Integrated Care News by CFHA

MAY 1, 2025

Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025). Annals of Family Medicine , 23(1), 5–6. My 12‑year‑old’s pediatrician had just urged us to add more produce to her diet but cajoling her into eating it felt impossible.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

Annals of Family Medicine

NOVEMBER 20, 2024

Understanding SDOH documentation in electronic health records (EHRs) is crucial for care management to improve patient outcomes and mitigate health inequities. Objective: To explore how family physicians document SDOH in EHRs and identify factors influencing this practice Study Design and Analysis: A cross-sectional observational analysis.

Family Physician 130

Family Physician Electronics Family Families 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. serum ferritin below 15 μg/mL).

Clinic 130

Clinic Primary Care Electronics Individual 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. Context: Adherence to antiretrovirals (ART) by people with HIV (PWH) is crucial, however, many face obstacles that go undiscussed with health professionals.

Clinic 130

Clinic Patients Electronics Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Measures: Varied by study design; self/carer-report or electronic health records (EHR). Context: Adults with intellectual disabilities (ID) experience multiple chronic conditions (MCCs) and polypharmacy at a younger age than those without ID. Study Design and Analysis: Systematic review (PROSPERO CRD42023415051).

Management 130

Management Medical Healthcare Professional Chronic Condition 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). However, it is unclear whether results would generalize to other healthcare populations.

Diagnosis 130

Diagnosis Electronics Physicals Clinic 130

Annals of Family Medicine

NOVEMBER 20, 2024

To promote early management of frailty, we developed an electronic Frailty Index based on deficit accumulation in a Comprehensive Geriatric Assessment (eFI-CGA) from electronic health records. Here, we examined the feasibility, reliability, and validity of the eFI-CGA by primary care providers (PCP). at baseline and 0.87

Primary Care 130

Primary Care Electronics PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Instrument: REDCap survey administered electronically or by phone. Setting: LM Clinic in the SW Virginia safety net. Population Studied Patients who were referred to or attended the LM clinic between 5/1/22 and 5/31/24 (n=575). Experience with the LM clinic was rated 7 +/– 2.7 out of 10.

Clinic 130

Clinic Patients Primary Care Chronic Disease 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. We analyzed verbatim transcripts using thematic analysis.

Primary Care 130

Primary Care Electronics Patients Appointment 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design Cross-sectional study combining patients’ screening data from the electronic health record (EHR) with self-reported social needs. Objective To understand how patient-reported social needs are associated with cervical cancer screening in a fully insured population. Dataset Utilized data from a large integrated health system.

Screening 130

Screening Relationship Insurance Electronics 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

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

Family Medicine Initiative

APRIL 9, 2024

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. Der Beitrag Key Facts GPs Should Know About GLP-1 Analogs erschien zuerst auf Family Medicine Initiative. mg is not recommended. 17 An analysis of 1.8

Diabetes 130

Diabetes Patients Medical Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Five electronic databases were searched: MEDLINE, CINAHL Cochrane Library, Web of science, SCOPUS and Google scholar Population Studied: We included all clinical trials examining the impact of vitamin D supplementation on LBP, regardless of the form, dosage, or route of administration, and featuring a placebo control group.

Patients 130

Patients Electronics Screening Clinic 130

Annals of Family Medicine

MARCH 24, 2025

METHODS We used electronic health records from the PRIME registry to identify patients with diagnosis codes or positive test results for chlamydia and/or gonorrhea from 2018 to 2022. Nonadherence to the Centers for Disease Control and Prevention treatment guidelines remains a concern.

Primary Care 130

Primary Care Patients Patient-Centered Family 130

Noreta Family Medicine

JUNE 25, 2024

It seems that no medical director wants to be the first to agree to pay for a “new” medication, even if it has been on the market for years and has been shown to be the most effective medicine out there! While some medical offices have changed to electronic forms, many still require that you put pencil to paper.

Healthcare 52

Healthcare Insurance Primary Care Board-Certified 52

Annals of Family Medicine

NOVEMBER 20, 2024

It includes modifications to the EpicTM electronic medical record (EMR) for guidance on treatment alternatives, support for provider-patient communication and goal setting, billing and coding support, and a new visit type called a Weight Prioritized Visit (WPV).

Primary Care 130

Primary Care Management Electronics Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset: Electronic health record data from 541 community-based clinics across 17 states in the OCHIN network from 01/01/2019-5/31/2023. In the years following the PHE, rates of screening for tobacco use decreased, particularly during telehealth visits. It is unknown if these changes in screening persist.

Primary Care 130

Primary Care Screening Telehealth Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

From an operational perspective, effective communication was supported through keeping communication channels open with regular meetings adapted to new modes of care delivery, daily huddles, and electronic tools. From a relational perspective, having contributions recognized by colleagues was key to maintaining effective team functioning.

Primary Care 130

Primary Care Nurse Practitioner Management Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Electronic risk assessment and communication may enhance screening and prevention, but patient perspectives are understudied. Context Few affected by hereditary cancer syndromes know their cancer risk. We interviewed 28 participants from arm 2 and 32 from arm 3. Outcome measures Participants’ understanding of risk assessment results.

Screening 130

Screening Patients Referral Family 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. We also explored factors affecting differences in sensitivity and specificity.

Medical 130

Medical Clinic Electronics IT 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. Cards are usually printed on heavy-stock paper, include 2-5 questions, and take >3 minutes to complete at a patient visit.

PCP 130

PCP PCP Primary Care Management 130

Permanente Medicine

MAY 20, 2025

Nguyen shared the multiple benefits of an AI ambient listening tool — recently rolled out nationally to more than 25,000 Permanente physicians — that transcribes office visits (with patient consent) that can be edited and added to electronic health records. Our guest for this episode is Dr. Khang Nguyen.

Patient-Centered 52

Patient-Centered Patients IT Medical 52

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

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. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it? Who should get it if anyone?

Screening 119

Screening Primary Care Patient-Centered IT 119

Annals of Family Medicine

NOVEMBER 20, 2024

Primary care patients were identified using electronic health records from an academic medical institution in the Mountain West and consented to complete an electronic questionnaire on 54 potential post-COVID-19 symptoms, available in English and Spanish.

Primary Care 130

Primary Care Hospital Patients Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. Objective(s): Understand the unique lived experiences of Latinas with cervical cancer over 45 years old across the cancer care continuum. Verbatim transcripts in English and Spanish were analyzed in NVivo 14.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 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. Many practices now offer electronic pre-registration that can be completed before your appointment.

Preventative Care 100

Preventative Care Preventive Care Appointment Screening 100

Georgetown Pediatrics & Family Medicine

FEBRUARY 10, 2023

Try shutting off the lights, putting your phone away, sleeping in a cool and comfortable bed, limiting electronics in the bedroom, and having no caffeine after 4pm. Family Genetics: If you can, ask your loved ones about their medical history (especially parents and siblings). Smoking affects the flow of your veins and arteries.

Primary Care Physician 40

Primary Care Physician Family Medicine DO Appointment 40

Annals of Family Medicine

NOVEMBER 20, 2024

Dataset OCHIN electronic health record data from 27 US states. Context Human papillomavirus (HPV) is a common sexually transmitted infection that can lead to multiple types of cancer. HPV vaccination is recommended for all children starting at age nine years, and it is most effective before HPV exposure.

Vaccination 130

Vaccination Community Clinic Screening 130

GeriPal

APRIL 6, 2023

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. It meets in-person, once a month, over nine sessions. First, the lyrics, that’s the main reason why I chose it. The theme is death. LaVera: Yeah.

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. Atherosclerosis. 2019;283:28-34.

Primary Care 40

Primary Care Clinical Practice Electronics Clinic 40