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Personalized medicine in a community health system: the Endeavor Health experience [Dissemination and implementation research]

Annals of Family Medicine

In 2014, Endeavor Health (formerly NorthShore University HealthSystem) launched the Center for Personalized Medicine to catalyze the delivery of personalized medicine. There are few examples of fully integrated care systems that span the healthcare continuum.

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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. In fact, as Lauren Hunt found , the average likelihood that a person will be disenrolled from one hospice vs. another is two. AlexSmithMD.

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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. So, importantly, you may not have a positive family history.

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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

Lexy: Yeah, so I can say that I became about, in 2014, I had the opportunity to lead a center at our health system called the Evans Center that focuses on religion, spirituality, and health. LaVera: I trained at UCSF in family medicine. I don’t see a lot of those out there. You started off as a physician, right? LaVera: Yes.

IT 99
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RCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern

GeriPal

And, of course, this is what families of patients undergoing palliative care go through. Kate: No, it’s a tough answer in part because, as Scott mentioned, this was being implemented somewhere in the 2014/15 range after funding and building and that pilot year. Eric: Utilization, utilization, utilization.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. And it’s very traumatic obviously for the family and all of that and the team really. No difference.