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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.

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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. Setting: Northeast Ohio.

Community 130
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Multisector Health Equity Coordination in a Midwestern Primary Care Practice, 2022-2023 [Social determinants and vulnerable populations]

Annals of Family Medicine

Context: The rise in social needs screening in primary care settings has led to questions about program design and implementation strategies. Multisector coordination is critical for effective screening and referral initiatives.

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Combating Food Insecurity in Minnesota

Minnesota Academy of Family Physicians

A Collaborative Approach Between Health Care Providers and Community Partners Food insecurity affects thousands of Minnesotans, often contributing to chronic health conditions and overall poor health outcomes. Community Partnerships: Mayo Clinic collaborates with local food banks to offer mobile food distributions.

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A Call for Engagement Outside of the Exam Room

Physician's Weekly

Many of us are taught in medical school and residency the importance of patient communication on improving patient satisfaction scores, quality metrics, and professional fulfillment. However, a less examined aspect is patient and community engagement outside traditional healthcare settings.

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Barriers to and Facilitators of Participant Engagement in a Multi-level Intervention for Type 2 Diabetes and Food Insecurity [Clinical trial]

Annals of Family Medicine

Population Studied: Adults (≥18 years) who receive care at an affiliated clinic, screen positive for food insecurity, have a T2D diagnosis, and an A1c level > 7.5%. All participants are referred to receive free produce ("standard of care").

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The Physicians Foundation Announces New Recipient in Leadership Award Program, Recognized for Addressing Drivers of Health

The Physicians Foundation

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.”