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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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Describing Differences Across Place and Provider in Canadian Team-Based Care Settings Using Electronic Health Records [Health care informatics]

Annals of Family Medicine

Community Health Centres (CHCs) provide TBC for both urban and rural populations with barriers to care in Ontario, Canada, and they share a common electronic health record (EHR) system that records codes assigned by providers during an encounter.

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Factors Associated with Documenting Social Determinants of Health in Electronic Health Records by Family Physicians [Social determinants and vulnerable populations]

Annals of Family Medicine

Understanding SDOH documentation in electronic health records (EHRs) is crucial for care management to improve patient outcomes and mitigate health inequities. Objective: To explore how family physicians document SDOH in EHRs and identify factors influencing this practice Study Design and Analysis: A cross-sectional observational analysis.

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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
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ICU telemedicine programs bring essential critical care to community hospitals

Sound Physicians

With the absence of intensivists on the ground in these community hospitals, the question becomes how to treat these patients where and when they need care. In many cases, patients who receive tele-critical care can stay in the community where they live and have a support network.

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Early Prevention of Critical Illness in Older Adults: Adaptation and Pilot Testing of an Electronic Risk Score and Checklist [Geriatrics]

Annals of Family Medicine

In this interdisciplinary collaboration, primary care and critical care clinician researchers came together with informatics and implementation experts to design this community-based pilot project. At the end of the pilot period health care team members were surveyed to determine the success of the implementation efforts.

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Position Statement on Measurement Based Care

Integrated Care News by CFHA

This position statement from the Collaborative Family Healthcare Association (CFHA) outlines our organizational commitment to Measurement-Based Care (MBC) as a foundational element of integrated healthcare. Families, Systems, & Health, 39(2), 259–268. Use of Measurement-Based Care for Behavioral Health Care in Community Settings.