Emory Healthcare leaders Dr. Tina-Ann Thompson and Dr. Dan Salinas join us to explain how their “Circle of Care” model is transforming primary care by supporting patients between visits, strengthening accountability, and delivering measurable improvements in patient outcomes across populations.
Through this Circle of Care approach—and in partnership with Guidehealth, which uses an AI-integrated approach to help care teams proactively close care gaps—Emory is improving chronic disease management, care coordination, and follow-through beyond the traditional office visit.
Some of the results include:
Dramatic increases in completed annual wellness visitsBetter blood pressure and diabetes controlImproved transitions of care and follow-up after hospital dischargeStronger documentation, reimbursement alignment, and clinician confidenceCheck out our full conversation with Dr. Thompson and Dr. Salinas to hear about the importance of shared accountability across care teams and patients, the role of AI-enabled workflows, and how data and humans can work together to improve access, quality, and trust in primary care.
Dr. Tina-Ann Kerr Thompson is the Senior Vice President for the Primary Care Service Line and Division Director of Family Medicine at Emory University School of Medicine, and Executive Director of the Emory Healthcare Population Health Collaborative.
Dr. Dan Salinas is the Chief Medical Officer and Chief Quality Officer for the Emory Healthcare Population Health Collaborative, and Assistant Professor in the Department of Family and Preventive Medicine at Emory University School of Medicine.
Learn more about the Emory Healthcare Population Health Collaborative:
https://news.emory.edu/stories/2024/11/hs_ehc_guidehealth_population_health_collaborative_18-11-2024/story.html
Learn more about Emory Healthcare:
https://www.emoryhealthcare.org
Learn more about Guidehealth:
1:45 – A primary care physician’s experience caring for patients between visits4:21 – Accountability and the patient’s role in healthcare6:30 – Primary care focus and evidence-based care9:03 – Partnering with Guidehealth to support proactive outreach11:44 – The value proposition of delivering care this way13:47 – Improved outcomes and better care for all patients16:04 – Transitions of care and dramatic increases in completed visits19:52 – Why documentation matters for outcomes and reimbursement22:40 – Wrapping care around the patient beyond the office visit27:07 – Fixing access to mental healthcare through integrated networks29:45 – Helping patients overcome financial and access barriers32:59 – Addressing loneliness as a health risk34:04 – Building a true team of decision-makers in patient care