Annals of Family Medicine

NOVEMBER 20, 2024

Context: This work was done in the context of a regional quality improvement (QI) collaborative funded by the Ohio Department of Medicaid (ODM) focused on advancing diabetes equity through cross-sectoral QI infrastructure. We are one of 6 regional QI collaboratives statewide.

Community 130

Community Diabetes Referral Screening 130

Permanente Medicine

JUNE 3, 2025

When you put in that referral, how do we make sure that that patient walks out with the specialty appointment versus phone tag. Let’s get this important cancer screening test done. Let’s say a diabetic comes in and they’re on metformin. They’ll also pen the rheumatology referral. You’re all set.

IT 52

IT Patient-Centered Patients Medical 52

GeriPal

SEPTEMBER 7, 2023

Because a lot of my colleagues, who are like transplant coordinators for example, are asking, “Can you help us better screened for which older adults would be fit enough to go for transplant? There’s really no added extra resource or time that the coordinators really need to put to doing the screening, themselves.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130