Development of a Primary Care Transitions Clinic in an Academic Medical Center.

ABSTRACT:

Introduction

Transitions of care experiences leave patients vulnerable to adverse outcomes, including readmissions, worsening symptoms, and reductions in functional status.

Aim

To describe and evaluate a primary care transitions clinic that serves patients with medical and/or social needs that must be addressed prior to establishment of primary care.

Setting

Brigham Health, an academic medical center in Boston, MA.

Program description

The transitions clinic opened within an existing primary care practice in January 2019. It employs one full-time nurse care coordinator and one full-time medical assistant, and is staffed by one primary care physician (PCP) or nurse practitioner each weekday afternoon. Both medical and social diagnoses that require follow-up post-

SUBMITTER: Rotenstein L 

PROVIDER: S-EPMC8321504 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature