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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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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. The complex dynamics of human systems driving Super-utilization lack prominence.

Utilities 130
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Health Trends Across Communities: Engaging Healthcare Systems, Public Health and Community in a Statewide Public Health Tool [Social determinants and vulnerable populations]

Annals of Family Medicine

Health Trends Across Communities (HTAC) is an innovative health data surveillance project that provides public health professionals, healthcare systems, researchers, community organizations, and policy makers with robust and timely summary electronic health record (EHR) information to support health equity and improve health across Minnesota.

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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Creative Dissemination: Community-Engaged Mural to Disseminate the PORTRAIT Registry on Peripheral Arterial Disease [Cardiovascular disease]

Annals of Family Medicine

Public health initiatives, including community engagement projects, are vital for promoting early diagnosis and encouraging behaviors to combat PAD. A community collaborative mural focused on vascular health. Conclusions The PORTRAIT dissemination project utilized a community-engaged mural to raise awareness about PAD.

Community 130
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Comparing impact of a holistic patient centered navigation model to an online navigation service on health care utilization [Population health and epidemiology]

Annals of Family Medicine

Context Social prescribing has been linked to better access, improved health and wellbeing, and decreased health care utilization (HCU). However, very few randomized controlled trials have been conducted and have not assessed HCU.

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Understanding components of Maternal Diet among those diagnosed with Gestational Diabetes and/or Hypertension in Flint, MI [Community based participatory research]

Annals of Family Medicine

Participants were recruited from two clinics in Flint, Michigan, a low-income urban community facing numerous health disparities. Study Design and Analysis: This cross-sectional study utilized self-reported baseline data from a longitudinal study.

Diagnose 130