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Nested order panels for primary care medication and laboratory orders: adoption and impact on ordering efficiency [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Electronic health record (EHR) order preference lists and order sets potentially improve efficiency but have limited utility in complex primary care settings. Setting: Primary care clinics partnered with an academic health center. nurse practitioners and physician assistants).

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Is there enough time for prevention in primary care?

Common Sense Family Doctor

Family physicians are being squeezed by two accelerating trends: (1) too few of us to care for the growing US population and (2) the rising number of tasks that we are asked to accomplish for each patient. hours) allocated to preventive care. hours) allocated to preventive care.

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Nurse Practitioners Critical in Treating Older Adults as Ranks of Geriatricians Shrink

Physician's Weekly

On a gloomy Friday in January, Johnson, a nurse practitioner who treats older adults, had a hospice consult with Ellen, a patient in her 90s in declining health. ” Nurse practitioners are having those conversations more and more as their patient base trends older. nurse practitioners can practice independently.

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

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. With their regular providers? The article we discuss today, also published in JAMA , addresses these two gaps.

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The Future of Geriatrics: A Podcast with Jerry Gurwitz, Ryan Chippendale, and Mike Harper

GeriPal

So the data relating to the number of geriatricians in this country, salaries in comparison to hospitalists or primary care physicians. ” And I said to her, well, they had a geriatric nurse practitioner. How do we train primary care doctors to do geriatrics? And finally the big thing was the match.

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

GeriPal

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. We weren’t randomizing providers or patients. No difference in their primary outcome. No difference.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. 2020 Hospital at Home-Plus: A Platform of Facility-Based Care.

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