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Compass Rose for Generating Community-based Referrals via Epic: Best Practices and Lessons Learned [Social determinants and vulnerable populations]

Annals of Family Medicine

The workflows for use of the tool, including enrollment criteria, patient outreach, and use of the Findhelp platform for community-based referrals were standardized; however, each pilot site had different staff members responsible for using the tool.

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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

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Association of Tobacco Assessment and Cessation Assistance with Social Determinants of Health Risk in Primary Care [Smoking cessation]

Annals of Family Medicine

Setting or Dataset: Electronic health record data from 11 community-based clinics within a safety-net system in the Midwest from 07/01/2021-3/31/2024. Referral to counseling (7.5% Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period.

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Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Study period for urban locations: Oct 2–Dec 29, 2023; for the rural location: Nov 1, 2023–Jan 31, 2024. Providers were alerted of positive screens by rooming staff to either assess further or refer to our Pediatric SUD Clinic to manage. No patients were referred to the SUD Clinic.

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Combating Food Insecurity in Minnesota

Minnesota Academy of Family Physicians

The Minnesota Academy of Family Physicians (MAFP) adopted a resolution (policy guidance) in 2024 related to addressing food insecurity in Minnesota. An excerpt follows: 2024-04. Encourage Healthy Eating Through Vouchers: Many clinics and systems have voucher programs in place to help supplement food for patients.

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Q&A: Physicians Weigh Improvements in MASLD Treatment Against Gaps in Assessment Strategies

Physician's Weekly

This is a well-done and concise summary of where we are in 2024 in trying to tackle the immense public health problem of MASLD.” MASLD is the leading reason for referral to a hepatologist in many US medical centers. Referral to a weight management center can help. PW: What questions remain unanswered for you?

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Coming Soon: Logansport Memorial Pain Management Center

Logansport Memorial Hospital

Logansport Memorial Hospital is pleased to announce the opening of a new pain management center on April 1, 2024. We have a strong need for pain management services in our community and opening this clinic will allow our patients to have convenient access to high quality, safe treatment methods for chronic pain.”