{"podcast":{"title":"Frankly Speaking About Family Medicine","slug":"frankly-speaking-about-family-medicine-434006","podcast_index_feed_id":434006,"rss_url":"https://feed.podbean.com/primedfranklyspeaking/feed.xml","website_url":"https://primedfranklyspeaking.podbean.com","image_url":"https://pbcdn1.podbean.com/imglogo/image-logo/13721080/PRM-123_DPL_mediaplayer_frankly-speaking_x7npub.jpg","author":"Pri-Med","episode_count":503,"summary":"A weekly Podcast series covering newsworthy topics in primary care medicine. Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com","last_synced_at":"2026-07-20T12:18:28.603391+00:00","page_url":"https://stenobird.com/podcast/frankly-speaking-about-family-medicine-434006"},"episode":{"title":"Hospital to Home: Optimizing Follow-Up After Discharge - Frankly Speaking Ep 472","slug":"hospital-to-home-optimizing-follow-up-after-discharge-frankly-speaking-ep-472","published_at":"2026-02-16T05:30:00+00:00","page_url":"https://stenobird.com/podcast/frankly-speaking-about-family-medicine-434006/hospital-to-home-optimizing-follow-up-after-discharge-frankly-speaking-ep-472","show_page_url":"https://stenobird.com/podcast/frankly-speaking-about-family-medicine-434006","url":"https://primedfranklyspeaking.podbean.com/e/hospital-to-home-optimizing-follow-up-after-discharge-frankly-speaking-ep-472/","audio_url":"https://mcdn.podbean.com/mf/web/nec7fphw9ew4p8cw/frankly-speaking-472-transitional-care.mp3","summary":"Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-472 Overview: The transition from hospital to home is a valuable period for patients and clinicians. In this episode, we discuss which patients require follow-up, what should be reviewed during these appointments, and when follow-up should take place to help improve patient outcomes. Episode resource links: Anderson, T. S., Herzig, S. J., Marcantonio, E. R., Yeh, R. W., Souza, J., & Landon, B. E. (2024, April). Medicare transitional care management program and changes in timely postdischarge follow-up. In JAMA Health Forum (Vol. 5, No. 4, pp. e240417-e240417). American Medical Association. Anderson, T. S., Wilson, L. M., Wang, B. X., Steinman, M. A., Schonberg, M. A., Marcantonio, E. R., & Herzig, S. J. (2025). Medication Errors and Gaps in Medication Discharge Planning for Hospitalized Older Adults: A Prospective Cohort Study. Journal of general internal medicine, 1-10. Balasubramanian, I., Andres, E. B., & Malhotra, C. (2025). Outpatient follow-up and 30-day readmissions: a systematic review and meta-analysis. JAMA Network Open, 8(11), e2541272-e2541272. Guest: Mariyan L. Montaque, DNP, FNP-BC Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.","meta_description":"Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-472 Ov…","key_points":[],"chapters":[],"topics":[],"duration_seconds":862,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/frankly-speaking-about-family-medicine-434006/episodes/hospital-to-home-optimizing-follow-up-after-discharge-frankly-speaking-ep-472/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/frankly-speaking-about-family-medicine-434006/hospital-to-home-optimizing-follow-up-after-discharge-frankly-speaking-ep-472.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}