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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. We demonstrated the capacity to implement data-drive QI approaches to support patient care across health care sectors using the novel merged datasets.

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A Novel Definition of Urinary Tract Infection across a National Primary Care Network [Geriatrics]

Annals of Family Medicine

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Conclusions We developed and validated a novel EMR-based UTI case definition using a pan-Canadian primary care dataset.

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Test-Retest Reliability of Electronic Handgrip Dynamometry and Accelerometry Measured Muscle Function in Older Adults [Musculoskeletal and rheumatology]

Annals of Family Medicine

Measures of handgrip strength are collected in primary care settings as a vital sign for the prevention of health conditions related to low muscle strength. Objective: We sought to determine the test-retest reliability of electronic handgrip dynamometry and accelerometry measured muscle function in older adults.

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Association of Tobacco Assessment and Cessation Assistance with Social Determinants of Health Risk in Primary Care [Smoking cessation]

Annals of Family Medicine

Setting or Dataset: Electronic health record data from 11 community-based clinics within a safety-net system in the Midwest from 07/01/2021-3/31/2024. Population Studied: 119,926 adult patients with one or more primary care visits during the 30-month study period. Design and Analysis: Observational study.

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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., CCBHCs focus on comprehensive behavioral health services, ensuring 24/7 crisis care, care coordination, and a broader continuum of behavioral health treatment.

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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. Here, we examined the feasibility, reliability, and validity of the eFI-CGA by primary care providers (PCP).

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

Annals of Family Medicine

There is limited research on implementation of LM in medically underserved communities. Objective To assess patient perceptions of a primary care-based LM clinic. Instrument: REDCap survey administered electronically or by phone. Setting: LM Clinic in the SW Virginia safety net.

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