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 2024 Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology Go to Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology 2016 Intended vs Reported Scope of Practice–Reply Go to Intended vs Reported Scope of Practice–Reply 2015 Do family physicians electronic health records support meaningful use? Go to Do family physicians electronic health records support meaningful use? 2021 HIV Care by Early-Career Family Physicians Go to HIV Care by Early-Career Family Physicians
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 2024 Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology Go to Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology 2016 Intended vs Reported Scope of Practice–Reply Go to Intended vs Reported Scope of Practice–Reply 2015 Do family physicians electronic health records support meaningful use? Go to Do family physicians electronic health records support meaningful use? 2021 HIV Care by Early-Career Family Physicians Go to HIV Care by Early-Career Family Physicians
2024 Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology Go to Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology
2015 Do family physicians electronic health records support meaningful use? Go to Do family physicians electronic health records support meaningful use?
