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team-based care

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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/p4.pdf

Opioid Use Disorder: Medical Treatment Options - American Family Physician

Oct 1, 2019 - Opioid use disorder is highly prevalent and can be fatal. At least 2.1 million Americans 12 years and older had opioid use disorder in 2016, and approximately 47,000 Americans died from opioid overdoses in 2017. Opioid use disorder is a chronic relapsing condition, the treatment of ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p416.html

Optimizing the Role of Nursing Staff to Enhance Physician Productivity: One Physician's...

Aug 1, 2013 - When capable nurses are given greater responsibility for each patient encounter, good results follow.

Family Practice Management : Articles

https://www.aafp.org/fpm/2013/0700/p18.html

Organizational Strategies to Improve Influenza and Pneumococcal Vaccinations Compliance...

...G. Hames Research Grant Program, an AAFP Foundation Senior Immunizations Grant 2014-2015, and in part by the Residency Training In Primary Care grant number D58HP23219 (PD: Joseph Hobbs, MD, Chair of the Department of Family Medicine, GRU Augusta) from the Health Resources and...

https://www.aafp.org/dam/foundation/documents/what-were-doing/awards-grants/immunization/GRUAugusta-2015Poster-FinalRpt.pdf

Overtime: Finishing the Story on Scope of Practice

Mar 29, 2013 - Overtime: Finishing the Story on Scope of Practice

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/overtime_finishing_the_story_on.html

p10.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/p10.pdf

p11.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/p11.pdf

p113.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/p113.pdf

p12.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/p12.pdf

p12.pdf

...In Defense of Direct Primary Care Philip Eskew, DO, JD, MBA Direct primary care will continue to grow because it empowers price transparency, quality, and patient satisfaction. Direct primary care (DPC) is a growing movement across the United States involving at least 429...

Family Practice Management

https://www.aafp.org/fpm/2016/0900/p12.pdf

p13.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/p13.pdf

p13.pdf

...the work life of physicians to help them avoid burnout is such an important goal that researchers are now calling it the fourth aim of health care, next to improving population health, enhancing the patient experience, and reducing costs.1 Clearly, it’s a big deal. ➤ © R O B...

Family Practice Management

https://www.aafp.org/fpm/2015/1100/p13.pdf

p14.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/p14.pdf

p141.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/p141.pdf

p142.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/p142.pdf

p143.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/p143.pdf

p1437.pdf

...Primary Care Groups Release Joint ACO Principles, AMA Adopts Related Principles In response to language in the Patient Protection and Affordable Care Act that encourages physicians to orga- nize as accountable care organizations (ACOs), the nation’s top primary care medical...

American Family Physician

https://www.aafp.org/afp/2010/1215/p1437.pdf

p15.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/p15.pdf

p15.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/p15.pdf

p15.pdf

...to primary 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...

Family Practice Management

https://www.aafp.org/fpm/2011/0500/p15.pdf

p18.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/p18.pdf

p19.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/p19.pdf

p19.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/p19.pdf

p20.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/p20.pdf

p23.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/p23.pdf

p23.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/p23.pdf

p23.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/p23.pdf

p23.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/p23.pdf

p232.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/p232.pdf

p24.pdf

...Meeting patients’ needs for access to care is one of the most frustrating challenges fam-ily physicians face. Physicians generally want to provide care for their patients at all times - when they are sick and when they are healthy, for acute care or for routine check-ups - but doing...

Family Practice Management

https://www.aafp.org/fpm/2015/0500/p24.pdf

p25.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/p25.pdf

p25.pdf

...of providing health care from payers to physicians and other health care providers by tying reimbursement to value. This shift is part of an effort to achieve the triple aim of improving population health, reducing health care costs, and improving the patient care experience. The...

Family Practice Management

https://www.aafp.org/fpm/2017/0500/p25.pdf

p26.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/p26.pdf

p27.pdf

...disease 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 for...

Family Practice Management

https://www.aafp.org/fpm/2011/0500/p27.pdf

p28.pdf

...Steer patients away from inappropriate and overused procedures that can diminish health care. About the Authors Dr. Lin is associate professor of family medicine, director of the Robert L. Phillips Jr. Health Policy Fellowship at Georgetown University School of Medicine in...

Family Practice Management

https://www.aafp.org/fpm/2015/0700/p28.pdf

p29.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/p29.pdf

p3.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/p3.pdf

p32.pdf

...owned nonprofit health care system located in Anchorage, Alaska, has a story to tell. Ten years ago, SCF was a typical, inefficient health care system. Patients had to wait weeks to get an appointment and had to wait again when coming into the office. Care was impersonal. Patients...

Family Practice Management

https://www.aafp.org/fpm/2008/0100/p32.pdf

p32.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/p32.pdf

p35.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/p35.pdf

p368.pdf

...Underutilization of Team-Based Care Linked to Burnout in Primary Care Physicians The challenges that come with undergoing significant prac- tice change, such as transitioning to a team-based model of care, may have unintentionally created new stresses for primary care physicians,...

American Family Physician

https://www.aafp.org/afp/2018/0315/p368.pdf

p372.pdf

...Academy of Family Physicians. Clinical practice guidelines: hypertension in adults over 60. January 2017. https://www.aafp.org/ patient-care/clinical-recommendations/all/hypertension-over-60. html. Accessed January 18, 2018. 11. Qaseem A, Wilt TJ, Rich R, et al. Pharmacologic...

American Family Physician

https://www.aafp.org/afp/2018/0315/p372.pdf

p38.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/p38.pdf

p396.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/p396.pdf

p40.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/p40.pdf

p400.pdf

...to care for Medi- care beneficiaries. The bill would leave 2013 Medicare payment levels in place through 2014, and then provide annual updates of 0.5 percent for physician services for the next four years. It also includes a 2.5 percent increase in payments for primary care...

American Family Physician

https://www.aafp.org/afp/2013/0315/p400.pdf

p416.pdf

...Opioid use disorder should be treated as a chronic condition with longitudinal, team-based, patient-centered care. Similar to type 2 diabetes mellitus or hypertension, opioid use disorder has genetic, environmental, and behavioral causes; the disorder responds best to long-term...

American Family Physician

https://www.aafp.org/afp/2019/1001/p416.pdf

p43.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/p43.pdf

p476.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/p476.pdf

p5.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/p5.pdf

p5.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/p5.pdf

p537.pdf

...antibiotics based on her experience of past care at a local retail clinic. Antibiotics are not indicated; however, you oblige, recognizing that the patient may choose other health care options for future care, including retail and urgent care clinics. You also fear that the patient...

American Family Physician

https://www.aafp.org/afp/2019/1101/p537.pdf

p544.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/p544.pdf

p553.pdf

...Practices, the differences in coverage rates can be attributed to several factors, includ- ing cost, adult patient beliefs, and fragmented care. For more information, visit http://www.aafp.org/news-now/ health-of-the-public/20120215adultvaccs.html. RAND Report Identifies...

American Family Physician

https://www.aafp.org/afp/2012/0315/p553.pdf

p558.pdf

...EveryONE Project Unveils Team-Based Tools To help family physicians modify their practices to better address patients’ social determinants of health, the Every- ONE Project from the AAFP has released a toolkit and implementation guide that focus on a team-based approach. Social...

American Family Physician

https://www.aafp.org/afp/2018/0501/p558.pdf

p587.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/p587.pdf

p6.pdf

...no (those who have declined for reasons we have yet to explore). After eight years of working together, we have developed a team-based routine that has improved our efficiency and effectiveness in getting our patients vaccinated. The nurse’s role: Setting the stage I (Crues)...

Family Practice Management

https://www.aafp.org/fpm/2017/0900/p6.pdf

p613.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/p613.pdf

p645.pdf

...evolve, clinicians will likely care for an increasing number of transgender persons.3 However, data from a large observational study suggests that 24% of transgender persons report unequal treatment in health care environments, 19% report refusal of care altogether, and 33% do not...

American Family Physician

https://www.aafp.org/afp/2018/1201/p645.pdf

p654.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/p654.pdf

p7.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/p7.pdf

p700.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/p700.pdf

p702a.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/p702a.pdf

p703.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/p703.pdf

p733.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/p733.pdf

p741.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/p741.pdf

p776.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/p776.pdf

p8.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/p8.pdf

p820.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/p820.pdf

p83.pdf

...and expanding the role of primary care in the nation’s Medicare system. Dr. Stream outlined several recommen- dations, including the creation of a new category of evalu- ation and management codes to reflect the complexity of primary care visits, and incentives to encourage adop-...

American Family Physician

https://www.aafp.org/afp/2013/0715/p83.pdf

page1.pdf

...practice acts. This proposal would alter the consistent standards of care for veterans over non-veterans in the states; further fragment the health care system; and dismantle physician-led team-based health care models. The AAFP strongly opposes this unprecedented proposal to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-VHA-APRN-071316.pdf/subassets/page1.pdf

page1.pdf

...physician-led health care teams that deliver high quality care to patients. They are often the first and last person to interact with a patient during an episode of care, and, in the case of APRNs, they are well equipped to play advanced roles in the health care team. However,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-VA-APRN-072216.pdf/subassets/page1.pdf

page2.pdf

...AAFP argues that this proposal would alter the consistent standards of care for veterans over non-veterans in the states; further fragment the health care system; and dismantle physician-led team-based health care models. The AAFP strongly opposed this unprecedented proposal stating...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-jul-18.pdf/subassets/page2.pdf

page2.pdf

...specifically removes provisions that require APRNs to practice with collaborating physicians in patient-centered care teams that engage in diagnosis, treatment and patient care. The proposed rule is seeking to create essentially a national nursing license that will not be...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-VHA-APRN-071316.pdf/subassets/page2.pdf

page3.pdf

...patient care activities; and (4) all privileged APRNs must have a physician supervisor available for consultation and collaboration. Nowhere does the AFMS use language antithetical to team-based care like that employed in the Proposed Rule (e.g., without the clinical...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-VA-APRN-072216.pdf/subassets/page3.pdf

page36.pdf

...Primary Care (CPC) Initiative. These key functions are: 1. Access and Continuity: PCMH practices optimize continuity and timely, 24/7 access to care supported by the medical record. Practices track continuity of care by physician or panel. 2. Planned Care for Chronic...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRAComments-062416.pdf/subassets/page36.pdf

page4.pdf

...The Quality of Care Provided by Advanced Practice Nurses. 13 The authors of this evidence synthesis found scarce long-term evidence to justify the position that a large body of evidence shows that APRNs working independently provide the same quality of care as medical...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-VA-APRN-072216.pdf/subassets/page4.pdf

page5.pdf

...of care delivery and the undersigned reiterate their strong opposition to the VHA Proposed Rule. If the VHA moves forward with this proposal despite our opposition, VA beneficiaries and their surrogates should have all the information necessary to make informed health care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-VA-APRN-072216.pdf/subassets/page5.pdf

page5.pdf

...Medical Home MACRA, as approved by Congress, emphasized the role of advanced primary care practices. This emphasis is apparent through the inclusion of the medical home as a preferred delivery model under both the MIPS and APM pathway. It is further emphasized through legislative...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/ES-CMS-MACRARule-062416.pdf/subassets/page5.pdf

page5.pdf

...building networks that would encourage them to progress towards more sophisticated delivery models such as medical homes and accountable care organizations. Again, we are shocked and disappointed that this option will not be available. Given the fact that a provision, mandated by...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRAComments-062416.pdf/subassets/page5.pdf

page52.pdf

...period. CMS proposes that PCMH practices are those that have received accreditation from the Accreditation Association for Ambulatory Health Care, the National Committee for Quality Assurance (NCQA), The Joint Commission, and the Utilization Review Accreditation Commission (URAC);...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRAComments-062416.pdf/subassets/page52.pdf

page75.pdf

... Empanelment of patients to clinicians and/or care teams  Empanelment of patients to registries  Risk stratification of patient populations  Display of eCQM results by provider, as well as by practice site address and TIN to support the Triple Aim (with ability to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRAComments-062416.pdf/subassets/page75.pdf

page82.pdf

...proposes to make the QP determination at a group level. AAFP Response Since the AAFP advocates for the PCMH which utilizes a team-based approach to providing care, we support CMS making the QP determination at a group level. (2) Groups Used for QP Determination CMS seeks comment on...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRAComments-062416.pdf/subassets/page82.pdf

page83.pdf

...alternative grouping methodology. AAFP Response As stated previously, since the AAFP advocates for the PCMH which utilizes a team-based approach to providing care, we support CMS making the QP determination at a group level. 6. Qualifying APM Participant Determination: Medicare...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRAComments-062416.pdf/subassets/page83.pdf

page85.pdf

... Model participants include primary care practices or multispecialty practices that include primary care physician and practitioners and offer primary care services, and  Empanelment of each patient to a primary care clinician.  In addition to these elements, CMS proposes...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRAComments-062416.pdf/subassets/page85.pdf

Panel Evaluates New Payment Models, Offers Fresh Ideas

Feb 5, 2015 - A panel of physicians and health policy experts discussed the progress of new physician payment models during a recent briefing in Washington.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20150205brookingspayment.html

Panel Highlights Team Approaches to Patient-centered Primary Care

Nov 14, 2016 - Panelists at the Patient-Centered Primary Care Collaborative Fall Conference discussed successful team-based tactics and what primary care might look like in the future.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20161114pcpccteams.html

Panel Size: Answers to Physicians' Frequently Asked Questions -- FPM

Dec 1, 2007 - Does one size fit all? What do you do if your patient panel is too big - or too small? The experts answer these questions and more.

Family Practice Management : Articles

https://www.aafp.org/fpm/2007/1100/p29.html

Panel Touts Success Integrating Primary Care, Population Health

Oct 23, 2017 - Public health officials who spoke during the Patient-Centered Primary Care Collaborative Fall Conference discussed programs that address social determinants of health.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20171023pcpccpophealth.html

Panelists Highlight Unique Value of Primary Care Research

Jun 1, 2017 - Panelists at a recent forum discussed how research with a focus on primary care is improving patient care despite inadequate funding.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20170601researchforum.html

Panelists Say Payment Must Support Team-based Care

May 4, 2016 - Speakers at a recent forum said new payment models must address the need for greater spending on primary care and put a sharper focus on team-based care.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20160504grahamforum.html

Part 3: The Future of EHRs - The Future is Now -- Physician Health First

Mar 12, 2019 - Learn how IORA Health's business model centered around value-based care uses technology to offer quality care and increases professional satisfaction.

Membership : Member Benefits

https://www.aafp.org/membership/benefits/physician-health-first/phf/future-of-ehrs-3.acc.html

Passage of CARA Bolsters Efforts to End Prescription Opioid Drug Abuse, Heroin Use

Jul 14, 2016 - Passage of CARA Bolsters Efforts to End Prescription Opioid Drug Abuse, Heroin Use

Press Center : News Releases and Statements

https://www.aafp.org/media-center/releases-statements/all/2016/cara-passage-to-help-end-opioid-abuse.html

Patient Attribution: Why It Matters More Than Ever -- FPM

Dec 1, 2016 - How payers assign patients to you will affect how your practice is evaluated and paid for value in the future.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/1100/p25.html

Patient Navigators Connecting Patients to Community Resources to Improve Diabetes Outcomes

...diabetes management, the use of available community resources by both patients and their primary care providers (PCPs) remains low. The patient navigator model, widely used in can- cer care, may have the potential to link PCPs and community resources for reduction of risk and...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/loskutova_citiesforlife_jabfm_2016.pdf

Patient Navigators Connecting Patients to Community Resources to Improve Diabetes Outcomes

...diabetes management, the use of available community resources by both patients and their primary care providers (PCPs) remains low. The patient navigator model, widely used in can- cer care, may have the potential to link PCPs and community resources for reduction of risk and...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/loskutova_citiesforlife_jabfm_2016.pdf

Patient Navigators Connecting Patients to Community Resources to Improve Diabetes Outcomes

...diabetes management, the use of available community resources by both patients and their primary care providers (PCPs) remains low. The patient navigator model, widely used in can- cer care, may have the potential to link PCPs and community resources for reduction of risk and...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/strategic_partnerships/diabetes_summit/cities-for-life.pdf

Patient Panel Size Uncertainty Complicates Workforce Projections

Jul 20, 2016 - As physicians are increasingly being asked to monitor and report on their entire patient population, accurately determining panel size is more important than ever before.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20160720rgc-panelsize.html

Patient Perspective Vital for Practice Improvement

Jan 19, 2016 - Patient Perspective Vital for Practice Improvement

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/patient_perspective_vital_for_practice.html

Patient Protection and Affordable Care Act

Legislative Summary regarding the Senate's Patient Protection and Affordable Care Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/ES-LegislativeSummaryPPACA-113009.pdf

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