Annals of Family Medicine

NOVEMBER 20, 2024

Context: This work was done in the context of a regional quality improvement (QI) collaborative funded by the Ohio Department of Medicaid (ODM) focused on advancing diabetes equity through cross-sectoral QI infrastructure. We are one of 6 regional QI collaboratives statewide. Setting: Northeast Ohio.

Community 130

Community Diabetes Referral Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Population Studied: Purposive sample of care team members (eg, physicians, social workers, diabetes educators, dietitians, community health workers).

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Type 2 Diabetes (T2D) impacts 35 million Americans. Intervention: LINK is a randomized controlled 2x2 factorial trial testing the effect of 2 distinct interventions on A1c: a 6-week culinary and nutrition education class and community referrals to address unmet social needs.

Diabetes 130

Diabetes Clinic Transportation Internal Medicine 130

The Physicians Foundation

AUGUST 15, 2024

Founder and CEO of Cherry Hill Free Clinic (CHFC), Chief Medical Officer at Camden Coalition and Medical Director for Community Health at Virtua Health, as the recipient of the Dr. Buz Cooper Award for Addressing Drivers of Health. His dedication to this cause should serve as an inspiration to the entire medical community.”

Primary Care 40

Primary Care Community Chronic Disease Management Education 40

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . Alex, what other decisions? Alex Lee: Sure.

IT 95

IT Clinic Screening Patients 95

GeriPal

FEBRUARY 6, 2025

So I get all the referrals from my great colleagues in primary care. And I gotta manage their blood pressure and their diabetes meds. We’ve had difficulty in recruiting and engaging in those communities, and that’s on our end. It’s not on the community’s end. There’s got to be an easier way.

Primary Care 97

Primary Care Diagnosis Screening IT 97