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An Innovative Approach to Enhancing Community Health Collaborations: A Community Engagement Directory [Participatory research]

Annals of Family Medicine

Context UT Southwestern utilizes community engagement strategies to improve health and integrate stakeholder priorities in clinical care and research. Profile data describing community-engaged projects and the academic and community partners involved is published to the web and publicly accessible.

Community 130
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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

Study Design and Analysis: We used information gathered from site visits and team meetings to understand how Compass Rose was being utilized across sites. Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization.

Referral 130
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Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Annals of Family Medicine

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. Datasets: Primary care EMR data from the Eastern Ontario Network and acute care, post-acute, and community mental health and addictions data from the Shared Health Integrated Information Portal.

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The Midwest Trans Health Education Network: Increasing Access to Gender Affirming Care Through Virtual Training Cohorts [Education and training]

Annals of Family Medicine

Context Gender affirming medical care is associated with long term benefits for transgender and non-binary patients but access to such care does not meet the current need. This mismatch is worsened in rural communities. Setting or Dataset A pretestposttest survey design was utilized to assess the intervention.

Education 130
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Impact of an Intensive Primary Care Service on Health Services Utilization in a High-Utilizer Patient Population [Health care services, delivery, and financing]

Annals of Family Medicine

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Setting: Safety net hospital/clinic system in Fort Worth, Texas.

Utilities 130
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AAFP Represents Members During 2025 Legislative Session

Alabama Academy of Family Physicians

By engaging with lawmakers and key stakeholders, the Academy worked to ensure that the voices of family physicians were heard in discussions that have the potential to impact healthcare delivery and access for communities across the state. What Happened: This legislation has been enacted into law.

Insurance 130
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Personalized medicine in a community health system: the Endeavor Health experience [Dissemination and implementation research]

Annals of Family Medicine

Successful implementation required the development of a scalable family history collection tool, the Genetic and Wellness Assessment (GWA) and Breast Health Assessment (BHA) tools; integrated pharmacogenomics programming; educational programming; electronic medical record integration; and robust clinical decision support tools.

Community 130