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hypertension

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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

fpm20130300p25.pdf

...the impatient patient.6 (See page 27.) This concept was highlighted for me (Dr. Brown) during my care of a patient with diabetes and hypertension who had been pre- scribed four daily insulin injections along with several other drugs. She listened attentively to my passionate...

Family Practice Management

https://www.aafp.org/fpm/2013/0300/fpm20130300p25.pdf

fpm20130500p24.pdf

...conditions as well, such as endo- metriosis, heart failure, asthma, chronic pain, chronic obstructive pulmonary disorder, heart- burn, hypertension, blood glucose disorders, breast feeding disorders, and menstrual disorders. Challenges When using symptom diaries with patients,...

Family Practice Management

https://www.aafp.org/fpm/2013/0500/fpm20130500p24.pdf

fpm20130500p40.pdf

...the level of adherence.18,19 Health coaching focuses a great deal of energy on medication adherence because medications for diabetes, hypertension, EDITORIAL SUPPLEMENT Registered nurses, pharmacists, health educators, trained medical assistants, or even other patients...

Family Practice Management

https://www.aafp.org/fpm/2013/0500/fpm20130500p40.pdf

Ambulatory Patient Checklist for MAs

... Hypertension  Preventive care  Diabetes  Vital signs  Patient education sheets identified and linked  Recheck blood pressure if elevated (>129/84)  Patient assessed for gown  Expectation management  Doctor notified Check-out  Referrals and...

Family Practice Management

https://www.aafp.org/fpm/2013/0900/fpm20130900p18-rt1.pdf

fpm20130900p12-rt1.pdf

...change coun- seling, while pharmacists can titrate medications and serve as the main caregiver for patients with uncomplicated diabetes, hypertension, and cholesterol. Physical therapists see all HOME 9 10 patients with musculoskeletal problems including low back pain and...

Family Practice Management

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

fpm20130900p12.pdf

...change coun- seling, while pharmacists can titrate medications and serve as the main caregiver for patients with uncomplicated diabetes, hypertension, and cholesterol. Physical therapists see all HOME 9 10 patients with musculoskeletal problems including low back pain and...

Family Practice Management

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

Documenting Diabetes Mellitus Under ICD-10

...to remember to code all additional diagno- ses. As family physicians, we know that our patients who have diabetes often also have hypertension, hyperlipidemia, and obesity and may use tobacco products. Each of these additional issues requires separate coding. These additional...

Family Practice Management

https://www.aafp.org/fpm/2013/1100/fpm20131100p22-rt1.pdf

fpm20131100p22.pdf

...to remember to code all additional diag- noses. As family physicians, we know that our patients who have diabetes often also have hypertension, hyperlipidemia, and obesity and may use tobacco products. Each of these additional issues requires separate coding. These additional...

Family Practice Management

https://www.aafp.org/fpm/2013/1100/fpm20131100p22.pdf

fpm20140100p9.pdf

...with the correct fifth digit. In ICD-10, chronic heart failure has a list of code first conditions, includ- ing heart failure due to hypertension and heart failure due to hyperten- sion with chronic kidney disease. ICD-10 also includes instructions to use addi- tional codes in...

Family Practice Management

https://www.aafp.org/fpm/2014/0100/fpm20140100p9.pdf

fpm20140300oa1.pdf

...is a key piece of the PCMH model. Terry Reilly has six care coordinators who monitor daily patient registries for diabe- tes, hypertension, childhood immunizations, obstetrical care, anti-coagulation therapy, and other key areas, looking for patients who haven’t visited recently to...

Family Practice Management

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

Preventive Screening Code Crosswalk

...V81.1 Screening hypertension V81.2 Screening other and unspecified cardio- vascular conditions Z13.6 Encounter for screening for cardiovascular disorders Colorectal cancer screening V76.51 Screening malignant neoplasm colon Z12.11 Encounter for screening for malignant...

Family Practice Management

https://www.aafp.org/fpm/2014/0700/fpm20140700oa1-rt1.pdf

fpm20140900p5.pdf

...In the article by Dr. Jennifer Brull, Controlling Hypertension: Focusing on ‘Why’ Makes ‘How’ a Lot Easier (page 23), we are reminded how a basic qual- ity improvement approach can boost care quality. Pick a metric that needs improving, get your team together, decide on a change,...

Family Practice Management

https://www.aafp.org/fpm/2014/0900/fpm20140900p5.pdf

fpm20140900p8.pdf

...and disease understanding among their many disadvan- taged patients with hypertension. To address this, the clinic had its medical assistants use standard scripts to educate low-achieving patients during their visits. Within a year, more than 80 percent of these patients reported...

Family Practice Management

https://www.aafp.org/fpm/2014/0900/fpm20140900p8.pdf

fpm20150700p28.pdf

...The last patient of the day is an 85-year-old woman with mild hypertension and osteoarthritis. She lives inde- pendently in a retirement community, adheres faithfully to a low-salt diet, and remains physically active, going on 30-minute walks several times a week with friends. Her...

Family Practice Management

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

fpm20151100p10.pdf

...few months ago the focus was improving patient access, last month it was improving colon cancer screening rates, and now it is improving hypertension control. On top of this, it’s time to start working on the next meaningful use stage. You are feeling overwhelmed. What can be...

Family Practice Management

https://www.aafp.org/fpm/2015/1100/fpm20151100p10.pdf

Selected Generic Antihypertensive Medications

...• DASH (Dietary Approaches to Stop Hypertension) diet - low in fat and high in fruit, vegetables, and low-fat dairy products, • Sodium restriction of 2.4 grams daily or fewer, • Weight reduction if body mass index is 25 kg/m2 or higher, • Exercise of at least 30 minutes...

Family Practice Management

https://www.aafp.org/fpm/2016/0500/fpm20160500p23-rt2.pdf

fpm20160700p9.pdf

...pressure in adults age 18 years and older; and intensive behavioral counseling to promote a healthy diet for adults with hyperlipidemia, hypertension, advancing age, and other known risk factors for cardiovas- cular and diet-related chronic disease. Counseling is cov- ered once...

Family Practice Management

https://www.aafp.org/fpm/2016/0700/fpm20160700p9.pdf

fpm20160900p52.pdf

...Instead of saying, This will treat your hypertension, say, Let’s try this for your high blood pressure. 2. Don’t judge. Instead of saying, Why aren’t you taking your metformin? say, I’m curious to know what happens when you take your metformin. 3. Be aware of costs. Most...

Family Practice Management

https://www.aafp.org/fpm/2016/0900/fpm20160900p52.pdf

fpm20170500p12.pdf

...ers. However, risky alcohol use can lead to motor vehicle crashes, arrest, intimate partner violence, and medical prob- lems including hypertension, gastritis, liver disease, and cancer.3 Moreover, if a woman drinks while pregnant, the child may be born with a fetal alcohol spectrum...

Family Practice Management

https://www.aafp.org/fpm/2017/0500/fpm20170500p12.pdf

fpm20170700p33-rt1.pdf

...help manage your performance on quality measures in MIPS, as well. Many quality measures relate to chronic conditions, such as diabetes, hypertension, major depressive disorder, chronic obstructive pulmonary disorder (COPD), and heart failure. The following example allows for...

Family Practice Management

https://www.aafp.org/fpm/2017/0700/fpm20170700p33-rt1.pdf

fpm20170900p12.pdf

...groundwork for making a dif- ference in your patients’ lives. When you see Mrs. Jones, whom you have treated for hyperlipidemia and hypertension for the past five years, take a moment to realize that, if not for your treatment, she might have had a stroke or a heart attack. When you...

Family Practice Management

https://www.aafp.org/fpm/2017/0900/fpm20170900p12.pdf

fpm20170900p28.pdf

...can use remote monitoring to track patient weight for congestive heart failure, fast- ing glucose for diabetes, blood pressure for hypertension, and oxygen saturation for chronic obstructive pulmonary disease (COPD). Data can be incorporated directly into the patient portal and EHR...

Family Practice Management

https://www.aafp.org/fpm/2017/0900/fpm20170900p28.pdf

A Team-Based Care Model that Improves Job Satisfaction

...Hypertension control Median time to new appointment New patient appts made in two business days New patient appointments 10 | FPM | March/April 2018 www.aafp.org/fpm support the model. A local market disrup- tor began offering significantly higher MA wages, we were not...

Family Practice Management

https://www.aafp.org/fpm/2018/0300/fpm20180300p6.pdf

Deprescribing Unnecessary Medications: A Four-Part Process

...painful diabetic neuropathy of bilateral lower extremities, chronic obstructive pulmonary disease, stable coronary artery disease, and hypertension. She has seen a cardiologist, pulmonologist, and neurologist for additional care. At today’s visit with you, her family physician, she...

Family Practice Management

https://www.aafp.org/fpm/2018/0500/fpm20180500p28.pdf

Quality Measures: How to Get Them Right

...to influence an outcome, especially when results primarily reflect the patient’s socioeconomic status. For example, if patients with hypertension can- not afford their prescriptions or patients with diabetes cannot access healthy food options, their physicians cannot easily or...

Family Practice Management

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

Cognitive Impairment Visit Template

...Hypertension: l Yes l No History of head injury with loss of consciousness: l Yes l No Sleep quality: l Yes l No Alcohol intake: l Yes l No Vision impairment: l Yes l No Hearing impairment: l Yes l No Depression: l Yes l No Historical Data Allergies:...

Family Practice Management

https://www.aafp.org/fpm/2019/0100/fpm20190100p11-rt1.pdf

Tools for Better Dementia Care

...there’s nothing that can be done and stick with what they know: focusing on the patients’ co-morbid conditions, such as high cholesterol, hypertension, and diabetes. For the patients and their caregivers, however, it is dementia’s cognitive, functional, and behavioral losses that...

Family Practice Management

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

Skin Deep: How to Properly Code for Biopsies and Lesion Removal

...Finally, remember to submit a wound repair code if allowed by CPT and, if you addressed an issue in addition to the skin procedures (hypertension, for example), include the appropriate E/M office visit code with modifier 25, Significant, separately identifiable evaluation and...

Family Practice Management

https://www.aafp.org/fpm/2019/0300/fpm20190300p15.pdf

How to Use Group Visits to Manage Obesity

...to submit diagno- sis codes for any conditions that are exac- erbated by overweight and obesity, such as diabetes, metabolic syndrome, hypertension, hyperlipidemia, coronary artery disease, osteoarthritis, or obstructive sleep apnea.4 If the group visit includes services led by a...

Family Practice Management

https://www.aafp.org/fpm/2019/0900/fpm20190900p20.pdf

Improving the Waiting Room Experience

...the live workshop and corresponding activities to help improve care among your patient panel with cardiometabolic conditions: diabetes, hypertension, and dyslipidemia. And meet all your Performance Improvement and KSA requirements. STEP 1: Assess your practice (course prep)....

Family Practice Management

https://www.aafp.org/fpm/2020/0100/fpm20200100p14.pdf

Building an Outdoor Urgent Care Clinic During a Pandemic: One Clinic’s Experience

...tremen- dously. As expected, our billable diagno- ses changed significantly over this time period. Our top four diagnoses pre-COVID were hypertension, low-back pain, annual physicals, and hyperlipidemia. During the initial six weeks of our outdoor urgent care clinic, the top four...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p14.pdf

Creating Intentional Professional Connections to Reduce Loneliness, Isolation, and Burnout

...and correspond with worse outcomes for chronic physical health conditions (such as hypertension, heart disease, and diabetes) as well as mental health conditions, includ- ing depression, dementia, and suicide.6 At work, loneliness decreases performance, limits creativity, and...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p20.pdf

From the Editor: Racism in Health Care: Creating a More Equitable Health Care Experience

...contract the disease.1 And we have long known about racial dis- parities in outcomes of chronic medical conditions such as diabetes and hypertension.2 We also have evidence that people of color are treated differently by medical pro- fessionals. For example, one study looked at...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p3.pdf

fpm20120300p34.pdf

...Once daily Hypertension Elavil (amitriptyline) 25 mg Once daily at bedtime Leg pain Downloaded from the Family Practice Management Web site at www.aafp.org/fpm. Copyright © 2012 American Academy of Family Physicians. For the private, noncommercial use of one individual...

Family Practice Management

https://www.aafp.org/fpm/2012/0300/fpm20120300p34.pdf

fpm20150100p32.pdf

...Q A nurse practitioner in our practice pro-vided a follow-up visit for hypertension. The encounter met all the requirements for billing inci- dent to the physician, except that the patient also presented with a new complaint, for which an antibi- otic was prescribed. How should this...

Family Practice Management

https://www.aafp.org/fpm/2015/0100/fpm20150100p32.pdf

fpm20150300p30.pdf

...Q Reviewing a patient’s medications is required during a Medicare annual wellness visit (AWV) but assessing chronic conditions such as hypertension and hyperlipidemia is not, even though these tasks are inter-related. Is the latter separately billable when performed in the context...

Family Practice Management

https://www.aafp.org/fpm/2015/0300/fpm20150300p30.pdf

fpm20170300p36.pdf

...those that affected management deci-sions at the current encounter are pertinent to medical decision-making (e.g., a patient’s controlled hypertension has little to no impact on treatment deci- sions if a patient presents with sore throat). You should be able to alter the...

Family Practice Management

https://www.aafp.org/fpm/2017/0300/fpm20170300p36.pdf

Coding and Documentation

...Preferably, the history of present ill- ness documentation would include any complaints the patient presents with (e.g., follow-up of hypertension, hypercholes- terolemia, and a complaint of left shoul- der pain) and the status of any chronic conditions (e.g., patient taking medica-...

Family Practice Management

https://www.aafp.org/fpm/2018/1100/fpm20181100p32.pdf

Practice Pearls

...available. Patients with conditions such as hypertension, obesity, and diabetes may be experienced at measuring glucose and blood pres- sure, but may require a gentle reminder to have those measure- ments ready for the appointment. With the judicious use of lab testing at this...

Family Practice Management

https://www.aafp.org/fpm/2020/0500/fpm20200500p32.pdf

Practice Diary - Jan 2003 -- FPM

Jan 1, 2003 - ...my office with a new complaint. It wasn’t as though she didn’t have enough problems already – chronic atrial fibrillation, recalcitrant hypertension, type 2 diabetes, obesity and a history of congestive heart failure. Now she noticed her belly had swollen markedly during the past...

Family Practice Management : Practice Diary

https://www.aafp.org/fpm/2003/0100/p69.html

New ICD-9 Codes Take Effect This Month -- FPM

Oct 1, 2002 - Our summary of the changes and updated coding tools will help you to code more accurately and efficiently.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/1000/p21.html

Electronic Paper & Pencil: How to Develop Your Own Low-Cost Electronic Medical Record ...

May 1, 2001 - If you know how to use modern word-processing software, you can create your own electronic medical records.

Family Practice Management : Articles

https://www.aafp.org/fpm/2001/0500/p33.html

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