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Risks and Needs: Lessons Learned from Assessing Patients Willingness to Receive Help for Social Risks in Primary Care [Social determinants and vulnerable populations]

Annals of Family Medicine

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Objective: To assess the impact of a question on need for assistance with social risk factors identified through routine screening.

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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. Population Studied: Three sites, representing 13 urban and rural primary care practices in Minnesota, Wisconsin, and Florida participated in the Compass Rose pilot. Of those patients with an episode (i.e.,

Referral 130
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Relationship between Social Risks and Colorectal Cancer Screening/Surveillance in a Large US Health System [Social determinants and vulnerable populations]

Annals of Family Medicine

Context Social determinants of health (SDOH) such as access to care and economic stability negatively impact colorectal cancer (CRC) screening rates. Results Among 159,491 adults age 50-75 eligible for CRC screening/surveillance, younger, male, non-white patients were less likely to be up to date on CRC testing.

Screening 130
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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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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. So, we are not screening for substance use in cancer care, so we don’t get good estimates among people with cancer, which is really how we would prefer to ask the question.

Illness 136
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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

They weren’t hurt, they didn’t need transport, and we were seeing the same people over and over again. But what was really interesting is the transport to the hospital was actually going down in their system. What do you think of that?” ” And I was fascinated, I’d never really thought about it.

Community 114
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Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. So we’re trying to help replace the transportation option. Eric: Let’s say I have a panel of older adults that I’m seeing, or a palliative care outpatient clinic.

IT 102