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Predicting Likelihood of Missed Appointments in Primary Care [Health care informatics]

Annals of Family Medicine

Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Therefore, identifying appointments at risk of being missed is a crucial prevention strategy to optimize care quality, ensure continuity, and reduce costs. for CA, 0.85

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Economic analysis of virtual Medical Legal Partnership model [Economic or policy analysis]

Annals of Family Medicine

Objective: Evaluate the economic impact of receiving tele-legal services from Medicaid’s perspective with regard to a) fee- for service (FFS) total cost of care; b) FFS cost of primary care; c) utilization for FFS primary care; d) utilization for FFS and capitated behavioral health (BH) and BH emergency department encounters.

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Evaluation of the Super Supporter Virtual Visit Technology Navigator Program for Rural Patient Populations [Social determinants and vulnerable populations]

Annals of Family Medicine

Patients who may benefit most from virtual care, such as those living in rural areas, may be at greatest risk of not being able to complete a clinical video visit with their provider. Intervention: Telephone contact by a Super Supporter before a virtual care appointment. 653 utilized super supporter assistance, while 2,291 did not.

Patients 130
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Using Machine Learning to advance primary care: an example of predictive modeling of hypertension risk to impact outcomes [Hypertension]

Annals of Family Medicine

Dataset: This model was developed on patients aged 18 or older, and the patient is required to have an office visit appointment within the previous 2 years. With this model integrated into Epic, we have created a clinical pathway to mitigate future risk in our hypertensive patients.

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Addressing diabetes management in the context of social needs: a qualitative study of primary care providers [Diabetes and endocrine disease]

Annals of Family Medicine

Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. Setting: Ambulatory clinics (e.g.,

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Towards a Fundamental Unit of Continuity of Care [Health care services, delivery, and financing]

Annals of Family Medicine

Many proposed methods for measuring continuity utilize an aggregation of patient visits. Clinician types included family medicine (FM), internal medicine (IM), pediatric medicine (PED), general practice (GP), obstetrics/gynecology (OB), nurse practitioner (NP), and physician assistant (PA).

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Combating Food Insecurity in Minnesota

Minnesota Academy of Family Physicians

Here are some ways family physicians can collaborate with health care systems and community organizations to tackle food insecurity within Minnesota: Expand Food Insecurity Screenings: Train staff to use tools like Hunger Vital Signs and integrate food insecurity screenings into routine care.