Care Can Save the U.S. Health Care System

...Mary is a 45-year-old with a his- tory of hypertension, tobacco use, and obesity. She recently lost her health insurance and cannot afford to regularly see a primary care phy- sician. She is not taking medication to treat her hypertension and has been experiencing headaches off and...

Family Practice Management

https://www.aafp.org/fpm/2021/0700/fpm20210700p6.pdf

Weighing the Risks and Benefits of Clinical Interventions -- FPM

Jan 1, 2004 - The article discusses the importance of engaging patients in cost-benefit discussions before deciding on their care plan. It also introduces several risk calculators (both paper and online versions) that physicians should become familiar with.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0100/p53.html

Diabetes Encounter Form

...l Hypertension: BP at goal l Y l N l Hypercholesterolemia: Taking a statin daily l Y l N l Not indicated l Obesity l Other DIABETES ENCOUNTER FORM continued ➤ DIABETES ENCOUNTER FORM 2 of 2 P: Patient’s next step to health: _______...

Family Practice Management

https://www.aafp.org/fpm/2000/0900/fpm20000900p51-rt3.pdf

Medicare Preventive Physical Exam

...Hypertension Heart disease Stroke Kidney disease Obesity Genetic disorder Alcoholism MEDICARE PREVENTIVE PHYSICAL EXAM continued ➤ MEDICARE PREVENTIVE PHYSICAL EXAM 2 of 6 Patient Name ________________________________________________________________...

Family Practice Management

https://www.aafp.org/fpm/2011/0100/fpm20110100p22-rt3.pdf

Diabetes Encounter Form (Group Visits)

...8. Discussed targets and management of lipids, HTN and proteinuria. 9. Spent more than 50 percent of this 105-minute visit in coun- seling re: therapy options and management of diabetes. Signed: __________________________________________________...

Family Practice Management

https://www.aafp.org/fpm/2000/0600/fpm20000600p33-rt1.pdf

Diabetes Flow Sheet

...ACE Inhibitor: l Yes l No l Microalbuminuria l Hypertension Aspirin Use: l Yes l No (If no , specify reason: _____________________________________________________________________) DIABETES FLOW SHEET...

Family Practice Management

https://www.aafp.org/fpm/2000/0600/fpm20000600p60-rt1.pdf

complementary and Alternative Medicine: A Primer -- Family Practice Management

...the medicines you’ve prescribed to treat her diabetes, hypertension, osteoporosis and congestive heart failure? A: I would emphasize to her that all herbs have pharmacologic properties just as do conventional pharmaceuticals and would explain that there is the possibility of...

Family Practice Management

https://www.aafp.org/fpm/2001/0300/fpm20010300p37.pdf

Starting a Revolution in Office-Based Care -- Family Practice Management

...Percentage of patients with hypertension 95 percent (increased from Tonawanda Medical Associates, whose BP is less than or equal to 140/86 67 percent in previous year) Buffalo, N.Y. VITALITY Percentage of staff recommending the practice 95 percent (increased from...

Family Practice Management

https://www.aafp.org/fpm/2001/1000/fpm20011000p29.pdf

How to Get All the 99214s You Deserve -- Family Practice Management

...exam but, rather, to your cognitive work. There is a difference in the way you think about the uncomplicated patient with well-controlled hypertension and the patient who requires frequent med- ication changes for a chronic condition and has additional medical problems. Likewise,...

Family Practice Management

https://www.aafp.org/fpm/2001/1000/fpm20011000p43.pdf

Improving Anticoagulation Management at the Point of Care -- Family Practice Management

...Point-of-care antico- agulation assessment allows you to concur- rently address other factors that contribute to stroke risk (such as hypertension and hyperlipidemia). Billing tips Overseeing warfarin therapy in the office rather than the lab is the first step to receiv- ing...

Family Practice Management

https://www.aafp.org/fpm/2002/0200/fpm20020200p35.pdf

Going Solo: One Doc, One Room, One Year Later -- Family Practice Management

...- can achieve unprecedented results. Using a reg- istry has allowed me to do better than the JNC VI’s national best in the treatment of hypertension. More than 75 percent of my patients are treated to goal, and I am aiming for 90 percent. To accomplish this, each month I review...

Family Practice Management

https://www.aafp.org/fpm/2002/0300/fpm20020300p25.pdf

How to Help Your Low-Income Patients Get Prescription Drugs -- Family Practice Management

...you’re seeing most in your prac- tice. If, like most family doctors these days, you’re taking care of a lot of patients with diabetes or hypertension, pick a few medica- tions that you frequently prescribe. Eric Schneider, PharmD, the director of pharmacotherapy for Greenwood...

Family Practice Management

https://www.aafp.org/fpm/2002/1100/fpm20021100p51.pdf

Coding Better for Better Reimbursement -- Family Practice Management

...for a routine, four-month follow-up visit. The patient has hypertension, type 2 dia- betes and osteoarthritis and is stable. That’s automatically an extended HPI. You also note that the patient has no chest pain, no shortness of breath and no joint pain. So, you’ve touched on at...

Family Practice Management

https://www.aafp.org/fpm/2003/0100/fpm20030100p29.pdf

Rediscovering the Joy of Family Practice -- Family Practice Management

...ability to interject creativity into our work also contributes to flow. Consider the many options for treating headaches, depres- sion, hypertension and such - pharmaceuti- cals, lifestyle changes and cognitive therapy. With so many options, I get a great deal of pleasure working...

Family Practice Management

https://www.aafp.org/fpm/2003/1000/fpm20031000p57.pdf

Recommendations for the Future of Family Medicine -- Family Practice Management

...coronary artery disease, hypertension, osteo- arthritis, depression and preventive care. • The Continuity-of-Care record (http: //www.aafp.org/x24962.xml); a joint effort headed by the Massachusetts Medical Society to develop an electronic document standard for summarizing...

Family Practice Management

https://www.aafp.org/fpm/2004/0400/fpm20040400p34.pdf

Asthma Days: An Approach to Planned Asthma Care -- Family Practice Management

...efficiency and effectiveness. The principles outlined here could apply to any chronic disease, such as diabetes, heart failure and hypertension. While it is not the only way to provide excellent care for chronic diseases, it has performed very well in supporting the goals we’ve set...

Family Practice Management

https://www.aafp.org/fpm/2004/1000/fpm20041000p43.pdf

How to Answer Your Clinical Questions More Efficiently -- Family Practice Management

...statCoder: Guidelines on hypertension (joint national Committee- 7), cholesterol (atP3), cardiac clearance and more ➤ http://www.statcoder.com/ united states Preventive services Task Force: interactive Preventive services selector ➤ http://198.76.191.14/ipss/ipss.htm...

Family Practice Management

https://www.aafp.org/fpm/2005/0700/fpm20050700p37.pdf

fpm20050900p52-rt1.pdf

...• One stable chronic illness (e.g., well controlled HTN, dM2, cataract); • Acute uncomplicated injury or illness (e.g., cystitis, allergic rhinitis, sprain). • Physiologic tests not under stress (e.g., PFTs); • Non-cardiovascular imaging studies with contrast (e.g., barium...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/fpm20050900p52-rt1.pdf

ICD-9 Changes: It’s Time to Tend to Your Superbill -- Family Practice Management

...Some codes will have their descriptors changed. Beginning Oct. 1, codes for hypertension will use the word kidney rather than renal and chronic kid- ney disease rather then renal failure. Code 728.87 will be Muscle weakness, generalized. Several sleep disturbance codes (780.5X)...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/fpm20050900p49.pdf

Cashing in on House Calls -- Family Practice Management

...attention. I also offer online consultations for established patients, for a fee. This is a great way to help patients with diabetes, hypertension and high cholesterol to manage their health between visits. Financing the practice The financial success of a cash-based house...

Family Practice Management

https://www.aafp.org/fpm/2006/0200/fpm20060200p67.pdf

Using a Simple Patient Registry to Improve Your Chronic Disease Care -- Family Practice...

...Over the course of a year, we chose several other chronic diseases (hypertension, hyperlip- idemia and asthma) and created similar track- ing systems for each of them as well. After getting our chronic disease tracking systems going, we created worksheets for all of the patients...

Family Practice Management

https://www.aafp.org/fpm/2006/0400/fpm20060400p47.pdf

How to Bill for Services Performed by Nonphysician Practitioners -- Family Practice ...

...(at a pre- vious visit) and initiates the plan of care that the NPP is carrying out. For example, the physician sees a patient with hypertension and asks the patient to follow up with the NPP. 2. The physician remains involved in the patient’s care and documents this involvement...

Family Practice Management

https://www.aafp.org/fpm/2006/0500/fpm20060500p45.pdf

Don't Be a Target for a Malpractice Suit - Family Practice Management

...standard operating procedures that govern how often you see patients with chronic conditions. For example, you might see patients with hypertension every three months and patients on statins every six months. Most patients with a chronic illness need follow-up at some regular...

Family Practice Management

https://www.aafp.org/fpm/2006/0600/fpm20060600p57.pdf

A Refresher on medical Necessity -- Family Practice Management

...pain. Then you would ask about the patient’s past medical history to identify potential risk factors for coronary artery disease such as hypertension or dyslipidemia. You would also ask about family history of cardiovascular dis- ease and perform a social history to determine if the...

Family Practice Management

https://www.aafp.org/fpm/2006/0700/fpm20060700p28.pdf

diabetesfollowup.pdf

...l 401.1 Hypertension: BP at goal l Y l N l 272.0 Hypercholesterolemia: Cholesterol at goal l Y l N l 275.00 Obesity l Other continued ➤ Routine Diabetes encounteR continued P: Patient’s next step to health: l Medication changes: l Next visit: l...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/diabetesfollowup.pdf

diabetesgroupvisits.pdf

...8. Discussed targets and management of lipids, HTN and proteinuria. 9. Spent more than 50 percent of this 105-minute visit in counseling re: therapy options and management of diabetes. Signed: Developed by Steven Masley, MD, Julia Sokoloff, MD, and Collene Hawes, RN....

Family Practice Management

https://www.aafp.org/fpm/2006/0900/diabetesgroupvisits.pdf

Standardized Hospital Admissions Orders

...6. Uncontrolled hypertension. YES NO 7. Extensive iliofemoral DVT. YES NO 8. Likelihood of non-compliance due to cognitive limitations, YES NO alcohol/drug abuse, dementia, psychiatric disorders, etc. Describe: _______________________________________ DECISION [ ]...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/fpm20060900p49-rt1.docx

fpm20060900p49-rt1.pdf

...6. Uncontrolled hypertension. YES NO 7. Extensive iliofemoral DVT. YES NO 8. Likelihood of non-compliance due to cognitive limitations, alcohol/drug abuse, dementia, psychiatric disorders, etc. YES NO Describe: _______________________________________ DECISION l...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/fpm20060900p49-rt1.pdf

fpm20060900p63.pdf

...Hypertension evaluation* PDF Pertussis exposure PDF Pulmonary embolism* PDF Sore throat* PDF Upper respiratory infection PDF, Word Forms appropriate to various visit types common skin procedures** PDF evaluation and management services** PDF Home visit PDF,...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/fpm20060900p63.pdf

fpm20061100p28.pdf

...Potential adverse effects of the birth control pill, including hypertension, migraines, blood clots, stroke and heart attack, were reviewed with the patient. I also reviewed the small risk that concurrent use of antibiotics may decrease the contracep- tive effectiveness of the birth...

Family Practice Management

https://www.aafp.org/fpm/2006/1100/fpm20061100p28.pdf

fpm20070100p21.pdf

...Level of risk: Low examples: • two or more self-limited or minor problems. • One stable chronic illness, e.g., controlled hypertension, diabetes mellitus, benign prostatic hyperplasia. • One acute uncomplicated illness or injury, e.g., cystitis, allergic rhinitis, simple...

Family Practice Management

https://www.aafp.org/fpm/2007/0100/fpm20070100p21.pdf

fpm20070300p26.pdf

...I’ve met physicians who would never seek out an expert on hypertension to ask, What is the best drug for hyper- tension? yet they search high and low for tech experts to ask, What is the best EHR software? Just as it is for hypertensive drugs, the correct answer for EHR software is,...

Family Practice Management

https://www.aafp.org/fpm/2007/0300/fpm20070300p26.pdf

fpm20070600p19.pdf

...who sees most of our walk-in patients with minor acute care needs. She also helps man- age patients with chronic conditions like hypertension, hyperlipidemia and diabetes. The Apex area includes suburban and rural areas and a population of well-insured p h o t o g r a...

Family Practice Management

https://www.aafp.org/fpm/2007/0600/fpm20070600p19.pdf

untitled

...the second medical assistant because he keeps up with them … though they always recheck his blood pressure measurements on patients with hypertension. The practice has tried repeatedly to address both speed of patient flow and accuracy of vital signs - to no avail - and there is a...

Family Practice Management

https://www.aafp.org/fpm/2008/0600/fpm20080600p29.pdf

fpm20080700pa3.pdf

...Percentage of patients with hypertension whose last blood pressure reading was < 140/90 Percentage of patients with diabetes with an A1C level recorded in the last year Percentage of patients with diabetes whose A1C is < 7.0 Percentage of patients with diabetes with a...

Family Practice Management

https://www.aafp.org/fpm/2008/0700/fpm20080700pa3.pdf

fpm20081100p27.pdf

...• Vascular disease, including coronary artery disease, hypertension, myocardial infarction, congestive heart failure, aortic aneurysm, peripheral vascular disease and cerebrovascular accident; • Lung disease, including chronic obstruc- tive pulmonary disease, chronic bronchitis,...

Family Practice Management

https://www.aafp.org/fpm/2008/1100/fpm20081100p27.pdf

Family Practice Management

...along multiple dimensions related to your practice’s goals. Clinical quality measures could include percentage of patients with hypertension who have blood pressures below 140/90; percentage of patients diagnosed with asthma who take controller medications; percentage of women age...

Family Practice Management

https://www.aafp.org/fpm/2009/0300/fpm20090300p28.pdf

Family Practice Management

...sunny Mon- day morning, you see a long-time patient of yours with a complex medical history of coro- nary artery disease, renal failure, hypertension and diabetes. He pulls out a list of six issues to cover today that does not include any of his chronic medical issues. What should...

Family Practice Management

https://www.aafp.org/fpm/2009/0500/fpm20090500p23.pdf

Family Practice Management

...guidelines to part of a sample note. The patient is a 55-year-old man with hypertension who presents with increasing shortness of breath and edema. Compare the following note with the chart for the car- diovascular exam: BP 126/86, P 82, WT 190. Pt. appears tired. HEENT:...

Family Practice Management

https://www.aafp.org/fpm/2010/0500/fpm20100500p24-rt1.pdf

Family Practice Management

...in one or more organ system(s) or body area(s). Consider this example: You see a 55-year-old man who has returned for follow-up of his hypertension. His only complaint is a scratchy throat that he’s had for the past several days. Your observations are noted as follows: BP 126/86,...

Family Practice Management

https://www.aafp.org/fpm/2010/0500/fpm20100500p24.pdf

Quanitifying the Risk of Complications, Morbidity and Mortality

...One stable chronic illness (e.g., well-controlled hypertension or non-insulin-dependent diabetes, cataract, BPH) Acute uncomplicated illness or injury (e.g., cystitis, allergic rhinitis, simple sprain) Physiologic tests not under stress (e.g., pulmonary function tests)...

Family Practice Management

https://www.aafp.org/fpm/2010/0700/fpm20100700p10-rt1.pdf

Is Your Medicare Payer Playing by the Rules?

...actually prevent the status of one to two chronic conditions from counting as a brief HPI. For example, if you state that the patient has hypertension that is well controlled with current medications, you have docu- mented a brief HPI in compliance with either definition - noting...

Family Practice Management

https://www.aafp.org/fpm/2010/0700/fpm20100700p27.pdf

fpm20110500p21.pdf

...arcus is a middle-aged patient with hypertension, diabetes and hyperlip- idemia who came to see me (CF) for a routine check-up. All of his numbers were getting worse, and as I began to describe this to him, he started to cry. I had just received training in something called...

Family Practice Management

https://www.aafp.org/fpm/2011/0500/fpm20110500p21.pdf

fpm20110500p27.pdf

...which incorporate multiple chronic diseases on a single template. For example, one template covers diabetes, coronary artery disease and hypertension since these conditions often coexist and the recom- mendations overlap. These templates also cover goal setting and action plans and...

Family Practice Management

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

fpm20110700p10.pdf

...He orders a fasting glucose test to screen for diabetes since Mr. Smith qualifies for this Medicare ben- efit based on his weight and hypertension. Mr. Smith indicates understanding of the prevention plan and other materials provided during the visit, so Dr. Williams thanks him...

Family Practice Management

https://www.aafp.org/fpm/2011/0700/fpm20110700p10.pdf

Nursing Home Documentation Form

...PMH: l HTN l HLP l CAD l DM l CHF l COPD l CVA l Dementia _________________________________________________________ _________________________________________________________ _________________________________________________________ ________...

Family Practice Management

https://www.aafp.org/fpm/2012/0300/fpm20120300p19-rt1.pdf

fpm20120300p19.pdf

...PMH: HTN | HLP | CAD | DM | CHF | COPD | CVA | Dementia COGNITION: MOOD: (depression, anx, behav) SENSORY: (vision, hearing) FALLS / GAIT: NUTRITION: EXERCISE: ROS / GERIATRIC SYNDROMES FUNCTION (activities of daily living) I = Independent S = With...

Family Practice Management

https://www.aafp.org/fpm/2012/0300/fpm20120300p19.pdf

fpm20120700p17.pdf

...She had a long list of medical problems that included poorly controlled Type 2 diabetes mellitus, coronary artery disease, hypertension, hyperlipidemia, and generalized anxiety disor- der. She insisted on living at home and having her daughter care for her, and we were bat- tling...

Family Practice Management

https://www.aafp.org/fpm/2012/0700/fpm20120700p17.pdf

fpm20120700p27.pdf

...Base code (category) I10 Essential (primary) hypertension Building a five-character code Base code (category) Four characters Five characters E11 E11.4 E11.42 Type 2 diabetes Type 2 diabetes with neurological complications Type 2 diabetes with...

Family Practice Management

https://www.aafp.org/fpm/2012/0700/fpm20120700p27.pdf

fpm20130100p6.pdf

...the chronic organ damage that sickle cell disease causes but also are at risk of developing other, more common chronic diseases, such as hypertension, heart disease, stroke, renal disease, and cancer. As many of these patients receive their care only from specialized centers,...

Family Practice Management

https://www.aafp.org/fpm/2013/0100/fpm20130100p6.pdf

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