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Longitudinal Care

18 posts tagged "longitudinal care"

practice-operationslongitudinal-care

Risk Adjustment Is a Documentation-Structure Problem

Under Medicare Advantage and value-based contracts, a patient's risk score has to be rebuilt from documentation every single year. Conditions that aren't re-documented simply vanish — even though the patient still has them. That annual recapture problem is a persistence problem, and persistence is exactly what a time-organized note is worst at.

Jacob Kantrowitz MD, PhD
Jul 11, 2026
8 min
burnoutcare-coordination

Medicine Doesn't Scale Because It Lives in Our Heads

Every good physician builds a private operating system — and it's completely non-transferable. Why care delivery doesn't scale, and what externalizing the work of care actually means.

Jacob Kantrowitz MD, PhD
Jul 8, 2026
8 min
ehr-designclinical-context

The Bridge, Not the Destination

Why the patient-organized chart is hard to ship today — EHR integration limits, FHIR, and double validation — and the pragmatic bridge clinicians can build right now.

Jacob Kantrowitz
Jun 15, 2026
ai-scribelongitudinal-care

The Note Was Never the Point

A reflection on AI scribes, legacy EHRs, and why the next generation of clinical software needs to organize itself around the patient, not the note.

Jacob Kantrowitz
Jun 12, 2026
comparisonsai-scribe

Best AI Medical Scribe for Independent Primary Care (2026)

A practical comparison of the best AI medical scribes for independent primary care — solo practices, DPC, pediatrics, and SNF — and which tool fits which workflow.

Jacob Kantrowitz MD, PhD
Jun 3, 2026
10 min
longitudinal-careclinical-context

The Chart Doesn't Know Your Patient

The chart archives a patient's clinical story; it doesn't tell it. On longitudinal intelligence and what's missing from encounter-based medicine.

Jacob Kantrowitz MD, PhD
Jun 2, 2026
6 min
product-updatesclinical-context

When Notes Remember: The Evolution of Problem-Based Context in Stream

Stream’s latest update deepens its understanding of continuity — making each problem smarter, faster, and more complete with every visit.

Jacob Kantrowitz MD, PhD
Nov 5, 2025
clinical-contextlongitudinal-care

Notes Are Deadweight. Clinical Context Is the Future.

Static notes become outdated immediately. Learn why traditional medical documentation fails and how dynamic clinical context creates better longitudinal care.

Jacob Kantrowitz
Apr 21, 2025
clinical-contextlongitudinal-care

Building Toward Patient-Level Representation

AI should connect scattered encounters into patient-level intelligence. Learn how medical documentation evolves from isolated notes to comprehensive patient representation.

Jacob Kantrowitz
Apr 16, 2025
burnoutai-scribe

AI Medical Scribes: The Key to Managing Complex Care with Ease

Discover how AI medical scribes are transforming complex care management by streamlining documentation, enhancing accuracy, and reducing physician burnout—empowering clinicians to focus on patient care.

Jacob Kantrowitz
Feb 12, 2025
ai-scribelongitudinal-care

The Future of Longitudinal Care: How AI Scribes Ensure Consistent Patient Records

Longitudinal care requires consistent documentation over time. AI medical scribes maintain structured records, track patient progress, and improve care coordination.

Rhianonn Mangan
Feb 7, 2025
longitudinal-carecare-coordination

How AI for Clinical Notes Enhances Longitudinal and Complex Care

Complex patients with chronic conditions need better tracking. AI medical scribe notes maintain longitudinal records, making patient patterns visible instantly.

Jacob Kantrowitz
Nov 20, 2024
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