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Sample Workflow for Transitional Care Management, Alternative Codes to Capture Chronic Care Management Work, COVID-19 Lessons Learned

Quick Tips & Insights from FPM journal
 
 

Transitional care management offers many benefits for patients and practices alike, but implementation can be challenging if you don’t have  in place that delineates roles and responsibilities.

If private insurers don’t pay for CCM,  can help you capture that work.

The pandemic has taught us the importance of compassionate leadership, communication, and transparency, among .

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INFORMATION FROM THE AAFP

Has your practice implemented a change that significantly improved outcomes, workflows, satisfaction, or efficiency? Submit your story, and you could win $500.

 

Sponsored Content

Sponsored by Iowa Chronic Care Consortium

Staff trained in health coaching for the clinical setting is a proven strategy for population health success. Effective coaches utilize their talent in best practice care, then align that with learned skill to engage and activate patients in self-care, improved behaviors and inspired accountability. 

Sponsored by HealthTeamWorks

An overarching theme in APM success is care management. Whether you are new to it or have a long-standing approach to care management, there is opportunity to optimize, increasing the likelihood of success in value-based payment options, particularly those with upside and downside risk. 

Sponsored by Suki

The AAFP Innovation Lab studies technologies that could help optimize the family medicine experience. This lab tackled documentation burden. Physicians that used an AI Digital Assistant reduced charting time (62%) and after-hours work (70%). It was described as a "breakthrough." 

 

Read the latest issue of FPM.
Earn 5 CME credits.

  • Care Management in the Real World
  • Five Steps to Mastering Agenda Setting
  • Implementing Continuous Glucose Monitoring
  • Durable Medical Equipment: A Streamlined Approach
  • Care Management and the Quadruple Aim
Top illustration by iStock.com/SolStock | Cover illustration by Andrea Ucini

© 2021 by the American Academy of Family Physicians. All rights reserved.

American Academy of Family Physicians

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