Annals of Family Medicine

NOVEMBER 20, 2024

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.

Referral 130

Referral Community Transportation Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

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.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

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. M Health Fairview’s Fair Table program ensures convenient access to food during medical appointments.

Family Physician 52

Family Physician Community Families Family 52

Logansport Memorial Hospital

MARCH 4, 2024

Together with the Pain Management Group (PMG), Logansport Memorial is dedicated to providing high-quality care right here in our community. We are grateful for the invitation to be a part of the Logansport Medical Community,” shared Mark Ozimek, PMG’s President. A referral from a provider is not required but is recommended.

Management 52

Management Patient-Centered Community Referral 52

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations. Are medications part of that, too? So, a lot of medications, you can see the secondary effects of dysphagia causing those, as well.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. Word of mouth spread rapidly.

Community 115

Community Transportation IT PCP 115

GeriPal

JUNE 5, 2025

The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. Like, yeah, utilization of hospice has increased pretty well.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78