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

Context: Patient portals (PPs) are online healthcare platforms enabling patients access their electronic health records and offering different features to help patients manage their care such as viewing and entering health information, and permitting asynchronous communication between patients and their providers.

Patients 130

Patients Primary Care Appointment Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Electronic health records (EHR) and patient portal systems have resulted in an unrestricted, undefined, and often uncompensated workload for Primary Care providers. Little information exists regarding the volume of work due to electronic portal messaging and if disparities exist among gender, race, age, and specialty of the provider.

Electronics 130

Electronics Primary Care Provider Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Central tenets of primary care are essential to the delivery of effective MCC care: person & family-centered, comprehensive, equitable, team-based, collaborative, coordinated and integrated. The emergence of FIHR enables the development of interoperable apps to facilitate comprehensive, shared care planning.

Chronic Condition 130

Chronic Condition Patient-Centered Primary Care Electronics 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

Population Studied: We conducted focus groups, key informant interviews, and in-depth interviews with leaders from ODM, CBOs, and regional health systems, triangulated with thematic review of community health needs assessments. Setting: Northeast Ohio.

Community 130

Community Diabetes Referral Screening 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. We collected patients’ sociodemographic information at T1, and HIV viral loads at T1 and T3.

Clinic 130

Clinic Patients Electronics Management 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.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Administrative electronic health record (EHR) datasets offer a low-cost opportunity to investigate influences on knee osteoarthritis (OA) prevalence and outcomes such as total knee arthroplasty (TKA).

Diagnosis 130

Diagnosis Electronics Physicals Clinic 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

Instrument: REDCap survey administered electronically or by phone. The survey highlighted motivators and barriers unique to this underserved population that will be used to inform efforts to quality of care in primary-care based LM clinics. Setting: LM Clinic in the SW Virginia safety net.

Clinic 130

Clinic Patients Primary Care Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Reviews were identified through a search of scientific electronic databases: MEDLINE, CINAHL, PsycInfo, AMED, Healthcare Administration Database, ABI/INFORM Collection, Cochrane Database of Systematic Reviews, Epistemonikos, and Scopus. A patient partner from the Deaf community collaborated on each step of this project.

Finance 130

Finance Community Consulting Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: This evaluation was informed by the integration of community-based participatory research (CBPR) and transformative action research and grounded in the culture of this community which is built upon relational equity and their pre-established values which are: trust, kindness, respect and humility.

Patients 130

Patients Community Primary Care Electronics 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

MAY 27, 2025

PURPOSE Increased workload associated with electronic visits (eVisits) in primary care could potentially be decreased by the use of artificial intelligence (AI); however, it is unknown whether this use of AI would be acceptable to staff and patients.

Primary Care 130

Primary Care Electronics Patients Appointment 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. Application of validated algorithms to capture mental health conditions can inform disease surveillance and health system planning. depression, anxiety, bipolar disorder), and schizophrenia.

Primary Care 130

Primary Care Electronics Medical Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

Electronic risk assessment and communication may enhance screening and prevention, but patient perspectives are understudied. Study design and analysis Our approach was informed by the Theoretical Framework of Acceptability. Results Most participants’ risk level matched their expectations, informed by prior knowledge.

Screening 130

Screening Patients Referral Families 130

Annals of Family Medicine

NOVEMBER 20, 2024

family medicine) and the need for education in this area. Conclusions The role and responsibilities of Family Medicine providers about PGx require further study. Objective The aim of this study was to explore the role of PGx in primary care (i.e. Recurrent themes were identified.

Primary Care 130

Primary Care Education Family Medicine DO 130

Family Medicine Initiative

APRIL 9, 2024

9 The American Academy of Ophthalmology offers more information here 11. million electronic health records in the USA showed a lower risk for suicidal thoughts in those taking semaglutide than in those taking other weight loss medications. mg is not recommended. Pancreatitis The EMA considers pancreatitis uncommon (0.2%

Diabetes 130

Diabetes Patients Medical Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Latent extracted terms and conceptual symptoms helped users gain confidence in AI, better informed diagnostics, PCPs understandings. Conclusion Osteoporosis narrations had sufficient semantic properties for the machine to learn and accurately distinguish them from endocrinology cases.

Consulting 130

Consulting Electronics Primary Care PCP 130

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

Results/Findings Information management is central to health care delivery, but often not valued or actively supported. Within primary care most administrative work requires both information management and clinical judgment. Qualitative interpretation and analysis involved representatives from each stakeholder group.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 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. Text strings alone had a sensitivity of 44% to 60% and specificity of 90% to 90% in development (N=141) and validation (N=141) cohorts. Conclusions.

Medical 130

Medical Clinic Electronics IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: We performed a scoping review searching three electronic databases. The reviews contained either a framework or information that was used to construct our newly developed framework for AI-enabled Digital Twins in Clinical Decision-making.

Clinic 130

Clinic Electronics Screening Physicals 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: We conducted 25 semi-structured interviews informed by the Health Equity Implementation Framework. Interviews were transcribed and then analyzed using a combination of content and thematic analysis. Setting: Primary care clinics in the Minneapolis-St.

Primary Care 130

Primary Care Screening Clinic Preventive Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

This analysis was part of a larger implementation study called PATHWEIGH, which provides a toolset embedded in the EpicTM electronic health record and other supportive services to help practices provide weight management to their patients. Study Design and Analysis: Qualitative study involving key informant interviews over two years.

Primary Care 130

Primary Care Electronics Provider Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Results: Based on the electronic databases (Medline, Embase, CINAHL) search and the reference list of key studies, from 2967 studies, 30 were eligible for the final review. Indicators were classified according to the primary care performance measurement framework proposed by the World Health Organization and the quintuple aim framework.

Primary Care 130

Primary Care Electronics Individual Provider 130

BMJ

AUGUST 20, 2021

By Paul Amendola, Executive Director, VecnaCares Reference: Bartlett L , Avery L , Ponnappan P , et al, Insights into the design, development and implementation of a novel digital health tool for skilled birth attendants to support quality maternity care in Kenya, Family Medicine and Community Health 2021; 9: e000845.

Patient-Centered 40

Patient-Centered Provider Clinic Patients 40

Permanente Medicine

MAY 20, 2025

Contributing to this challenge is the exponential growth of information, an expanding population of older adults, and office visit documentation. In addition, Dr. Nguyen co-chairs the SCPMG Virtual Medical Center and brings extensive expertise as a practicing family medicine physician at Kaiser Permanente.

Patient-Centered 52

Patient-Centered Patients IT Medical 52

GeriPal

JULY 19, 2024

Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. I heard this beautiful thing the other day, which was to an electronic medical record, I am not a whole person. I think she’s the creator of the mini cog.

Screening 119

Screening Primary Care Patient-Centered IT 119

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: American Family Cohort, a data asset including electronic health records of 8 million patients from family practices across 50 US states. These findings inform our understanding of PCC burden and may have clinical utility for directing care where most needed.

Primary Care 130

Primary Care Patients Diagnosis Family Practice 130

Mesa Family Physician

MARCH 6, 2025

Dr. James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine. Your provider updates this information at each visit to maintain an accurate picture of your health journey.

Preventive Care 100

Preventive Care Preventative Care Appointment Screening 100

Annals of Family Medicine

NOVEMBER 20, 2024

Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. Cancer Prevention: Little to no awareness or information about cervical cancer. Objective(s): Understand the unique lived experiences of Latinas with cervical cancer over 45 years old across the cancer care continuum.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 130

Annals of Family Medicine

NOVEMBER 20, 2024

Methods: We conducted a scoping review informed by the Joanna Briggs Institute (JBI) review recommendations and an experienced librarian developed a search strategy. Results: After the removal of 585 duplicates, we screened 1018 titles and abstracts.

Healthcare 130

Healthcare Electronics Screening 130

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. LaVera: I trained at UCSF in family medicine. That’s a lot of information [inaudible 00:35:43], but I share some of that. You started off as a physician, right? LaVera: Yes. Absolutely loved it.

IT 99

IT Patient-Centered Families Family 99

BMJ

JUNE 25, 2021

Findings from a longitudinal study using primary care records, Family Medicine and Community Health 2021; 9: e000780. 9 The availability of electronic health records makes it easier to follow up on patients’ health information for an extended period. and the prediction window at 5 years. 16 Figure 1.

Primary Care 40

Primary Care Clinical Practice Electronics Clinic 40