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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. 1072 patients with COPD were identified within the merged dataset, 50% of whom visited the ED within two years. Following patient review by clinician, 77 patients were deemed eligible.

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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. Objective: Our objective was to improve the TCM clinic no-show rate and thereby improve patient outcomes.

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An Open Letter to Robert F. Kennedy, Jr. On Why Integrated Care Should Be a Cornerstone of the HHS Agenda

Integrated Care News by CFHA

CFHA represents thousands of professionals across the country who are implementing integrated care —the coordination of medical and behavioral health care in primary care and specialty settings. It provides immediate, non-stigmatized behavioral health support at the point of medical care, often in the same visit.

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Intensity of medication review activities in private and public clinics [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

Context: Medication review is an essential part of most office visits. Objective: We aimed to compare medication review activities between private and public clinics. Study Design: Survey of medication review activities after primary care visits. Outcome Measures: Regimen changes and medication related safety issues.

Clinic 130
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Sickle Cell Crises: A Deep Dive into Patterns of Readmissions at an Academic Medical Center [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Sickle cell disease (SCD) was identified as one of our hospital's most common causes of readmission. We noted that a small number of patients are readmitted multiple times. This indicates poor quality of life (QOL) for SCD patients and a high financial burden on the healthcare system. The average age was 32.2 ± 14.6,

Finance 130
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'Pill-on-a-thread' could replace endoscopies for half of all patients being monitored for esophageal cancer risk

Medical Xpress

Endoscopies could be replaced by far less invasive capsule sponge tests for half of all patients with Barrett's esophagus, a known precursor to esophageal cancer, according to a new study by researchers at the University of Cambridge, Addenbrooke's Hospital and Queen Mary University of London.

Patients 141
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Clap Outs

Mere Mortal MD

Friday was a special day at the rehabilitation hospital as we had what’s called a “clap out.” ” This is somewhat organized–as in, we will get an overhead page or text when it’s about to happen–and occurs when a patient has been at the hospital for a very long time.

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