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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.

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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

Objective: We describe the adoption, implementation, and impact on hemoglobin A1c of a primary-care-based Diabetes Navigator program that aimed to re-engage patients with uncontrolled diabetes into care. Study Design and Analysis: Adoption and implementation of the program is described using descriptive statistics.

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Economic analysis of virtual Medical Legal Partnership model [Economic or policy analysis]

Annals of Family Medicine

Context: Despite copious evidence of the positive health impact of Medical legal partnerships (MLP), public funding remains subject to economic arguments seeking return on investment (ROI) from the perspective of public payers. To date, there are less than a handful of economic analyses for MLP in the published literature.

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Evaluation of Universal Food Insecurity Screening in the Primary Care Setting [Social determinants and vulnerable populations]

Annals of Family Medicine

The American Academy of Pediatrics recommends universal screening; however studies have found inconsistencies in screening of FI, documentation of FI, and referral to appropriate resources. Population Studied Families of children ages 0-18yo at an urban pediatric primary care mobile medical clinic serving families in Washington, D.C.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Study Design: Secondary data analysis of patient demographic, referral, and encounter-level data extracted from site eMR (Epic). 8% (n= 1,146) were ordered for medical condition management.

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Addressing diabetes management in the context of social needs: a qualitative study of primary care providers [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. Setting: Ambulatory clinics (e.g.,

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Coming Soon: Logansport Memorial Pain Management Center

Logansport Memorial Hospital

Together with the Pain Management Group (PMG), Logansport Memorial is dedicated to providing high-quality care right here in our community. We are grateful for the invitation to be a part of the Logansport Medical Community,” shared Mark Ozimek, PMG’s President. A referral from a provider is not required but is recommended.