PEMBlog

OCTOBER 18, 2024

When patients with DMD present in the Emergency Department (ED), an understanding of the nuanced aspects of their care is essential for optimal management. Steroid Use and Ambulation Steroids are a mainstay in DMD management, typically starting around ages 3 to 4. Below are key considerations based on current best practices.

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Patients Complication Management Consulting 52

33 Charts

OCTOBER 2, 2021

According to Epic, the number of patient messages spiked 151 percent nationally from the period covering the first 11 weeks of 2020 through the end of the year. And individual practice styles are fine. More recently health professionals have seen a rise in MyChart messages coming in through the Epic patient portal.

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Patients IT Provider Family Doctor 75

GeriPal

JUNE 8, 2023

And yet we’re also in a different place in diabetes monitoring and management. AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast.

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Diabetes Management Patient-Centered Family 73

Annals of Family Medicine

NOVEMBER 20, 2024

Context As the population ages, access and continuity of primary care with the family physician are crucial for managing the complex health needs of persons with dementia. Objective To provide a comprehensive overview of primary care use among community-dwelling persons with dementia in Quebec from 2018 to 2020.

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Primary Care Community Family Physician Diagnosis 130

FDA Law Blog

MAY 8, 2023

The discussion paper described a PCCP as including (1) the types of anticipated modifications (SaMD Pre-Specifications or SPS) based on the retraining and model update strategy and (2) the associated methodology (Algorithm Change Protocol or ACP) being used to implement those changes in a controlled manner to manage patient risks.

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Manufacturing Provider Medical IT 98

ABIM

APRIL 24, 2025

Johnson, MD, FACP, FIDSA , Senior Vice President for Academic Affairs, added that ABIM provides program directors with aggregate performance data in their programs and, with permission, individual graduate data so that program directors can make adjustments to the programs as needed.

Board-Certified 40

Board-Certified Board-Certified Physicians Community Government 40

GeriPal

AUGUST 4, 2022

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. Maybe that’s where the individualizing it, the person that’s front of me.

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Specialization Medical Patient-Centered Provider 104

FDA Law Blog

MAY 4, 2023

This draft guidance builds on recommendations that FDA initially developed early in 2020, in response to the COVID-19 challenges (see our blog post on these recommendations here ). For example, the draft guidance notes that the trial’s data management plan should include information about the multiple sources of data collection.

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Clinic Telehealth Provider Electronics 59

The Clinical Problem Solvers

MAY 2, 2022

Individuals who believe that genetic differences explain racial differences in health outcomes are more likely to practice race-based medicine. link] November 17, 2020. December 17, 2020. Simulation-based training interventions are currently being studied to help combat these inequities. His team found that 1.5%

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Healthcare Utilities Hospital Internal Medicine 52

Medical Xpress

JUNE 16, 2025

Ibogaine shows potential for promoting neuroplasticity and aiding recovery, though it carries cardiac risks that require careful management. However, we do not guarantee individual replies due to the high volume of messages. The initiative aims to attract additional private investment and facilitate FDA approval.

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Mental Health IT Medical Specialization 52

GeriPal

MAY 26, 2022

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. What’s wrong with that? Why not prioritize them?

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Vaccination Individual IT Healthcare 87

GeriPal

JANUARY 30, 2025

And I would say we weren’t doing training on symptom management, for example. And then there was a lot of stuff on coping and symptom management. Lynn, what were you doing in Covid 2020? Lynn 37:35 I wasn’t doing outpatient in 2020. Lynn 15:55 Well, it’s a good. Vicki 15:56 It’s a good question.

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Telehealth Patient-Centered IT Patients 105

The Clinical Problem Solvers

MAY 30, 2022

Kozhimannil—the Distinguished McKnight University Professor in the Division of Health Policy and Management at the University of Minnesota and Director of the Rural Health Research Center. She urges us to recognize that maternal mortality changes the life trajectories of individuals and communities. Published online August 2020.

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Community Patient-Centered Family Families 52

ABIM

JUNE 11, 2025

A workgroup convened in 2020 found that the existing practice categories candidates could choose were inadequate to the real scope of community practice and proposed updates drawn from the American Medical Association and the Diplomate Professional Profile. Society guests departed at this point in the meeting.

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Board-Certified Government Community Education 52

GeriPal

MARCH 2, 2023

2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. 2011-2014 JAMDA 2020 Efficacy of Gabapentinoids: Gabapentinoids for Pain: Potential Unintended Consequences. J Am Geriatr Soc. JAGS 2022 Trends in Antipsychotic and Mood Stabilizer Prescribing in Long-Term Care in the U.S.:

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Patient-Centered IT Healthcare Medical 96

FDA Law Blog

APRIL 8, 2024

The White Paper notes that of the 123 drugs in shortage in January 2024, a quarter were first reported in shortage prior to 2020, with the oldest dating back to 2012, and shortages were experienced across therapeutic areas; analgesics/anesthetics (17%), anti-infective (12%), and cardiovascular (13%) products comprised 42% of shortages.

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Supply Chain Manufacturing Government Hospital 59

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day. And Covid was just.

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IT Healthcare Healthcare Professional Patient-Centered 110

Medical Xpress

JUNE 8, 2025

The commonest strategy to manage acute pain in preterm babies is to give them sucrose , a sugar solution. One of these sites does not use sucrose for acute pain management. We found no link between preterm babies later behavior and how much sucrose they were given to manage pain. Whats more, pain isnt always managed.

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IT Management Vaccination Medical 53

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. So, I love how tailored and individualized it was, and that’s what this process evaluation is really showing us, so far.

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Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. Well, being a pretty comprehensive definition.

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IT Patient-Centered Screening Patients 66

GeriPal

MARCH 30, 2023

So my piece is really reflections around caring for my mom who died toward the beginning of the pandemic in 2020, and the influence of my work in hospice and palliative care and the perspective that I brought to my care for her in that time. This was in May of 2020. But it’s May 2020. They’re limited.

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IT Patient-Centered Patients Healthcare 95

GeriPal

DECEMBER 8, 2022

You would love this because in that story that was in that patient CHR was a particular song that had meant a lot to this individual. So it provided just a gem of something, connection around this story that had both been meaningful to both individuals, we’re humans too, clinicians. Bennett, C.R., Schilling, L., Doorenbos, A.

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Patient-Centered Illness Healthcare IT 115

GeriPal

OCTOBER 26, 2023

And so I did all of my research training in health services research, health policy, and then was very grateful to be recruited by Dr. Christine Ritchie when she transitioned here to MGH in September of 2020. And so I knew that I wanted to do something related to palliative care because I work with people with advanced and serious illness.

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Patient-Centered Hospital Patients IT 132

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Individuals over 65 years of age at home Yes 23 (65.7) Jour Turk Fam Phy 2020; 11 (1): 95-101.

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Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”?

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IT Family Families Physicals 137

GeriPal

APRIL 10, 2025

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. Remember, this was March 2020, around that time when we got all this training and we were having now these conversations really often. Do we know these individual things really work in big randomized control? No, no, no.

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Patient-Centered IT Hospital Patients 77

GeriPal

JANUARY 20, 2023

You were on a National Academy of Sciences committee started in 2020? If you own and operate a nursing home and you’re taking people in, and you’re admitting new residents, what’s their accountability for how they manage compensation and quality delivery? I’m the project manager, so my job’s to zoom in.

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Finance Board-Certified IT Provider 95

Family Medicine Initiative

APRIL 10, 2024

GPs Improve Chronic Disease Management We live in a world of aging populations, with rising chronic diseases, multimorbidity, and polypharmacy. Because chronic diseases are largely managed in primary care and are therefore the GPs’ daily business: Patients with multimorbidity account for 78% of GP appointments (based on 100,000 UK patients).

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Family Physician Family Families GP 130

Physician's Weekly

JUNE 24, 2025

From 1999 to 2020, the dataset captured 127,149 deaths in which CVD was listed among 281,355 IMID-related deaths overall. per 100,000 in 2020. Although the absolute gap narrowed, it persisted through 2020 ( P <0.001). in men in 1999, a pattern that persisted through 2020. per 100,000 in 1999 to 1.1 P <0.01).

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Patient-Centered Hypertension Management Diagnosis 52

BMJ

JUNE 25, 2021

doi: 10.1136/fmch-2020-000780 Cardiovascular disease (CVD) is the biggest cause of death from non-communicable disease in the world. This can also be seen in the sequential treatment decisions in managing cardiac risk 3 and the alternating statin therapy usage. Published 2020. www.statisticsauthority.gov.uk/assessment/code-of-practice

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Primary Care Clinical Practice Electronics Clinic 40

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: And Susan?

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Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. Big heat waves in England in 2020, 2,224 excess deaths in the obits over the age of 65. A lot of them are obviously adopting the right policies, implementing the policies, things at the individual level.

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Healthcare IT Education Community 129

GeriPal

DECEMBER 29, 2022

Negotiation Training for Case Managers to Improve Older Adult Acceptance of Services. Prof Case Manag. December 2020. I was also working there at an adult day center for individuals with Alzheimer’s and other related dementias. How would you think about each individual of those three steps? Geriatrics.

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Family Families IT Patient-Centered 96

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Fantastic.

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Patient-Centered IT Family Families 125

FDA Law Blog

SEPTEMBER 8, 2022

Wasserstein — Three patient advocate groups have sued the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), challenging HHS’s 2020 Notice of Benefits and Payment Parameters (NBPP) rule. During the Trump administration, HHS and CMS issued the 2020 NBPP rule , revising 45 C.F.R.

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Insurance Patients Manufacturing Patient-Centered 83

FDA Law Blog

AUGUST 3, 2021

Department of Health and Human Services in December 2020 to prevent Medicare Part D and Medicaid Managed Care plans from receiving rebates from manufacturers unless the rebates are passed through to pharmacies to reduce patient out-of-pocket expenses. See 42 C.F.R. 1001.952(h).

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Manufacturing Transportation Government Management 52

GeriPal

SEPTEMBER 14, 2023

2020 Hospital at Home-Plus: A Platform of Facility-Based Care. By the year 2000, everyone will be in a Medicare managed care plan.” That started in November of 2020. Go back in your mind, November of 2020, COVID is at its peak, we don’t have vaccines quite yet. Annals of Int Med.

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Hospital Patient-Centered Supply Chain IT 115