Annals of Family Medicine

NOVEMBER 20, 2024

Context: Chlamydia and gonorrhea are the two most common sexually transmitted infections (STI) in the United States. Since untreated cases can have severe health consequences, non-adherence to the Centers for Disease Control and Prevention Sexually Transmitted Disease Treatment guidelines (CDC) remains a concern.

Primary Care 130

Primary Care Family Families Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Utilization of action plans/rescue packs within our health system remains relatively limited. Data was collected from mailed quizzes, EHR utilization of smartphrases, and orders and from insurance claims. Descriptive statistics used for knowledge and process outcome data.

Utilities 130

Utilities Education Management Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Electronic health record (EHR) order preference lists and order sets potentially improve efficiency but have limited utility in complex primary care settings. Objective: We assessed adoption, impact on time spent in orders, and clinician perceptions of a comprehensive set of nested order panels (xOrders) for adult primary care.

Primary Care 130

Primary Care Nurse Practitioner Utilities Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls.

Utilities 130

Utilities Primary Care Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

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

Referral Community Transportation Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention/Instrument Multiple interventions utilized, as specified in each study. Almost all included studies utilized interventions were efficacious compared to usual care. Studies utilizing interventions with one-on-one interaction tended to have significant outcomes. Results Eighty-four studies fit inclusion criteria.

Provider 130

Provider Patients Utilities Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: By investigating the utilization of primary care resources, the authors hope to assess the efficacy of current approaches, better inform future public health initiatives, and improve health outcomes in this medically marginalized community. Population Studied: AI/AN patients residing in the USA.

Primary Care 130

Primary Care Utilities Community Preventive Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Evaluate the economic impact of receiving tele-legal services from Medicaid’s perspective with regard to a) fee- for service (FFS) total cost of care; b) FFS cost of primary care; c) utilization for FFS primary care; d) utilization for FFS and capitated behavioral health (BH) and BH emergency department encounters.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Primary care provider utilization was assessed among several patient center health outcomes. Outcome Measures: Emergency department utilization, hospitalization, steroid prescriptions, and primary care provider (PCP) utilization. Design and Analysis: Patients were evaluated for 6-month pre/post. to 0.24, p=0.28).

Primary Care 130

Primary Care Asthma Utilities Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Continuity of care between a patient and their primary care practitioner (PCP) is a cornerstone of primary care (PC) and is associated with many positive health outcomes including decreased utilization of ER services and lower costs for some populations. This effect grows to 23% lower costs for patients 85 or older.

PCP 130

PCP PCP ER Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

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).

Primary Care 130

Primary Care Management Utilities Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Relevant primary care nursing activities for CP management remain poorly defined, limiting the full utilization of nurses' competencies and expertise in chronic disease management. Context: Chronic pain stands as a leading cause of disability globally, with patients often reporting inadequate access to primary care.

Primary Care 130

Primary Care Management Chronic Disease Management Finance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Dataset: We conducted a qualitative study utilizing the Database of Individual Patient Experiences (DIPEx) methodology - a time-tested, research-based approach for conducting and disseminating health and healthcare experiences.

Healthcare 130

Healthcare Provider Healthcare Experience Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

This study utilized harmonized, de-identified, structured EHR data in aggregate counts of patients who meet inclusion and exclusion criteria, from multiple health centers across the United States. Data underwent quality assessment to ensure reliability of subsequent analyses. Phenotypes were defined using ICD-9 and ICD-10 diagnostic codes.

Electronics 130

Electronics Patient-Centered Utilities Hospital 130

Medical Xpress

MAY 3, 2023

A new study of telehealth utilization among Medicare beneficiaries in Arkansas showed race/ethnicity and rural/urban disparities. The study, which reported that the association between the number of chronic conditions and telehealth was strongest among White and rural beneficiaries, is published in the journal Telemedicine and e-Health.

Telehealth 105

Telehealth Utilities Chronic Condition Telemedicine 105

Annals of Family Medicine

NOVEMBER 20, 2024

Live discharges may be problematic if they lead to high rates of hospice readmissions, high rates of hospital utilization following discharge, or occur after 180 days in hospice. Medicare routinely reviews U.S. claims data to assess patterns of live discharges and may revoke funding for hospice programs with high rates of live discharges.

Primary Care Physician 130

Primary Care Physician Utilities PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

Utilizing new electronic handgrip dynamometer and accelerometer technologies may allow for additional muscle function attributes to be feasibly measured, which in turn, may help elevate prognostic value and specificity for intervention referral. Interclass correlation coefficients were used for the analyses.

Electronics 130

Electronics Primary Care Utilities Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

The DASH is now housed on SharePoint and is utilized weekly to document project progress and share opportunities of funding or professional development. These results correlate to the observational collected data during weekly meetings that suggests 16 LV-PCBRN members are actively engaged in the development and utilization of the DASH.

Medical Student 130

Medical Student Utilities Community Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To examine utilization of the screening, and prevalence of FI at two time points in a pediatric clinic an urban pediatric practice that has implemented universal FI screening and response. Conclusions The clinic has a high screening utilization, a high prevalence of FI, and high coding documentation.

Primary Care 130

Primary Care Screening Referral Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: In this study, we aimed to describe patterns of utilization of a Chronic Pain Self-Management Program (CPSMP) in Eastern Ontario and evaluate the impact of the program on patient activation, a measure of participants’ involvement in their care, their health behaviors, and their knowledge of the condition.

Management 130

Management Utilities Referral Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset A pretestposttest survey design was utilized to assess the intervention. Study Design Participants were asked to complete an anonymous and voluntary pretest-posttest survey to describe their experience. The survey had questions based on the likert scale as well as free text responses.

Education 130

Education Primary Care Provider Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

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).

Primary Care 130

Primary Care Electronics Hospital Medical 130

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusion Canadians without a primary care clinician differ from their attached peers by sociodemographic characteristics, walk-in clinic utilization patterns, and preferences for system reform. Their experiences should be considered when designing primary care reforms.

Primary Care 130

Primary Care Nurse Practitioner Family Physician Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

We plan to utilize the information to adjust current teaching models to best address knowledge gaps surrounding OUD in primary care. Residents' OUD education will continue longitudinally throughout the curriculum through didactic teaching and incorporating patients with OUD into continuity clinics.

Education 130

Education Primary Care Physician Primary Care DO 130

GomerBlog

NOVEMBER 11, 2022

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.

Hospital 130

Hospital Utilities Patients Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusions The PORTRAIT dissemination project utilized a community-engaged mural to raise awareness about PAD. Results PAD awareness scores increased with exposure to dissemination events. A community collaborative mural focused on vascular health. The campaign, shaped by community input, led to increased awareness and engagement.

Community 130

Community Patient-Centered Utilities Diagnosis 130

Annals of Family Medicine

NOVEMBER 20, 2024

Feedback from champions was elicited to improve report accuracy and support tool utility. Results: Formative research guided development of: (1) a prototypical EHR report identifying patients with breast cancer histories and (2) EHR-based support tools for symptom assessment for breast cancer follow-up.

Primary Care 130

Primary Care Referral Electronics Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

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

Community Utilities Clinic Relationship 130

Annals of Family Medicine

NOVEMBER 20, 2024

Delivery methods varied, with most interventions being face-to-face, while a few utilized digital platforms such as mobile apps and telephone support. Interventions were categorized into Integrated and Coordinated Care, Behavioral and Psychological Interventions, and Physical and Lifestyle Interventions.

Hypertension 130

Hypertension Management Individual Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting Any context across PCCNs healthcare services utilization. The results have been integrated during the experts’ consultation to collect data on professional practice and the integration of SDM for PCCNs.

Mental Health 130

Mental Health Chronic Condition Consulting Healthcare 130

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusions: HTAC used collaborative, community-engaged approaches to support the development of a new health data resource that responds to community partners’ needs and promotes dashboard accessibility and utilization by a wide range of health professionals and community members.

Community 130

Community Healthcare Electronics Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

In terms of qualitative findings, clinicians were highly satisfied with ECHO Concussion, sharing that the program helped them stay on top of current evidence and better utilize resources and guidelines.

Management 130

Management Education Illness Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention/Instrument A multiclass random forest (RF) method for risk prediction was utilized. Population Studied Adult patients scheduled for in-person or telehealth visits between 01/2019-06/2023. SHapley Additive exPlanations (SHAP) to identify the relative importance of factors.

Appointment 130

Appointment Primary Care DO Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusion Clinicians generally lack the time to prioritize patient messages. Future research should explore the efficacy of collaborative inbox workflows for time-savings and efficient management of patient messages as well as how to best implement these workflows with diverse teams.

Primary Care 130

Primary Care Management Primary Care Physician Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention: Primary intervention included client participation in PNP, and outcomes were analyzed utilizing a post-cycle survey administered to understand clients’ experiences with homelessness and goal outcomes. Population Studied: Redcap survey responses were collected from 16 clients between 2021-2024, with 81 total goals analyzed.

Medical Student 130

Medical Student Patients Healthcare Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Descriptive analysis utilized primary legal record and secondary electronic health record sources. Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach. Nine focus groups were conducted and recorded, using semi-structured interviews.

Medical 130

Medical Referral Screening Internal Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

653 utilized super supporter assistance, while 2,291 did not. The Federal Office of Rural Health Policy Data Files determined rural zip codes. Results: Overall, 2944 patients were contacted for super supporter assistance (509 (17.3%) rural and 2,435 (82.7%) non-rural).

Patients 130

Patients Appointment Utilities Provider 130