Characteristics and Components of Medical Group Visits for Chronic Health Conditions: A Systematic Scoping Review

Parikh, Manasi; Rajendran, Iniya; D’Amico, Salvatore; Luo, Man; Gardiner, Paula

doi:10.1089/acm.2018.0524

Cited by 17 publications

(20 citation statements)

References 73 publications

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“…They were conducted in large health care organizations such as the Cleveland Clinic and Kaiser Permanente and were originally a model for well-child visits. 17 The Cooperative Health Care Clinic (CHCC) and the Drop-in Group Medical Appointment (DIGMA) became 2 major types of group visit models. The CHCC focused on high-risk patients of all ages with similar chronic conditions.…”

Section: History Of Smasmentioning

confidence: 99%

“…Ancillary team members such as behavioral therapists, dietitians, health coaches, medical residents, medical assistants, nurses, pharmacists, physical therapists, researchers, social workers, and students can also be utilized. 17 SMAs are usually conducted over a 2-hour period. 22 It is important to note that each SMA requires private time for each patient with the provider.…”

Section: Lmsma Structure and Logisticsmentioning

confidence: 99%

“…Billing Current Procedural Terminology (CPT) codes 99212-99214 was the most popular method. 17 The code selected should be based on the individual visit complexity. While Medicare has not issued payment codes for SMAs, its response to billing queries was "a physician could furnish a medically necessary face-to-face E&M visit that is observed by other patients."…”

Section: Coding and Billing For Lmsmasmentioning

confidence: 99%

“…While Medicare has not issued payment codes for SMAs, its response to billing queries was "a physician could furnish a medically necessary face-to-face E&M visit that is observed by other patients." 17 The AAFP states that physicians who provide and document group appointments should code for the services provided using applicable, existing E&M codes found in the CPT guidelines. They also state that "third party payers should cover and pay for submitted E/M services for shared medical appointments."…”

Section: Coding and Billing For Lmsmasmentioning

confidence: 99%

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Lifestyle Medicine Shared Medical Appointments

Lacagnina

Tips

Pauly

et al. 2020

American Journal of Lifestyle Medicine

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Chronic diseases pose many challenges to health care providers and the health care system from a human capital, logistic, and financial perspective. To overcome these challenges, efficient and effective health care delivery models that address multiple chronic conditions need to be leveraged. Shared medical appointments are one potential solution to address these issues. This article offers a brief history of group visits and shared medical appointments and reviews the available data regarding their outcomes. It describes the benefits of using lifestyle medicine as the primary therapeutic modality within a shared medical appointment to treat, reverse, and prevent chronic disease. Key considerations and action steps for the implementation of lifestyle medicine shared medical appointments (LMSMAs) are outlined and the potential delivery of these services via telehealth is explored.

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Section: History Of Smasmentioning

confidence: 99%

Section: Lmsma Structure and Logisticsmentioning

confidence: 99%

Section: Coding and Billing For Lmsmasmentioning

confidence: 99%

Section: Coding and Billing For Lmsmasmentioning

confidence: 99%

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Lifestyle Medicine Shared Medical Appointments

Lacagnina

Tips

Pauly

et al. 2020

American Journal of Lifestyle Medicine

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“…Medical group models have been identified as one solution. 2 These models have demonstrated success with providing more efficient care and work satisfaction among physicians 3 and a supportive network of peers that allows for improved self-efficacy and accountability for patients. 4 In a prior study, 5 we found that medical group participants at 1 year had lost more weight than those in traditional care (−13.21 vs +1.94 pounds, P < .05) and sustained healthy behaviors.…”

Section: Purposementioning

confidence: 99%

Applying a Medical Wellness Group Visit Model to a Community Setting Yielding Weight Loss and Improved Laboratory Results

Dong

Flavin

Hawkins³

et al. 2020

Am J Health Promot

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Purpose: To determine the feasibility of applying a medical wellness group (WG) model to a community setting to improve cardiometabolic health. Design: This quasi-experiment was designed to compare individuals participating in the WG to participants in the control group who received general lectures on nutrition, physical activity, and sleep. Setting: A suburb north of Boston, Massachusetts. Participants: Forty-five adults were in the WG and 10 in the control group. Intervention: Fourteen weekly 90-minute sessions, led by a physician and dietitian, focusing on nutrition, physical activity, and sleep, compared to controls receiving two 30-minute general wellness lectures provided within 3 months. Measures: Pre- and postweight, waist circumference, hemoglobin A1C (HbA1c), and serum lipids; a survey measuring beliefs, attitudes, and intentions related to behavioral change. Analysis: T tests examined the mean change in biometric measurements. The Wilcoxon test was used to compare the ordinal questions in baseline and final survey results. The Mann-Whitney test was used to compare final survey results between groups. Results: The WG demonstrated desirable difference-in-difference between groups in weight ( P < .001), waist circumference ( P < .001), and total cholesterol ( P = .03) compared to the control group. Mean change of HbA1c and triglycerides was not different between groups. Survey results showed that attitudes, perceived behavioral control, and feeling supported about wellness behaviors significantly improved from baseline to final visit in the WG ( P = .002; P = .019, P = .006, respectively), but not among controls. Conclusion: Wellness groups are feasible and provide high levels of support and accountability that empower people to make behavioral changes to improve health.

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