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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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Compass Rose for Generating Community-based Referrals via Epic: Best Practices and Lessons Learned [Social determinants and vulnerable populations]

Annals of Family Medicine

Study Design and Analysis: We used information gathered from site visits and team meetings to understand how Compass Rose was being utilized across sites. Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization. Of those patients with an episode (i.e.,

Referral 130
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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. Study Design: Retrospective cohort study. 1.32) and hospitalizations (aIRR 1.14, 95% CI: 1.03-1.27).

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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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Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]

Annals of Family Medicine

It included training in OUD diagnosis and management with modules, medication assisted therapy (MAT) clinics, inpatient addiction psychiatry rotations and didactic lectures. We plan to utilize the information to adjust current teaching models to best address knowledge gaps surrounding OUD in primary care.

Education 130
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An Innovative Approach to Enhancing Community Health Collaborations: A Community Engagement Directory [Participatory research]

Annals of Family Medicine

Context UT Southwestern utilizes community engagement strategies to improve health and integrate stakeholder priorities in clinical care and research. However, given the vast size of our medical center, many community engagement initiatives exist in silos and overlap in community areas creating inefficiency, inconsistency, and redundancy.

Community 130