Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
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 Topic(s) Achieving Health System Goals, Education & Training, and Role of Primary Care 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. Read More ABFM Research Read all 2019 Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models Go to Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models 1990 Prenatal care–a serious national dilemma Go to Prenatal care–a serious national dilemma 1970 Generally speaking Go to Generally speaking 2020 Rebuilding after COVID: Planning Systems of Care for the Future Go to Rebuilding after COVID: Planning Systems of Care for the Future
ABFM Research Read all 2019 Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models Go to Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models 1990 Prenatal care–a serious national dilemma Go to Prenatal care–a serious national dilemma 1970 Generally speaking Go to Generally speaking 2020 Rebuilding after COVID: Planning Systems of Care for the Future Go to Rebuilding after COVID: Planning Systems of Care for the Future
2019 Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models Go to Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models
2020 Rebuilding after COVID: Planning Systems of Care for the Future Go to Rebuilding after COVID: Planning Systems of Care for the Future