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The Impact of Integrated Care on Healthcare Utilization and Costs: Evidence from the Kansas Health Homes Medicaid Program [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Individuals with complex conditions—those with multiple physical, mental, or behavioral health conditions--require numerous health and social services that are not effectively co-delivered by the current healthcare system. Additionally, we found a statistically significant reduction in PMPM Kansas Medicaid costs.

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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. Setting or Dataset: CUSOM and University Hospital. Top utilizers were defined as PCPs with ordering volume in the 75th percentile. A subset of top utilizers contained 264 unique PCPs who ordered 18,972 eConsults.

Utilities 130
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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. The complex dynamics of human systems driving Super-utilization lack prominence.

Utilities 130
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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. Datasets: Primary care EMR data from the Eastern Ontario Network and acute care, post-acute, and community mental health and addictions data from the Shared Health Integrated Information Portal.

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Educational intervention utilizing population health managers to reduce COPD-related healthcare utilization [Population health and epidemiology]

Annals of Family Medicine

Context: COPD patient self-management plans, including rescue packs (antibiotic and steroid combinations), are effective in reducing respiratory related emergency department (ED) visits and hospital readmissions. Utilization of action plans/rescue packs within our health system remains relatively limited.

Utilities 130
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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. Data underwent quality assessment to ensure reliability of subsequent analyses.

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Hospital Administrators Utilizing Twitter $8 Blue Checkmarks for Patient Communication

GomerBlog

Hospital administrators at Unitis Healthcare have implemented a new communication system for patients at all of their hospitals in the New England region. Admitted patients to the hospital will have the option to download Twitter to their phones and can communicate to their nurses and doctors via twitter.

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