Annals of Family Medicine

NOVEMBER 20, 2024

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. A total of 25 patients (32%) were booked for the intervention highlighting a simple pathway for patient care improvements in line with best practice guidelines.

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: We created a population health algorithm and outreach system which was designed to send email and smartphone notifications to patients who have not filled out a recent PHQ9. Main Outcome Measures: Percentage of patients who booked a visit for mental health. Percentage of patients who filled out a PHQ9.

Electronics 130

Electronics Patients Mental Health Primary Care 130

GeriPal

JUNE 19, 2025

Jace 29:36 We see higher rates of mental health challenges that I think are due to overcoming adversity. And then if, let’s say they plan to switch to you as their primary care provider, then there are a few steps that you can take. It’s like this one big book that you can access. Eric 29:36 Yeah.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. So falls, mobility concerns, polypharmacy, comorbidities, nutrition, social support, and mental health. This is terrific.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129