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. Community Partnerships: Mayo Clinic collaborates with local food banks to offer mobile food distributions.

Family Physician 52

Family Physician Community Family Families 52

Physician's Weekly

JUNE 13, 2025

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.

Chronic Disease Management 52

Chronic Disease Management Community Chronic Disease Education 52

Annals of Family Medicine

NOVEMBER 20, 2024

A recent review of national diabetes treatment guidelines recommended adjustments to DM to reduce financial strain (eg, selecting lower cost medications), as well as directly intervening in response to an identified social need (eg, referral to a community-based service).

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

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").

Diabetes 130

Diabetes Clinic Transportation Internal Medicine 130

The Physicians Foundation

AUGUST 15, 2024

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.”

Primary Care 40

Primary Care Community Chronic Disease Management Education 40

Blood, Sweat, and Tears

MAY 24, 2022

She was deeply involved in community outreach projects and truly cared for the community she was a part of. Sister N pointed to the screen with a blood pressure reading of 180/110. But I was glad no one needed referral. The phone rang, a referral from a clinic so I left to take the call. Everyone loved her.

Referral 52

Referral Community Patients Specialization 52

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. What can we do as a community?

Community 115

Community Transportation IT PCP 115

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 96

Primary Care Diagnosis Screening IT 96

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. And what does that referral process look like? So that part we know and I.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. Is there a screening tool that we can use, or just questions that you ask older adults around driving safety? “Do you guys do this?”

IT 102

IT Family Families Diagnosis 102

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . James: Yeah. Eric: What other decisions?

IT 95

IT Clinic Screening Patients 95

GeriPal

APRIL 6, 2023

We are also joined by LaVera Crawly, a physician turned chaplain, now VP of Spiritual Care at Common Spirit Health (and author of another of my favorite and most cited papers on palliative care in the African American Community ). It is a screening? And the screening questions would just allow you to know that. Lexy: Great.

IT 99

IT Patient-Centered Family Families 99

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment. But what we wanted to do was to control for regional … what’s that called?

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

JULY 20, 2023

And I think that it was percolating in a lot of the palliative care community. And how are you going to know that when you’re just getting random referrals from teaching hospitals, for example? So it developed all this issue around what is a qualifying referral that would allow me to do telehealth prescribing?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73