• Older couple fishing

    AFib Care Network

    A novel system wide pathway to streamline care delivery and improve overall quality of care for patients with atrial fibrillation

  • Older couple fishing

    AFib Care Network

    Improving access to specialty care for patients with atrial fibrillation in North Carolina.

For Providers

The AFib Care Network aims to teach patients about atrial fibrillation and includes two options for your patients. AFib Transitions of Care provides easy access to specialty care for your AFib patients within 72 hours of being evaluated by a provider. The AFib Transitions of Care aims to prevent hospitalizations, initiate high quality comprehensive care, and help patients build the self-management skills they need to transition back to their primary care team. AFib Integrated Care fills a critical need for AFib patients by helping them build AFib self-management skills and prevent AFib progression by addressing associated comorbidities such as obesity, hypertension, sleep apnea, and anxiety. Our goal in this clinic is to help patients learn to live a full life unburdened by AFib.

AFib Transitions of Care

Our Goals

  • Provide a new pathway for management of patients with atrial fibrillation
  • Prevent unnecessary hospitalizations and Emergency Department visits
  • Improve quality of AFib care
  • Increase patient engagement through education and individualized treatment plans

Our Approach to Care

  • Provide short-term transitional care with option for ongoing specialty care if needed
  • Improved access to specialty care for underserved populations
  • Development of a comprehensive management plan in partnership with the patient’s primary care team
  • Guaranteed appointments within 72 hours of initial evaluation with appointment scheduling available 24/7

Triage Protocols

AFib Transitions of Care Team

Click here for the AFib Transitions of Care team in our Meadowmont, Raleigh, Chatham & Smithfield locations.

Ways to Refer to AFib Transitions of Care

Call (984) 974-6301

  • Call answered by a live agent at the Carolina Consultation Center
  • Appointment will be scheduled in Epic over the phone
  • Option to be connected to the Electrophysiologist on call if consultation is needed
  • Include “.AFTransitionsDC” smartphrase in the patient’s After Visit Summary

UNC CareLink

Community based physicians and their staff who would like to utilize our electronic referral portal or gain secure, read-only access to UNC’s electronic medical records system may request a UNC CareLink account at unccarelink.org. If you have questions about enrollment, please email unccarelink@unchealth.unc.edu.

Referring Provider Guide

Download a referring provider tip sheet for AFib Transitions of Care here.

Afib Integrated Care

Our Goals

  • Review overall pillars of AF management including focus on AFib prevention education

  • Review oral anticoagulation, rate control and rhythm control

  • Address 2 major AF risk factors/comorbidities (assessment, education and treatment per protocol)

  • Provide referral as needed (e.g. Weight Management clinic, Neuro/sleep study)

  • Enroll patients in mobile companion app

AFib Integrated Care Team

Click here for the AFib Integrated Care team in our Meadowmont location.

Ways to Refer to AFib Integrated Care

Call (984) 974-2900, option 1

Epic

Enter an Ambulatory Referral to Cardiology. In the comment section, please include “Referral to Integrated AF Care Clinic.” This will route the referral order to the Meadowmont work queue. Once received
they will contact the patient and schedule the appointment.

UNC CareLink

Community based physicians and their staff who would like to utilize our electronic referral portal or gain secure, read-only access to UNC’s electronic medical records system may request a UNC CareLink account at unccarelink.org. If you have questions about enrollment, please email unccarelink@unchealth.unc.edu.

TeleECHO Clinic

About

The Atrial Fibrillation and EKG Interpretation TeleECHOTM Clinic, part of the UNC AFib Care Network, has been created to address critical gaps in care. The goal of this clinic is to train a network of providers on best practice management strategies for atrial fibrillation patients while building EKG interpretation skills. All levels of providers part of the UNC Health Alliance are welcome to participate in TeleECHO clinics at no cost. Participants may include but are not limited to physicians, physician assistants, nurse practitioners, registered nurses, psychiatrists, psychologists, social workers, community health workers, pharmacists, patient navigators and emergency medical technicians. This clinic is a weekly lunch hour session including didactics and case-based discussions.

Contact Us

An appointment for AFib Transitions of Care will be scheduled over the phone. There is an option to speak to a UNC Electrophysiologist on call if consultation is needed.

984-974-6301

AFib Transitions of Care Locations

AFib Transitions of Care 
UNC Hospitals Heart and Vascular Center at Meadowmont 
300 Meadowmont Village Circle
Suite 104
Chapel Hill, NC 27517
(984) 974-7244

AFib Transitions of Care at UNC Chatham  
UNC Primary Care at Chatham 
163 Medical Park Drive
Suite 210
Siler City, NC 27344
(919) 663-3360

AFib Transitions of Care at UNC REX Healthcare
North Carolina Heart & Vascular, Raleigh
2800 Blue Ridge Road
Suite 400
Raleigh, NC 27607
(919) 787-5380

AFib Transitions of Care at Johnston Health 
North Carolina Heart & Vascular, Smithfield
910 Berkshire Road
Smithfield, NC 27577
(919) 989-7909

AFib Integrated Care Locations


AFib Integrated Care 
UNC Hospitals Heart and Vascular Center at Meadowmont 
300 Meadowmont Village Circle
Suite 104
Chapel Hill, NC 27517
(984) 974-7244

Hours: Monday, Tuesday, Thursday 
8:00 AM to 5:00 PM
Wednesday and Friday
8:00 AM to 12:00 PM

AFib Care Network Map

AFib Care Network Operations & Planning Team

Anil Gehi, MD
Anil Gehi, MD
Tiffany Armbruster, AGNP-C
Tiffany Armbruster, AGNP-C
Dr. Biese
Kevin Biese, MD
Zack Deyo, PharmD
Zack Deyo, PharmD
Anil Gehi, MD
Jennifer Walker, AGNP-C

Heather Tuttle, RN
Heather Tuttle, RN

Rachelle Alpern,
Rachelle Alpern,
UNC Center for Innovation



Research

Based on pilot data, we believe that a model of care delivery which increases access to AF specialty clinics with an easy transition from multiple points of entry (emergency department (ED), urgent care and primary care clinics) can reduce unnecessary hospitalizations and improve quality of care. Increasing specialty care access, particularly in regions serving a large vulnerable patient population, helps to reduce disparities in care. Further research efforts are under way.

Press Room

UNC AFib Care Network Launches AFib Integrated Care Clinic
Network also launches AFib support group and a smartphone app to help people with AFib manage their condition

The UNC AFib Care Network has launched a new clinic that coordinates all of the services needed by patients with atrial fibrillation (AFib) in one convenient location. The new AFib Integrated Care Clinic is now open and seeing patients at 300 Meadowmont Village Circle in Chapel Hill.

Read More

Bristol-Myers Squibb Foundation Provides $1.7 million grant to UNC School of Medicine to fund program streamlining Afib care & education for underserved populations

UNC School of Medicine cardiologist Anil Gehi, MD, will use a $1.7 million grant from the Bristol-Myers Squibb Foundation to further innovate a care model, launched in 2015, that reduced hospitalizations for patients with atrial fibrillation (A-fib) presenting in the emergency room by more than 30 percentage points in its first year.

Read More

UNC lands $1.7M grant from Bristol-Myers Squibb (TBJ)

The UNC School of Medicine has landed a $1.7 million grant from the Bristol-Myers Squibb Foundation – aimed at improving care and education for patients with atrial fibrillation (A-fib), or an irregular heartbeat that can lead to stroke and heart failure, among other complications.

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Bristol-Myers Squibb Foundation Provides $1.7 million grant to UNC School of Medicine (Business Wire)

The three-year grant from the Bristol-Myers Squibb Foundation will enable Dr. Gehi to continue development of a new protocol he established at UNC Medical Center through a pilot grant from the UNC Center for Health Innovation and adapt and evaluate its application primary care and urgent care settings as well.

Read More

Improving Geriatric Emergency Medicine

UNC Health Care recently held a Geriatric Emergency Medicine Boot Camp to generate ideas for improving emergency care for elderly adults. The boot camp was the result of UNC Health Care’s participation in the Geriatric Emergency Medicine Collaborative, a national collaborative of health-care systems seeking to produce better outcomes for these patients.

Read More

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