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The Impact of Integrated Care on Healthcare Utilization and Costs: Evidence from the Kansas Health Homes Medicaid Program [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Context: Individuals with complex conditions—those with multiple physical, mental, or behavioral health conditions--require numerous health and social services that are not effectively co-delivered by the current healthcare system. Additionally, we found a statistically significant reduction in PMPM Kansas Medicaid costs.

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Episode 120: Antiracism in Medicine Series Episode 1 – Racism, Police Violence, and Health

The Clinical Problem Solvers

Pearls Defining Structural Racism Structural racism is a term that acknowledges that racism is perpetuated beyond individual interactions and interpersonal racism, but is present in the systems and policies that govern our everyday lives. N Engl J Med. 2016;375(22):2113-2115. doi:10.1056/NEJMp1609535 Alyasah Ali Sewell, Justin M.

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Not “burnout,” not moral injury—human rights violations

Pamela Wible MD

Psychiatrists define burnout as a job-related dysphoria in an individual without major psychopathy—meaning you’re normal; your job is killing you. Wendy Dean and Simon Talbot with their landmark 2018 article, Physicians aren’t ‘burning out.’ Individuals with moral injury may see themselves and the world as immoral and irreparable.

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Rethinking Opioid Conversions: Mary Lynn McPherson and Drew Rosielle

GeriPal

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. And really, the best that had ever been looked at, especially in our population and sort of a cancer serious illness population. Landmark study. And yes, I do believe in that.

IT 139
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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

Our last podcast was with Laura Petrillo in 2018 – 5 years ago seems ancient history – though many of the points still apply today (e.g. Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? Goldilocks zone). Listen in to learn more!

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Advance Care Planning Discussion: Susan Hickman, Sean Morrison, Rebecca Sudore, and Bob Arnold

GeriPal

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . 2018 Systematic Review of Systematic Reviews on ACP. Where does POLST fit in with this debate?

Illness 72
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Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

Love to talk about also in the serious illness population. Eric: For those of you don’t know, Emmy was on our podcast back in 2018 … man, pre-COVID times. I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. How did you both get interested in this as a topic?

IT 102