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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

A Compass Rose episode was automatically generated in the patient’s medical record in Epic if patients indicated that they had at least one of the four social risk factors on the screening tool. We had lower referral completions than expected because of the difficulty connecting with patients asynchronously.

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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. Referral to counseling (7.5% overall) and provision of tobacco cessation medications (3.5% overall) were very low and did not significantly differ by level of SDOH risk.

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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., Journal of clinical psychology in medical settings , 25 (2), 109–126. Dobmeyer, A. C., & Hunter, C.

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Effect of brief dermoscopy training on primary care providers' diagnostic accuracy on a test and in practice [Education and training]

Annals of Family Medicine

Study Design and analysis: Phase 1) Primary care providers completed a skin lesion identification test before and after brief dermoscopy training, and Phase 2) Diagnostic accuracy and biopsy and referral practices for the year prior to the course and the year following the course were compared.

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Primary Care Perspectives on Access to Specialty Care in Rural Communities: A Mixed-Method Study [Health care disparities]

Annals of Family Medicine

Rural facilities report challenges and solutions to meet community needs for specialty care. American Medical Association Physician Masterfile Population Studied: Cardiologists, neurologists, oncologists, or pulmonologists; rural health systems leaders. Objective: This study sought to analyze changes in the U.S. Setting/Data Set: U.S./American

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Addressing diabetes management in the context of social needs: a qualitative study of primary care providers [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. family medicine, general internal medicine, endocrinology) affiliated with an academic medical center serving a diverse population in a mid-western metropolitan area. Setting: Ambulatory clinics (e.g.,

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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.