Permanente Medicine

JULY 8, 2025

She’s the president and CEO of the Alliance of Community Health Plans, a group representing nonprofit health organizations that work to improve affordability and outcomes in health care. My articles would’ve gotten a lot longer, but not necessarily any better. Let’s meet our guests. With me is Ceci Connolly.

Patient-Centered 52

Patient-Centered IT Relationship Patients 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

GeriPal

JULY 3, 2025

Several great articles about this. And caring for people is a medical community responsibility and we can’t be outsourced for all of these integral person centered needs that patients demand, you know, generally from their healthcare providers. Survivors of care. Alex 31:21 Great workforce issues. Tremendous workforce issues.

Patient-Centered 92

Patient-Centered Illness Clinic IT 92

Edge Family Medicine

FEBRUARY 10, 2025

Healthcare has evolved, and patients now have more choices than ever for medical consultations. Telemedicine allows you to consult with a doctor remotely via video, phone, or online messaging. Mental health consultations , including therapy and psychiatry. Experienced providers offering both virtual and in-office consultations.

Telemedicine 130

Telemedicine DO Family Medicine Chronic Disease Management 130

GeriPal

OCTOBER 13, 2022

Sonali Advani and Lona Mody talk about their recent JAGS article highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).

Complication 96

Complication Patient-Centered IT Patients 96

GeriPal

DECEMBER 2, 2022

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . He wrote a book titled “ Psychiatric consultation in long term care ” that has a strengths based approach to staging dementia (how cool is that). And that’s why we need this community support, I think. Transcript.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

APRIL 27, 2023

“What we’ve seen to make it really work is you either have to be in the hospital, where we’ve taken over palliative care in the hospital, or you have to be contracted with managed care and get it at some kind of risk, because community-based palliative care is very difficult to make operate right now from a profitable [perspective].”

Specialization 93

Specialization Illness Healthcare Patient-Centered 93

GeriPal

JANUARY 12, 2023

If you want to do a deeper dive in ACE units, check out some of the following articles: The original NEJM paper on ACE units from 1996. Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. Are they community dwelling? Kellie: Yes.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. So, if it’s a hospitalized patient, usually the referral will come through to the SLP service.

Hospital 123

Hospital IT Patient-Centered Individual 123

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. They know how to manage a lot of these back at home and in the community, so giving them that sense of control even towards the end is I think hugely important. This is great.

Diabetes 73

Diabetes Management Patient-Centered Families 73

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. In their communities? And in the community, not just in acute care”, which is just… First day of nursing school, they’ve told us, “You have to remember that a hospitalization is a blip on somebody’s screen.

Patient-Centered 121

Patient-Centered IT Illness Patients 121

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. You get a consult if you get a consult.

Telehealth 104

Telehealth Patient-Centered IT Patients 104

GeriPal

MAY 8, 2025

And it kind of made its way into medicine probably around, I’m going to say the 50s after there was a fairly interesting Time Life article that was published. And when that article went to print, it just went ballistic. Now they’re getting psychedelic experiences, you know, and transformation in a consulting office.

Illness 106

Illness IT Patient-Centered Patients 106

PEMBlog

JUNE 2, 2025

What you can expect to learn from this article: Recognize signs of end-organ injury when BP is 95th percentile + 30 mmHg. Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Three different articles. You did a rural tele-palliative care consultation study. Have to see.

Consulting 62

Consulting Community Patient-Centered Families 62

GeriPal

OCTOBER 26, 2023

Having read at least some of your research articles there’s a lot of focus around this intersection between what happens to people after the hospital stay post-acute, especially in the cancer patients. Tamra: I wrote this… Eric: Thinking that the perceived role for inpatient physical therapist is a discharge consultant.

Patient-Centered 131

Patient-Centered Hospital Patients IT 131

GeriPal

MAY 12, 2022

He is also author of the book, “ Walk with the Weary: Lessons in Humanity in Health Care ,” and was featured in this Atlantic article. Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . And I believe it needs the community.

Community 114

Community IT Relationship Healthcare 114

GeriPal

OCTOBER 24, 2024

I actually do some consulting work with a company called the Farmstand that’s based in a community called the Villages in Florida. And it’s to the degree that any retirement community could be described as a party town, this is a party town made the news not too long ago for having a really high incidence of STD’s.

Medical 97

Medical IT Patient-Centered Healthcare 97

GeriPal

MARCH 24, 2023

For a deeper diver into these issues, check out some of the following links: Ira’s Stat new article “Hospice care needs saving” GeriPal’s episode on the growing role of private equity in hospice care Acquisitions of Hospice Agencies by Private Equity Firms and Publicly Traded Corporations. Ira: I like the article. Thank you, Anne.

IT 112

IT Provider Patients Families 112

GeriPal

JUNE 5, 2025

We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. And so we do have consultants who come in the building. And usually it’s simply for a consultation.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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. They didn’t feel connected to the people in their broader community.

IT 98

IT Community Patient-Centered Medical 98

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. And so the article focuses on the work of these three men who were mostly gang involved and did something really bad when they were young. Michele: Yep. Eric: A few years?

Families 131

Families Family IT Community 131

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. And so we use that.

Patient-Centered 76

Patient-Centered IT Hospital Patients 76

GeriPal

APRIL 28, 2022

So I wonder Nathan, comment, if you could for us, on these comics, graphic art as a mechanism for teaching people, whether it’s within the palliative care community or the broader audience of clinicians that this clearly would appeal to as well. Did they ask for a consult?” Definitely puts you in palliative care jail.

IT 145

IT Hospital Patients Illness 145

GeriPal

DECEMBER 14, 2023

So we’re going to have a link to the article that you published in JAMA IM titled The Hospital Culture and Intensity of End-of-Life Care at Three Academic Hospitals. So before we talk about the results, can you give us a very brief overview of what you did in this article? Eric: Yeah, and for our listeners, excellent job, Kai.

Hospital 124

Hospital IT Patient-Centered Patients 124

GeriPal

MAY 4, 2023

I will say one of the challenges in the field is many hospices don’t know how to take care of children or young people, and so you have these folks in the community who you’re trying to provide services to, and you just can’t connect them to the same types of resources you’re used to using. Eric: Yeah.

Families 83

Families Family IT Illness 83

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) So those questions we ask when we’re doing a palliative care consult. So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing.

IT 104

IT Patient-Centered Healthcare Illness 104

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. 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. I think it started off from a need, a hunger in the community.

IT 106

IT Community Patients Families 106

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU. Should you stop at “no?” That can all start with you.” Who are the people?

Families 97

Families Family Patient-Centered IT 97

GeriPal

DECEMBER 8, 2022

So those questions we ask when we’re doing a palliative care consult. So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing. ” So lo and behold, that’s how I met Thor. We need to get Harvey on GeriPal.

Patient-Centered 114

Patient-Centered Illness Healthcare IT 114

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). That was really the theme song of how the community came together. How do you see the light?

Provider 116

Provider Illness IT Healthcare 116

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. What is sludge? Sludge is apparently when you create barriers or extra work for someone. Alex 25:41 Yeah.

Patient-Centered 115

Patient-Centered Hospital IT Illness 115

GeriPal

OCTOBER 6, 2022

Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. There was an article that came out about cancer center advertising. Welcome back to GeriPal, Tony. ” Bingo.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. But that was my take home from Danny’s article. And I just want to also highlight, we’ll have a show note because there is a great JPSM article that he wrote that describes this clinic that he created with his colleagues. Sach 07:22 Yeah.

Patients 71

Patients Clinic Patient-Centered Illness 71

GeriPal

JUNE 30, 2022

In today’s podcast we talk with surgeon Samir Shah and Health Services Researcher Joel Weissman about a pair of JAGS articles they published on the outcomes of high risk surgery and advance care planning among persons with dementia. And that these serious illness conversations ought to involve more palliative care consultations, I think.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JANUARY 16, 2025

I, for example, had one patient, I remember during my fellowship, I was in geriatrics clinic and had a very well read patient who came in and was reading a New York Times article, I think in the well section at one point. And I was asking this patient about if he had filled out an advanced directive. Decision making hierarchies by default.

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Patient-Centered IT Patients Healthcare 108