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Exploring Primary Care Provider eConsult Utilization Trends [Health care services, delivery, and financing]

Annals of Family Medicine

Context: The University of Colorado School of Medicine (CUSOM) launched their eConsult program in 2018. Objective: To determine how primary care providers (PCP) utilize the eConsult platform. Top utilizers were defined as PCPs with ordering volume in the 75th percentile.

Utilities 130
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Differences in primary care utilization by primary care availability in the first year of Virginia Medicaid Expansion [Health care disparities]

Annals of Family Medicine

Study aesign and analysis: Multilevel linear probability models used to test the association between primary care utilization and geographic accessibility of primary care providers (PCP) after controlling for demographic characteristics, medical conditions, rurality, and neighborhood-level racial and economic segregation.

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Predicting Likelihood of Missed Appointments in Primary Care [Health care informatics]

Annals of Family Medicine

Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. Setting Family medicine clinics in an academic medical center in southcentral Pennsylvania. The RF models had an AUROC of 0.87 for CA, 0.85 for NS, and 0.92

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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. The complex dynamics of human systems driving Super-utilization lack prominence.

Utilities 130
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Resident Voices: Key Findings from Journal Club Surveys [Education and training]

Annals of Family Medicine

Last year, our Family Medicine Residency Program restructured the Journal Club to incorporate a more resident-driven approach. Additionally, residents were provided with a detailed rubric outlining specific metrics on which their presentations would be evaluated.

Education 130
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The Impact of Integrated Care on Healthcare Utilization and Costs: Evidence from the Kansas Health Homes Medicaid Program [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

These individuals are often high utilizers of health care services, with some of the costliest services being hospital admissions and emergency department (ED) visits. This study also provides the first formal evaluation of the KHH program.

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Economic analysis of virtual Medical Legal Partnership model [Economic or policy analysis]

Annals of Family Medicine

Objective: Evaluate the economic impact of receiving tele-legal services from Medicaid’s perspective with regard to a) fee- for service (FFS) total cost of care; b) FFS cost of primary care; c) utilization for FFS primary care; d) utilization for FFS and capitated behavioral health (BH) and BH emergency department encounters.