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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

Objectives: To link primary care electronic medical record (EMR) data with community and hospital data and to test the utility of the merged dataset through a targeted quality improvement (QI) intervention among high-risk patients with chronic obstructive pulmonary disease (COPD).

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Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

Annals of Family Medicine

Context: Medical legal partnerships (MLP) are an effective intervention for social determinants of health, like housing, education, and employment status. Descriptive analysis utilized primary legal record and secondary electronic health record sources. Nine focus groups were conducted and recorded, using semi-structured interviews.

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Exploring Trends in Postpartum Hemorrhage with SHRINE Network Aggregated Electronic Health Records (EHR) Data. [Health care disparities]

Annals of Family Medicine

Healthcare research involving patient medical data is often delayed by lengthy approval processes. The Shared Health Research Information Network (SHRINE) offers rapid, secure access to aggregate counts of patient data from participating hospitals.

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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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Health Trends Across Communities: a healthcare system-public health collaboration to advance health equity across Minnesota [Population health and epidemiology]

Annals of Family Medicine

Context: Public health data in the Unites States often report on a limited number of conditions, are unable to identify trends in small geographic regions, or are not timely enough to inform current policy. Objective: To use summary EHR information to support efforts to improve community health and health equity in Minnesota.

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Clinical outcomes of administering an ePROM of barriers to adherence to ART to people with HIV through a patient portal [Clinical research (other)]

Annals of Family Medicine

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. 10 to T3=2.3/10), and Economic Situation (2.4;2.6), and Care (1.3;1.4).

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Adoption, implementation, and impact of a Diabetes Navigator program based in primary care [Diabetes and endocrine disease]

Annals of Family Medicine

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. Navigator outreach time parallels that of a standard 15-minute clinic visit, on average.