The Clinical Problem Solvers

JANUARY 18, 2021

Understand that collective action and a focus on community, rather than individualism, are most effective in combating racism and achieving health equity. One of the biggest barriers to health equity is the narrow focus on the individual and a failure to see health as a widespread community issue.

Community 52

Community Medical Individual IT 52

The Clinical Problem Solvers

DECEMBER 16, 2020

Race, racism, and racial inequality have tangible impacts on people’s livelihoods, much less their experiences in the healthcare system. Tsai has seen race-based medicine play out in clinical practice 10:45 What role should race play in making clinical decisions? Poet Marge Piercy has written, “The work of the world is as common as mud.”

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

FDA Law Blog

JUNE 15, 2022

billion annually, and continued the same reimbursement cuts for 2019. In 2019, we blogged that the District Court found for the plaintiffs, holding that CMS did not have the statutory authority to make such a change without first conducting a hospital acquisition cost survey data. CMS estimated a savings of $1.6 See 42 U.S.C.

Hospital 52

Hospital Government Provider IT 52

PEMBlog

SEPTEMBER 24, 2024

Bronchopulmonary sequestration is a rare type of congenital lung malformation (CLM) in which a section of lung tissue is nonfunctional and does not communicate with the normal tracheobronchial tree. 2019 Apr 1;48(4):e169-e174. Resolution of symptoms in patients with community-acquired pneumonia treated on an ambulatory basis.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

FDA Law Blog

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. EKRA is codified at 18 U.S.C. § 220 and was described on HP&M’s blog here. 18 U.S.C. § 24(b) (emphasis added). EKRA Issue.

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

FDA Law Blog

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. EKRA is codified at 18 U.S.C. § 220 and was described on HP&M’s blog here. 18 U.S.C. § 24(b) (emphasis added). EKRA Issue.

Lab Testing 40

Lab Testing Individual Referral Patient-Centered 40

The Clinical Problem Solvers

APRIL 5, 2022

During this episode, we gained insight from special guests Dr. Margot Kushel and Mr. Bobby Watts about what brought them into their fields, how their work reaches the most marginalized, and what can be done at the community and structural level to address homelessness. Know your community resources.

Community 52

Community Patient-Centered Emergency Room Medical 52

The Clinical Problem Solvers

DECEMBER 20, 2021

Understand how engaged community-based work, centered on trust and accountability, has supported the health of communities served by Oakland, CA’s Asian Health Service. [link] CPSolvers: Anti-Racism in Medicine Series Episode 13: Centering Asian Americans: Racism, Violence, and Health Show Notes by Naomi F.

Community 52

Community Patient-Centered Relationship Healthcare 52

The Clinical Problem Solvers

OCTOBER 11, 2021

They are a product of deep-rooted man-made policies that extend to many sectors (healthcare, education, criminal justice etc). These gaps are not a product of lifestyle choices, biology or individual behaviors. These policies have systematically disadvantaged some groups, and have advantaged others.

Government 52

Government Community Education Individual 52

The Clinical Problem Solvers

FEBRUARY 8, 2023

Identify realistic solutions to drug policy reform that promote health equity among marginalized communities living in the United States. Screening for substance use and offering connections to treatment and community-based services are important strategies that clinicians can implement in their own practice today.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

Permanente Medicine

JUNE 25, 2025

This convenience addresses the biggest barriers patients face, particularly in communities historically underserved by preventive care and for those who have less contact with health care. But at its core, this program is about communicating with patients and understanding their needs. A third of U.S. in 2000 to 79.8%

Screening 52

Screening Preventive Care Preventative Care Patient-Centered 52

GeriPal

MARCH 9, 2023

In our prior podcast with Ira Byock on psychedelics in 2019 we talked primarily about the potential of psychedelics. Psychedelics have been used by communities around the globe for hundreds of years (or more). And yet there are reasons for caution. Ethical issues , including colonization of psychedelics by big pharma.

Patient-Centered 91

Patient-Centered Community IT Medical 91

My Green Doctor

MAY 29, 2025

The EIB developed a first-of-its-kind tool to quantify how climate hazards like heatwaves, floods, and poor air quality will drive up healthcare demand across Europe. In the United States, extreme weather events and air pollution are already costing the healthcare system over $820 billion annually. So what’s the path forward?

Healthcare Professional 52

Healthcare Professional Healthcare Finance Education 52

The Clinical Problem Solvers

MAY 30, 2022

As healthcare providers, we must listen to our patients and use the power of our presence to see birthing people’s full humanity and empowerment. Pearls Black and Indigenous birthing people are 3-13 times more likely to die in childbirth, with the rate varying by location and level of investment in communities.

Community 52

Community Patient-Centered Family Families 52

GeriPal

MARCH 24, 2023

We also have Joe Shega, who is a hospice physician, and he is a Chief Medical Officer and Vice President at VITAS Healthcare. For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade – hospice has in some ways lost its way in a quest of promoting profit over care. I’m excited.

IT 113

IT Provider Patients Families 113

GeriPal

MARCH 2, 2023

AFP 2019 Gabapentin for chronic neuropathic pain in adults. By 2015 that number increased to 4% of US adults. There are a lot of reasons that may explain the massive increase in use of these drugs. One thing is clear, it is not because people are using it for FDA approved indications. Cochrane Database of Systematic Reviews Review.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

NOVEMBER 2, 2023

I’ve seen this question come up a lot since finishing fellowship nearly two decades ago. Historically, answers generally lamented the ever increasing need for geriatrics without a corresponding growth in the number of specialists in the field. Mike, welcome to GeriPal. Mike: Great to be here. Alex: We’ll take any Warriors we can get.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

MAY 8, 2025

Summary Transcript CME Summary Weve covered psychedelics on the podcast beforefirst in 2019 with Ira Byock, where we explored their potential role in medicine , and then again in 2023 with Stacy Fischer, Brian Anderson, and Theora Cimino, focusing on the reasons to approach psychedelic use in patients with caution. It’s there.

Illness 107

Illness IT Patient-Centered Patients 107

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Significant structural barriers exist concerning access to healthcare for transgender (TG) individuals. Setting or Dataset: Secondary analysis of the CDC state-specific Behavioral Risk Factor Surveillance System (BFRSS) surveys conducted from 2019 to 2022.

Relationship 130

Relationship Chronic Condition Individual Diabetes 130

BMJ

FEBRUARY 8, 2021

The proximity to campus health clinics may also afford college students greater accessibility to healthcare providers for prescription medications such as stimulants which could end up being misused. For healthcare providers, there should be a recognition that holistic care involves more than just prescribing medications.

Medical 40

Medical Holistic Care Healthcare Healthcare Professional 40

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

DECEMBER 5, 2024

So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. One final note on the song request: About 20 years ago I took an epidemiology course as part of a Masters program. The instructor, Fran Cook , gave all the students a survey without explanation.

IT 107

IT Community Patients Families 107

GeriPal

AUGUST 25, 2022

I had looked at a research article that had recently evaluated the prevalence of private equity transactions in the hospice market and noted that there was a pretty substantial uptick in the past decade, and really over the course of say around 2015 to 2019. We’re going to be talking about each one of these papers. Is it you, Melissa?

Family 106

Family Families IT Patients 106

GeriPal

FEBRUARY 27, 2025

Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). See Sachs write up about setting up this clinic in JPSM. What is harm reduction and how can we implement it in practice? Who follows the patient once the cancer goes into remission? Who will prescribe the buprenorphine then? Oh, my goodness.

Patients 72

Patients Clinic Patient-Centered Illness 72

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. 150 (54.3) p<0.001 Doctor 83 (65.9) 126 (45.7) 162 (58.7) 228 (82.6)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

FDA Law Blog

FEBRUARY 16, 2023

While laypeople are already using NNS in a number of states, FDA has cautioned that the current community use differs from OTC use because many of these programs provide patient counseling and instructions for use that go beyond what is included in the current NNS labeling.

Supply Chain 64

Supply Chain Healthcare Professional Community IT 64

PEMBlog

APRIL 26, 2023

When we protect our kids from the dangers of gun violence, the whole community stands to benefit. From 2019 to 2020, the rate of firearm related deaths among children increased by 30%. [ Kristen ] Great question. In our current environment, it can feel overwhelming as a healthcare provider to discuss firearms.

Family 52

Family Families Mental Health Healthcare 52

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

The Clinical Problem Solvers

MAY 2, 2023

[link] CPSolvers: Antiracism in Medicine Series Episode 21 – Psychosocial and Cultural Considerations for Providing Healthcare to Immigrant and Refugee Populations Show Notes by Kiersten T. Many organizations, such as the American Medical Association Journal of Ethics, recommend against documenting immigration status in medical records.

Healthcare 52

Healthcare Provider Clinical Practice Clinic 52

GeriPal

APRIL 17, 2025

Summary Transcript CME Summary I read Farah Stockmans article in the NYT on why attacks on DEI will cost us all , and thought, Yes, and everyone includes harm to our healthcare workforce, our patients, and their families. And Ken Covinsky, avid baseball fanatic, joins us and notes that the day we record (April 15) is Jackie Robinson day.

IT 70

IT Community Government Management 70