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Transitional Care Management care team impact on no-show rates to hospital discharge appointments [Patient education/adherence]

Annals of Family Medicine

Context: The Transitional Care Management (TCM) clinic visit is a uniquely billed visit type to review a recently discharged patient’s hospital course, reconcile medications, and continue ongoing workup. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

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Electronic Health Record Use and Patient-Centredness [Education and training]

Annals of Family Medicine

Context: Large-scale electronic health record (EHR) programs have reported a number of issues to their implementation in primary care including physician patient-centredness and clinical performance. Setting: An academic primary care clinic based in a hospital. Population: Ten resident physicians and six staff physicians.

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Implementation of a novel linkage of primary care electronic medical record data with hospital data in South Eastern Ontario [Big data]

Annals of Family Medicine

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. 1072 patients with COPD were identified within the merged dataset, 50% of whom visited the ED within two years. Following patient review by clinician, 77 patients were deemed eligible.

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Outcomes of a virtual CGM initiation service (virCIS) for primary care patients with diabetes [Diabetes and endocrine disease]

Annals of Family Medicine

However, its adoption has been slower in primary care settings compared to endocrinology practices, resulting in unequal access for patients with diabetes. Implementation of a virtual CGM initiation service can be valuable for enhancing CGM access to primary care patients with diabetes. Setting: Primary care practices in Colorado.

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Clap Outs

Mere Mortal MD

Friday was a special day at the rehabilitation hospital as we had what’s called a “clap out.” ” This is somewhat organized–as in, we will get an overhead page or text when it’s about to happen–and occurs when a patient has been at the hospital for a very long time.

Hospital 204
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Disaster preparedness, What we have learned from COVID 19 pandemic [COVID-19]

Annals of Family Medicine

COVID-19's impact surpasses previous pandemics, disrupting medical education by delaying clinical rotations and necessitating a rapid transition to telemedicine due to isolation and PPE shortages. We aim to highlight educational gaps for future pandemic preparedness.

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Evaluating the Impact of Data Visualization with China-PAR on Hypertension Management in Primary Care: A Pilot Study [Hypertension]

Annals of Family Medicine

Although data visualization is gaining traction in the hypertension, its use in health education and information dissemination is still underutilized. Objective This study aims to investigate the impact of data visualization using China-PAR on managing hypertension among primary care patients.