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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

Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization. A Compass Rose episode was automatically generated in the patient’s medical record in Epic if patients indicated that they had at least one of the four social risk factors on the screening tool.

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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. Results: Among 119,926 patients, 40% did not have SDOH assessed; 31% had 3 or more social needs identified during screening, 11% had 2, 7% had 1, and 11% had no social needs.

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Combating Food Insecurity in Minnesota

Minnesota Academy of Family Physicians

A Collaborative Approach Between Health Care Providers and Community Partners Food insecurity affects thousands of Minnesotans, often contributing to chronic health conditions and overall poor health outcomes. An excerpt follows: 2024-04. Essentia Health partners with Second Harvest Northland to provide emergency food access.

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Position Statement on Measurement Based Care

Integrated Care News by CFHA

MBC entails equal emphasis on the phases of Collect, Share, and Act , which include repeated data gathering, communication/review of the data with the patient and team, and adjusting treatment based on this information. (2) Use of Measurement-Based Care for Behavioral Health Care in Community Settings. 3, 4) Why is MBC important?

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Is there enough time for prevention in primary care?

Common Sense Family Doctor

A 2024 analysis projected that by 2040 a shortage of 58,000 primary care clinicians (including nurse practitioners and physician assistants) will occur. Since 2020, the starting ages for breast, lung, and colorectal cancer screening were lowered to 40, 50, and 45 years, respectively. hours) allocated to preventive care.

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The Physicians Foundation Announces New Recipient in Leadership Award Program, Recognized for Addressing Drivers of Health

The Physicians Foundation

is honored for his transformative work, connecting patients with primary care and critical health resources BOSTON, August 15, 2024 – The Physicians Foundation is proud to announce Jubril Oyeyemi, M.D., His dedication to this cause should serve as an inspiration to the entire medical community.” Jubril Oyeyemi, M.D.,

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The Physicians Foundation Announces Call for Grant Applicants to Address Drivers of Health

The Physicians Foundation

I encourage medical associations to apply for this grant to improve health outcomes in their communities.” Medical associations are closely aligned with the physicians and patients in their communities; therefore, they can provide critical insights to customize DOH screening and resource navigation implementation within medical practices.