Prevention in Practice: Managing High-Risk Patients with Dr. Andy Mayberry
Description
In this insightful episode, Dr. Rhiannon Winsor sits down with Dr. Andy Mayberry, a longtime family physician at Chiricahua Community Health Centers, to explore the art and science of managing high-risk patients.
From chronic disease and smoking cessation to care coordination and patient follow-up, Dr. Mayberry explains how proactive communication, preventive screenings, and consistent visits can dramatically improve outcomes. He also discusses the Risk Adjustment Factor (RAF) score as a useful framework for identifying high-risk patients and designing visit schedules that catch problems early.
Listeners will walk away with practical ideas for improving chronic care management, supporting patients with multiple conditions, and re-centering healthcare around prevention and human connection.
Key Topics:
- Defining and identifying high-risk patients using RAF scores
- The long-term impact of preventive care
- Coordinating care among specialists
- Empowering patients through follow-up and advocacy
- The role of chronic care management programs (CCM) in improving outcomes
United States
