Diplomate Spotlight Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook Read Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook
Phoenix Newsletter - July 2025 Available Now: 2026 5-Year Cycle Registration Read Available Now: 2026 5-Year Cycle Registration
Home Research Research Library Integrating Community and Clinical Data to Assess Patient Risks with A Population Health Assessment Engine (PHATE) Integrating Community and Clinical Data to Assess Patient Risks with A Population Health Assessment Engine (PHATE) 2020 Author(s) Bambekova, Pavela G, Liaw, Winston R, Phillips, Robert L, and Bazemore, Andrew W Topic(s) Education & Training, Role of Primary Care, and Achieving Health System Goals Keyword(s) Graduate Medical Education, Payment, Population Health, Prime, Quality Of Care, and Shortage Areas Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine Clinicians are concerned about their patients’ social determinants of health (SDH); yet, they are unsure how to effectively gather patient-level SDH data and intervene without adding to current administrative burdens. Designed properly, clinical registries offer solutions to integrate neighborhood SDH data with clinical data from electronic health records, enabling the understanding of community factors to guide patient care. Federal and state interest in adjusting reimbursements based on SDH further underscores the need for strategies that integrate SDH and clinical data. The Population Health Assessment Engine (PHATE) exemplifies a registry-based SDH data integration solution that adjusts payments, contributes to public health surveillance, organizes care around hot spots (gaps in quality or uncontrolled disease), assesses patient risk, and connects with community organizations. PHATE also permits residency training to meet community health competency milestones by incorporating the PHATE curriculum. These functions enhance value, and their utility in education and care delivery would benefit from further investigation. ABFM Research Read all 2018 Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician Go to Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician 2022 Barriers to care for perinatal patients with opioid use disorder: family physician perspectives Go to Barriers to care for perinatal patients with opioid use disorder: family physician perspectives 2014 Tectonic shifts are needed in graduate medical education to ensure today’s trainees are prepared to practice as tomorrow’s physicians Go to Tectonic shifts are needed in graduate medical education to ensure today’s trainees are prepared to practice as tomorrow’s physicians 2017 Scope of Practice Among Recent Family Medicine Residency Graduates Go to Scope of Practice Among Recent Family Medicine Residency Graduates
Author(s) Bambekova, Pavela G, Liaw, Winston R, Phillips, Robert L, and Bazemore, Andrew W Topic(s) Education & Training, Role of Primary Care, and Achieving Health System Goals Keyword(s) Graduate Medical Education, Payment, Population Health, Prime, Quality Of Care, and Shortage Areas Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2018 Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician Go to Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician 2022 Barriers to care for perinatal patients with opioid use disorder: family physician perspectives Go to Barriers to care for perinatal patients with opioid use disorder: family physician perspectives 2014 Tectonic shifts are needed in graduate medical education to ensure today’s trainees are prepared to practice as tomorrow’s physicians Go to Tectonic shifts are needed in graduate medical education to ensure today’s trainees are prepared to practice as tomorrow’s physicians 2017 Scope of Practice Among Recent Family Medicine Residency Graduates Go to Scope of Practice Among Recent Family Medicine Residency Graduates
2018 Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician Go to Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician
2022 Barriers to care for perinatal patients with opioid use disorder: family physician perspectives Go to Barriers to care for perinatal patients with opioid use disorder: family physician perspectives
2014 Tectonic shifts are needed in graduate medical education to ensure today’s trainees are prepared to practice as tomorrow’s physicians Go to Tectonic shifts are needed in graduate medical education to ensure today’s trainees are prepared to practice as tomorrow’s physicians
2017 Scope of Practice Among Recent Family Medicine Residency Graduates Go to Scope of Practice Among Recent Family Medicine Residency Graduates