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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

We also assessed patterns of social risks and need for assistance among our patient populations. 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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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. Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period. Referral to counseling (7.5%

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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

In our institution, screenings are completed for patients ≥15 years during well visits; those not presenting for well visits and under 15 may represent missed opportunities. Objectives: To implement SUD screening in patients aged 12-17 seen for all visit types (well and sick visits) and to quantify the rate of substance misuse.

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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.” Fontana and Gitanjali Srivastava, MD , shared their perspectives with PW about current and potential MASLD treatments and their impacts on patient care. PW: How may this summary affect patient care?

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Combating Food Insecurity in Minnesota

Minnesota Academy of Family Physicians

Through food pharmacies, food insecurity screenings and innovative community partnerships, health care providers are ensuring patients get the nourishment they need to thrive. The Minnesota Academy of Family Physicians (MAFP) adopted a resolution (policy guidance) in 2024 related to addressing food insecurity in Minnesota.

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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. Our team of providers utilizes an interdisciplinary model of care, including physical therapy, neurology, primary care, medical imaging, and other areas to address patient well-being from multiple perspectives.