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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

In both cases, TBC can help by providing a collaborative approach to care that can better manage the complex needs of patients. Dataset We used an aggregate dataset derived from CHC EHRs containing 13,688,536 encounters between 2009 and 2019 from 220,580 clients. This dataset comes from 59 CHCs across Ontario, Canada.

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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? And, as the NEJM article points out, there are no financial incentives to have nurses or other non-providers manage routine problems like hypertension in our current system.

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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. It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. What does that mean? Like in sort of practice? No, no, no.