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A Multi-Sector Pilot Design in the Northeast Ohio QI Hub: Engaging Community Based Organizations to Advance Diabetes Equity [Health care disparities]

Annals of Family Medicine

Population Studied: We conducted focus groups, key informant interviews, and in-depth interviews with leaders from ODM, CBOs, and regional health systems, triangulated with thematic review of community health needs assessments.

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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

In both cases, TBC can help by providing a collaborative approach to care that can better manage the complex needs of patients.

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Pain-Related Medication in Adults with Intellectual Disability: a systematic review [Pain management]

Annals of Family Medicine

Setting or Dataset: All health/community settings. Intervention/Instrument: No intervention; study included if reported any analgesic or non-analgesic medication used to manage pain or treat a painful condition. Measures: Varied by study design; self/carer-report or electronic health records (EHR).

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Implementation of Combined PCBH and CCBHC Models: Key Considerations

Integrated Care News by CFHA

On January 7, 2025, SAMHSA announced the award of one-year Certified Community Behavioral Health Clinics (CCBHCs) Demonstration planning grants to 14 states and Washington, D.C., Develop shared documentation and communication practices that support continuity of care without creating duplicative efforts.

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Patient Perceptions of a Lifestyle Medicine Clinic in Southwest Virginia [Mixed methods research]

Annals of Family Medicine

Context Lifestyle Medicine (LM) is an evidence-based approach to prevention and treatment of chronic disease by addressing six pillars: physical activity, nutrition, sleep and stress management (recovery), connection, and substance use. There is limited research on implementation of LM in medically underserved communities.

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Feasibility,reliability,validity of an electronic Frailty Index based on Comprehensive Geriatric Assessment in Primary Care [Community based participatory research]

Annals of Family Medicine

To promote early management of frailty, we developed an electronic Frailty Index based on deficit accumulation in a Comprehensive Geriatric Assessment (eFI-CGA) from electronic health records. Conclusion: The study supports the role of eFI-CGA in geriatrilizing primary care for early assessment and management of frailty.

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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.

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