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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. We demonstrated the capacity to implement data-drive QI approaches to support patient care across health care sectors using the novel merged datasets.

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

Annals of Family Medicine

Objective: To determine how primary care providers (PCP) utilize the eConsult platform. It includes templated eConsult exchange data extracted from the electronic health record. Setting or Dataset: CUSOM and University Hospital. Intervention/Instrument: eConsult platform and electronic health record.

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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. Referrals were not placed for patients being discharged to another facility or who already had an outside primary care provider.

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Electronic Nudge Letters Do Not Improve Guideline-Directed Medical Therapy in CKD

Physician's Weekly

TUESDAY, June 17, 2025 (HealthDay News) — Neither delivery of electronic nudge letters nor letters to general practice increase uptake of guideline-directed medical therapy (GDMT) among patients with chronic kidney disease (CKD), according to a study published online June 7 in Circulation. Kristoffer Grundtvig Skaarup, M.D.,

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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. MDPCP promises to narrow the primary care-subspecialist reimbursement gap and provide opportunities to improve patient care in the short term.

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ICU telemedicine programs bring essential critical care to community hospitals

Sound Physicians

With the absence of intensivists on the ground in these community hospitals, the question becomes how to treat these patients where and when they need care. Our tele-ICU program , which is part of our critical care specialty, has brought meaningful and much-needed intensive care to remote communities for the past five years.

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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

We provide many more services over the phone and virtually and we have a whole division for preventative care. And, as the NEJM article points out, there are no financial incentives to have nurses or other non-providers manage routine problems like hypertension in our current system. 1) Healthcare is not at all customer centered.

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