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A Multi-Sector Pilot Design in the Northeast Ohio QI Hub: Engaging Community Based Organizations to Advance Diabetes Equity [Health care disparities]

Annals of Family Medicine

Population Studied: We conducted focus groups, key informant interviews, and in-depth interviews with leaders from ODM, CBOs, and regional health systems, triangulated with thematic review of community health needs assessments. Setting: Northeast Ohio.

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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. Results: We identified 176 patients with recent hemoglobin A1c ≥8%.

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

Annals of Family Medicine

Objective: 1) Test the virtual model of MLP to achieve more favorable economies of scale 2) Develop a policy-informed lexicon for MLP to inform model development, D&I research, and improve data sharing across models to ultimately advance sustainable state-based funding for MLP. Intervention/Instrument: Legal-needs screening tool.

Medical 130
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Artificial Intelligence in Health Care

Integrated Care News by CFHA

Evidence‑informed care was literally at his fingertips. 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). Within minutes he integrated the latest findings into practical recommendations for the family.

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Patient Perspectives on Obtaining Information About Inherited Cancer Risk via an Online Assessment Tool [Cancer research (not screening)]

Annals of Family Medicine

Electronic risk assessment and communication may enhance screening and prevention, but patient perspectives are understudied. Study design and analysis Our approach was informed by the Theoretical Framework of Acceptability. Results Most participants’ risk level matched their expectations, informed by prior knowledge.

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Using EMR data to describe administrative workload of primary care providers in Nova Scotia, Canada [Secondary data analysis]

Annals of Family Medicine

Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits. This study aims to analyze electronic medical record (EMR) data to understand these workload dynamics. referrals, and 6.6 (2.8) prescriptions, 1.1 (0.5)

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How to Improve Care for Patients With Multiple Chronic Conditions

Physician's Weekly

It takes more than just a physician’s clinical expertise to achieve optimal outcomes for these patients; it also requires effective communication and care coordination to ensure that physicians receive all the information necessary to care for their patients. Conduct a daily morning huddle.