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Describing Differences Across Place and Provider in Canadian Team-Based Care Settings Using Electronic Health Records [Health care informatics]

Annals of Family Medicine

Community Health Centres (CHCs) provide TBC for both urban and rural populations with barriers to care in Ontario, Canada, and they share a common electronic health record (EHR) system that records codes assigned by providers during an encounter. This dataset comes from 59 CHCs across Ontario, Canada.

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Validation of an Administrative Knee Osteoarthritis Severity Index in a Veterans Health Affairs Cohort [Big data]

Annals of Family Medicine

Context: Administrative electronic health record (EHR) datasets offer a low-cost opportunity to investigate influences on knee osteoarthritis (OA) prevalence and outcomes such as total knee arthroplasty (TKA). The first OA diagnosis in record must occur from 2009-2014 and index date is OA diagnosis date. Final sample size was 435,731.

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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

Since we basically don’t have a clue, let alone agreement, about what Quality really is ( see my 2009 post “ Quality or Conformity? Instead, there was a dual focus of maximizing billing and controlling the “Quality” in clinician performance.

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Kaiser Permanente study shows screening efforts cut colorectal cancer deaths in half

Permanente Medicine

Early screening helps erase racial health disparities The study showed a significant reduction of colorectal cancer deaths among Black patients, which decreased from 52 per 100,000 in 2009 to 23.5 The electronic health record system automatically prompts care teams to schedule patients for health screenings.

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Reducing cancer deaths, one test at a time

Permanente Medicine

When a patient visits any physician for any reason, they are reminded that it is time for their screening, flagged by our integrated electronic health record. per 100,000 in 2009 to 23.5 The approach was simple: consistently alert patients that it’s time to get screened and make getting screened as easy as possible. in 2000 to 79.8%

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

Corita 09:39 Yeah, so we used the electronic health record, I think, in support. And so we did a similar intervention but using electronic means. So if you look at anything pre 2009, seven or nine in emergency medicine, anything that was published as an intervention was essentially a primary palliative care intervention.