Annals of Family Medicine

NOVEMBER 20, 2024

Context Journal Club serves as an essential platform in medical education for enhancing critical thinking skills, promoting evidence-based practice, and fostering scholarly discussions among residents. Last year, our Family Medicine Residency Program restructured the Journal Club to incorporate a more resident-driven approach.

Education 130

Education Family Medicine DO Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: Retrospective chart search of the electronic medical records of a specific sub-group of patients at UNMC. Number of patients who meet inclusion criteria at Family Medicine Clinics: 6,551 Patients. Setting: Criteria Time Frame: 2013-01-01 to 2023-12-31. are Not Hispanic or Latino and 87.7%

Internal Medicine 130

Internal Medicine Family Medicine DO Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Data includes secondary data gathered through Epic electronic medical records system as well as primary data collected from physicians, APPs, and staff working in the MU.

Primary Care 130

Primary Care Management Telehealth Hypertension 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To synthesize literature on pain-related medication in adults with ID and examine how it relates to MLTCs and polypharmacy and explore the views of adults with ID, caregivers and healthcare providers on pain medication use. Measures: Varied by study design; self/carer-report or electronic health records (EHR).

Management 130

Management Medical Healthcare Professional Chronic Condition 130

The Health Policy Exchange

SEPTEMBER 2, 2020

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. What hasn't changed is that our family medicine residents remain excited about health policy and advocacy. Phillips, Jr.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 130

Annals of Family Medicine

NOVEMBER 20, 2024

Healthcare research involving patient medical data is often delayed by lengthy approval processes. The Shared Health Research Information Network (SHRINE) offers rapid, secure access to aggregate counts of patient data from participating hospitals.

Electronics 130

Electronics Patient-Centered Utilities Hospital 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Electronic health record (EHR) order preference lists and order sets potentially improve efficiency but have limited utility in complex primary care settings. Intervention: We introduced a comprehensive collection of pre-configured nested order panels (xOrders) for the top 80% medication and laboratory orders in adult primary care.

Primary Care 130

Primary Care Nurse Practitioner Finance Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Electronic health records from the PRIME Registry, years 2018-2022. The electronic health records are stored in the American Family Cohort, the largest national United States primary care database. The secondary outcome was the time to first date of any antibiotic medication within 30-days.

Primary Care 130

Primary Care Family Families Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Nonsteroidal anti-inflammatory drugs (NSAIDs) are common medications with numerous well documented adverse effects, leading many professional organizations to recommended that certain patient populations avoid regular use. Intervention/Instrument: Video-novel, 4-minute electronic education video addressing OTC NSAIDs.

Education 130

Education Patients Electronics Hypertension 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Social determinants of health (SDOH) significantly impact health outcomes more than medical care alone, yet their integration into decision-making is inconsistent. Understanding SDOH documentation in electronic health records (EHRs) is crucial for care management to improve patient outcomes and mitigate health inequities.

Family Physician 130

Family Physician Electronics Families Family 130

Annals of Family Medicine

NOVEMBER 20, 2024

A higher concentration of medication in the body can lead to more side effects such as headaches, dizziness, or tremors. family medicine) and the need for education in this area. Conclusions The role and responsibilities of Family Medicine providers about PGx require further study. Recurrent themes were identified.

Primary Care 130

Primary Care Education Family Medicine DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: Retrospective analysis of electronic medical data obtained from the Canadian Primary Care Research Network, Southern Alberta Primary Care Research Network (SAPCReN-CPCSSN). Instrument: Secondary data were extracted from de-identified SAPCReN-CPCSSN electronic medical records.

Clinic 130

Clinic Primary Care Electronics Individual 130

Family Medicine Initiative

APRIL 9, 2024

Demand for new obesity medications like semaglutide (GLP-1 analogs) is high, but availability is low. Yes, one year after stopping the medication, patients regain ½ – ⅔ of their previous weight loss: What are other clinical benefits? Stopping the medication leads to a rebound effect (½ – ⅔ weight regain after one year).

Diabetes 130

Diabetes Patients Medical Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

We used the patient portal (Opal) to administer the I-Score, a 7-item electronic patient-reported outcome measure (ePROM) of barriers to ART adherence. 10), Habits/Activities (1.8;1.7), Medication (2.1;1.5), and Health (2.0;1.3), but increased for: Social (2.5;2.9) 10 to T3=2.3/10), and Economic Situation (2.4;2.6), and Care (1.3;1.4).

Clinic 130

Clinic Patients Electronics Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting & Dataset: The CPCSSN database contains de-identified patient-level electronic medical record data from 13 primary care research networks across Canada. Qualitative interviews (n =19) identified disruptions to ongoing diabetes care: access to supplies and medications, limited encounters with physicians or specialists (e.g.,

Primary Care 130

Primary Care Diabetes Finance Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: Patients with recent hemoglobin A1c levels of ≥8% were invited to join the Diabetes Navigator program, identified through the electronic health record at two academic primary care clinics. Navigator outreach time parallels that of a standard 15-minute clinic visit, on average.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To validate and apply electronic medical record (EMR)-based definitions for mood and anxiety disorders (inc. Context: Mental health conditions have increasing prevalence, co-occurrence, and high management burden within primary care settings. depression, anxiety, bipolar disorder), and schizophrenia.

Primary Care 130

Primary Care Electronics Medical Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Health Trends Across Communities (HTAC) is a collaboration of Minnesota healthcare systems and state and local public health that helps fill the gap in community health information by providing timely, detailed, and accessible summary electronic health record (EHR) information and reports. Population Studied: Minnesota residents.

Community 130

Community Healthcare Electronics Illness 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting/Dataset: 121,570 registered patients over 18 years of age with an email address available in their electronic medical record. Setting: 104 PHC clinics across Quebec, Canada. Measures: The optimal number of profiles (four) was determined using LCA measures (best model determined by AIC, BIC, and entropy).

Healthcare 130

Healthcare Clinic Chronic Condition Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

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. overall) and provision of tobacco cessation medications (3.5% Design and Analysis: Observational study. Referral to counseling (7.5%

Primary Care 130

Primary Care Referral Electronics Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or dataset: Electronic health record data from 25 primary care clinics in 3 FQHCs in Washington and Idaho PBRN from 2012-2017. Population Studied: Average-risk females ages 21-64 with ≥1 medical encounter and ≥1 routine CCS during 2012-2017.

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Lifestyle Medicine (LM) is an evidence-based approach to prevention and treatment of chronic disease by addressing six pillars: physical activity, nutrition, sleep and stress management (recovery), connection, and substance use. There is limited research on implementation of LM in medically underserved communities.

Clinic 130

Clinic Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Cross panel strategies where consensus was reached included: (1) educating PC providers on survivorship guidelines, (2) enabling screening reminders, templates, and monitoring alerts in the electronic medical record, (3) educating patients on survivorship and communicating needs with PC, and (4) increasing oncology-PC communications.

Primary Care 130

Primary Care Screening Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

These barriers combined with inadequate medical education on care for SGM patients contribute to poor reproductive outcomes, including high rates of teen and unplanned pregnancy. Population Studied: Adults who self-identified as SGM in North Texas.

Community 130

Community Patients Education Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

11 of 13 consensus criteria for CBI and 4 of 10 items for registry entry were voted as core data elements and are deemed feasible to be abstracted from electronic medical records (EMR).

Asthma 130

Asthma Primary Care Primary Care Physician Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Demographic data obtained from electronic health record included age, gender, race, and rurality, along with practice location, medical complexity and outpatient visits. Gender, medical complexity and patient reported intimate partner violence are not associated with attaining D5 metric.

Diabetes 130

Diabetes Relationship Primary Care Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To develop and validate a novel electronic medical records (EMR)-based UTI case definition that can be applied to elucidate and understand UTI treatment and practice patterns in primary care. Context Misdiagnosis and over-diagnosis of urinary tract infection (UTI) are a leading cause of inappropriate antimicrobial use.

Primary Care 130

Primary Care Clinical Practice Electronics Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: The Academic GP Developing Network Database (AHON), containing data from the electronic patient file of more than 460,000 patients was used for analysis. For analysis a logistic regression and a time varying covariates cox model were performed.

General Practice 130

General Practice GP Management Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Integration of patient reported social risk questionnaires in electronic health records allows for assessment of individual-level SES, but this data is frequently missing. Rural patients are more likely to be older, female, white, more medically complex with fewer outpatient visits. live in rural areas. live in rural areas. vs 3.0%.

Primary Care 130

Primary Care Patients Transportation Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

The I-Score is a new electronic patient-reported outcome measure (ePROM) of ART adherence barriers to be used in HIV care. Problems met included needing to: remind patients to complete the I-Score before medical visit (15 visits); re-initialize passwords (8); resolve connectivity issues (2); and re-install the patient portal (2).

Electronics 130

Electronics Patients Hospital Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

There is an urgent need to develop novel methods that accurately identify medication discontinuations in the electronic health record (EHR) to generate evidence to inform deprescribing. Develop and validate a text string search tool to identify medication discontinuation that will be adaptable and scalable across studies and settings.

Medical 130

Medical Clinic Electronics IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: As academic medical centers purposefully integrate telemedicine visits into primary care, efficacy studies are needed to appropriately guide resource allocation and triage processes. Population Studied: 87 primary care providers, including family physicians, internists, nurse practitioners, and physician assistants.

Telemedicine 130

Telemedicine Primary Care Provider Nurse Practitioner 130

Annals of Family Medicine

NOVEMBER 20, 2024

Successful implementation required the development of a scalable family history collection tool, the Genetic and Wellness Assessment (GWA) and Breast Health Assessment (BHA) tools; integrated pharmacogenomics programming; educational programming; electronic medical record integration; and robust clinical decision support tools.

Community 130

Community Patient-Centered Primary Care Electronics 130

Noreta Family Medicine

JUNE 25, 2024

Although the medical focus of this video is obesity, I was intrigued by the other highlighted theme – the endless spool of red tape in healthcare. Insert a different medical problem and a different medicine, and this situation repeats itself daily in a primary care office.

Healthcare 52

Healthcare Insurance Primary Care Board-Certified 52

Annals of Family Medicine

NOVEMBER 20, 2024

This study aims to analyze electronic medical record (EMR) data to understand these workload dynamics. Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits.

Primary Care 130

Primary Care Referral Provider Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To assess intervention fidelity, we are monitoring documentation in the electronic medical record (EMR) of each coached patient. Outcome Measures: Level of severity or control, SDM documentation, and changes in medications. Intervention/Instrument: Chart review. 002; OR [95%CI] 2.43 [1.356, 4.356]).

Asthma 130

Asthma Chronic Disease Primary Care Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

In 2022, Bunce et al embedded "card" questions into an electronic health record (EHR) with responses saved to the EHR database. Card responses were easily managed in the REDCap database, not in the medical record. Paper cards are easy to design and deploy but have associated costs (printing, postage, data entry, etc).

PCP 130

PCP PCP Primary Care Management 130