Augustine Chavez
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View article: Engaging the EHR to Address Health Related Social Needs: Primary Care Learning Experiences in a Health System
Engaging the EHR to Address Health Related Social Needs: Primary Care Learning Experiences in a Health System Open
CONTEXT: Identifying patients with health-related social needs and connecting them with appropriate resources in an effective, efficient, and timely way can prove challenging. The EHR should serve as a tool that facilitates Primary care cl…
View article: Improving Clinician Understanding of Management in Patients Who Screen Positive for Depression in Primary Care: A QI Project
Improving Clinician Understanding of Management in Patients Who Screen Positive for Depression in Primary Care: A QI Project Open
BACKGROUND: Depression rate among patients seen in primary care remains high; of Mayo Clinic’s 128,000 paneled adult patients in midwest region, 28,000 (22%) have been diagnosed with depression. Processes for screening and managing patient…
View article: Clinician satisfaction with implementation of Continuity, Patient Panel correction, and 30-minute template initiative (CP3O).
Clinician satisfaction with implementation of Continuity, Patient Panel correction, and 30-minute template initiative (CP3O). Open
CONTEXT: Mayo Clinic Arizona Family Medicine experienced disjointed care, patient/clinician frustration, and inadequate access. With the aim of increasing the quality of care and patient/clinician satisfaction, we implemented a scheduling …
View article: Ranking of Practice Recommendations by Primary Care Clinicians in a Health System
Ranking of Practice Recommendations by Primary Care Clinicians in a Health System Open
CONTEXT: Primary care clinicians are tasked with reviewing and adopting new practice recommendations. The USPSTF alone had 23 new recommendations in 2020-2021. Our primary care learning collaborative (PCLC) in a large health system, update…
View article: Experience and Attitudes Toward Telehealth in Student-Run Free Clinics (SRFC)
Experience and Attitudes Toward Telehealth in Student-Run Free Clinics (SRFC) Open
Introduction/Objectives: Telehealth services expanded during the coronavirus disease 2019 (COVID-19) pandemic. Student-run free clinics (SRFC) deliver important health care services to underserved populations, who may face barriers to tele…
View article: Multiple Interventions Improve Department Patient Experience Scores- A QI approach
Multiple Interventions Improve Department Patient Experience Scores- A QI approach Open
CONTEXT: Patient satisfaction is an important clinical outcome reflecting perceptions of service. Improving patient experience has been an important aspect of creating high value care, as envisioned in the Institute for Healthcare Improvem…
View article: Primary Care Workload Experience
Primary Care Workload Experience Open
BACKGROUND: In spring 2021, outbreaks of new variants of SARS-CoV-2 and vaccine resistance disrupted hopes that the pandemic was waning. New cases overwhelmed inpatient services, often shifting care of very ill patients to outpatient servi…
View article: Association of Telehealth with Short-Interval Follow-Up
Association of Telehealth with Short-Interval Follow-Up Open
Newly expanded telehealth visits conducted in the year after the onset of the COVID-19 pandemic resulted in higher rates and sooner first occurrence of short-interval follow-up visits. Future research should identify optimal scheduling pro…
View article: Primary care clinical experience during a pandemic: A model for medical crisis planning
Primary care clinical experience during a pandemic: A model for medical crisis planning Open
CONTEXT: In the aftermath of large disasters such as hurricanes and earthquakes which result in mass casualties and infrastructure disruption, within days primary care becomes an essential element in the recovery of health care services. B…
View article: Patients’ experience with virtual care during COVID-19 pandemic in primary care practice
Patients’ experience with virtual care during COVID-19 pandemic in primary care practice Open
Context: The advent of COVID-19 pandemic in March of 2020 galvanized primary care practices into adopting telemedicine to be able to continue delivering care to patients safely. As recipients of care delivered virtually, capturing patients…
View article: One year of COVID: Primary care learning experiences in a health system
One year of COVID: Primary care learning experiences in a health system Open
Context: Patients and communities consider their primary care clinicians (PCC's) to be their most trusted source of information. During the first 12 months of the COVID pandemic, initially reliable, accurate information was scare, evolving…
View article: Development and Early Experience of a Primary Care Learning Collaborative in a Large Health Care System
Development and Early Experience of a Primary Care Learning Collaborative in a Large Health Care System Open
Introduction: Primary care clinicians are presented with hundreds of new clinical recommendations and guidelines. To consider practice change clinicians must identify relevant information and develop a contextual framework. Too much attent…
View article: Promoting physical activity in older women to maximize health
Promoting physical activity in older women to maximize health Open
Physical activity can maximize health by improving disease-oriented and patient-oriented outcomes in women age 60 and older. General activity levels are low in the United States. Promoting physical activity in clinical practice is limited …
View article: A Case of COVID-19 Vaccine Associated New Diagnosis Myasthenia Gravis
A Case of COVID-19 Vaccine Associated New Diagnosis Myasthenia Gravis Open
An 82-year-old man presented with intermittent episodes of slurred speech during his evening meals after receiving the BNT162b2 COVID-19 vaccine. Thorough evaluation was conducted including lab work and EMG confirming a new diagnosis of la…
View article: High Volume Portal Usage Impacts Practice Resources
High Volume Portal Usage Impacts Practice Resources Open
Patient portals have both patient-centered benefits and substantial impacts on practices. Successful implementation of a patient portal can be achieved with a comprehensive team approach. Increased portal usage results in high-volume patie…