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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). However, it is unclear whether results would generalize to other healthcare populations. Final sample size was 435,731.

Diagnosis 130
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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

This week’s Journal has a very profound article about why healthcare has not evolved through its technology the way other sectors of society have. 1) Healthcare is not at all customer centered. 1) Healthcare is not at all customer centered. A Country Doctor Writes: is a reader-supported publication.

Patients 130
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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

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Corita 09:39 Yeah, so we used the electronic health record, I think, in support. What does that mean?