By creating defined clinical functions with value-based outcomes in mind, primary care teams can deliver increased access and productivity, improved service, and excellent clinical results…
Discuss how teams are better equipped to enable members to work at the top of their licensure by using interprofessional care coordination and advances in electronic capabilities…
Discuss how Community Health Center, Inc. (CHCI), a multi-site, federally qualified health center in Connecticut, has translated the Project ECHO model to provide primary care nurses with ongoing support as they build their capacity to manage complex patients…
Explore a team-based, technology-enabled approach to managing chronic medical conditions implemented by an internal medicine practice to help care become more patient-centric and to achieve better outcomes at lower cost…
Transitional care management (TCM) is a primary care service, and the payment model agrees. The inpatient setting is penalized for readmission, whereas the primary care setting is rewarded. This poster will shine a spotlight on why and how ambulatory care nurses must lead the TCM process…
For the past five years, the population health services organization (PHSO) at an academic medical center has been working to expand care coordination resources to primary care providers and our patients…
Erie County Medical Center (ECMC) in Buffalo, NY, serves as the largest safety net hospital in the region, caring for a high-risk population disproportionately affected by healthcare disparities tied to socioeconomic status and racial/ethnic backgrounds…
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