The Direct Doctors Difference

MARCH 19, 2021

The Providence Journal conversely, ran a much more balanced assessment article. Here’s an article from 2018 showing that though hospital operating costs are reduced 15-30% by this kind of merger, costs still go up! You want more data? And how about that “increase in patient care” that is touted.

Primary Care 52

Primary Care Primary Care Doctor Hospital ER 52

Medical Xpress

JULY 1, 2025

Researchers from the Wellcome Sanger Institute, the University of Cambridge, Cambridge University Hospitals NHS Foundation Trust (CUH) and their collaborators analyzed blood cell genomes from 23 patients of all ages who had been treated with a range of chemotherapies.

Patients 103

Patients Individual Medical Diabetes 103

Permanente Medicine

JULY 8, 2025

He has been named a Great Leader in Health Care in the 2025 by Becker’s Hospital Review. My articles would’ve gotten a lot longer, but not necessarily any better. It’s the same for the hospitals. What’s a value-based system look like from a clinic, a hospital perspective?

Patient-Centered 52

Patient-Centered IT Relationship Patients 52

GeriPal

JULY 3, 2025

We’ve invited two palliative care doctors to talk about survivorship with us: Laura Petrillo , a physician-researcher at Mass General Hospital and Harvard Medical School, and Laura Shoemaker , an outpatient palliative care doctor at the Cleveland Clinic. I was there and at University Hospitals, had a great visit. Great to see you guys.

Patient-Centered 92

Patient-Centered Illness Clinic IT 92

Physician's Weekly

JUNE 14, 2025

They assessed 19,108 patients with coronary artery disease from 7 hospitals in Massachusetts between January 2019 and March 2024. Cardiology consultations increased the likelihood of LDL-C goal attainment (OR 1.54, 95% CI 1.41–1.67), Females had lower odds of achieving LDL-C goals (OR 0.53, 95%CI 0.49–0.58),

Consulting 52

Consulting Utilities Relationship Management 52

Physician's Weekly

JULY 15, 2025

Home » CONTRIBUTE SUBSCRIBE TO NEWSLETTERS SPECIALTIES Back Allergy & Immunology Cardiology Critical Care Dermatology Endocrinology Gastroenterology Infectious Disease Nephrology Neurology OB/GYN Oncology / Hematology Ophthalmology Pain Pediatrics Primary Care Psychiatry Pulmonology Rheumatology Surgery Urology Meeting Coverage DEEP DIVES (..)

Primary Care 52

Primary Care Healthcare Professional Consulting Medical 52

Physician's Weekly

JUNE 13, 2025

A podcast producer and director emeritus of WOUB Public Media zeroed in on our article about restless doctors, sharing his thoughts on X: This must be Trump and Kennedy’s idiotic plan to make American Healthy Again… [link] — Tom Hodson (@thodson) May 29, 2025 — Tom Hodson, Athens, Ohio Oh, Canada Welcomes American Doctors!

Vaccination 52

Vaccination Family Families Appointment 52

Tiny Physician

DECEMBER 11, 2021

The PG doctors strike has entered its 12th day at the time of publishing this article and it has badly affected the patient care at the Government Medical Colleges (GMCs). If you feel that the resident doctors (PG doctors) are at fault for this mess, then please go through the whole article to completely understand the problem.

Patients 52

Patients Government Appointment Finance 52

GeriPal

JANUARY 12, 2023

But if ACE units are so great, why do so few hospitals have them? 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. Kellie Flood’s paper in JAMA IM showing that not only ACE units deliver better care, but also help with the hospitals bottom line.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

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

MARCH 14, 2024

And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations.

IT 123

IT Hospital Patient-Centered Individual 123

GeriPal

APRIL 27, 2023

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Eric: That’s why I love reading your articles, always so deep in science. Eric: And when do we expect that article to come out? Attendee 3: Oh.

Specialization 93

Specialization Illness Healthcare Patient-Centered 93

GeriPal

MAY 5, 2022

If you want to take a deeper dive into this subject and read some of the articles we discussed in the podcast, check out the following: Hearing Loss: Effect on Hospice and Palliative Care Through the Eyes of Practitioners. Including more hospital utilization or healthcare utilization, maybe cognitive impairment issues. Transcript.

IT 102

IT Screening Hospital Clinic 102

GeriPal

DECEMBER 2, 2022

He wrote a book titled “ Psychiatric consultation in long term care ” that has a strengths based approach to staging dementia (how cool is that). She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. Eric: In the article, you wrote about creative engagement.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

NOVEMBER 9, 2023

On the other hand, there is a concerning side, described in this Guardian article titled, I’m a life coach, you’re a life coach: rise of an unregulated industry. When somebody is not able to function, they need deep therapy, and probably maybe even hospitalization. Eric: We’ll have a link to one of those articles.

Board-Certified 109

Board-Certified IT Primary Care Referral 109

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. This hasn’t floated into our hospital systems yet, but at least in the real world, people are using these to make insulin dosing decisions without needing to poke their fingers.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. and consulting for Papa Health. Panelists Kate Courtright and Scott Halpern have no relationships to disclose.

Consulting 119

Consulting Hospital Patient-Centered IT 119

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. So Liz, let’s jump into the topic.

Hospital 124

Hospital IT Patient-Centered Patients 124

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. David: Right.

Patient-Centered 121

Patient-Centered IT Illness Patients 121

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 131

Patient-Centered Hospital Patients IT 131

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. Alexis, welcome to GeriPal. Alexis: Thanks for having me. Alexis: Yeah.

IT 127

IT Families Family Patient-Centered 127

GeriPal

OCTOBER 20, 2022

This all came out from JAGS just published their first Clin-STAR corner, which is, and we’ll talk about what that is, but it’s a series of articles bringing in specialists to talk about updates in the last couple years within their field. So this point led us to select these articles. One of your articles addresses that.

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

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 111

Family Families Patient-Centered IT 111

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.” Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? Should you stop at “no?” Eric: Lynn or Anne?

Families 97

Families Family Patient-Centered IT 97

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Within the VA it’s now at 70 VA hospitals.

Patient-Centered 114

Patient-Centered Illness Healthcare IT 114

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

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) Been in the hospital four times, vented, been told the story to her family, she won’t live. So those questions we ask when we’re doing a palliative care consult. Within the VA it’s now at 70 VA hospitals. Alex: Yeah.

IT 104

IT Patient-Centered Healthcare Illness 104

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. The intervention was a negative study for the primary outcome, hospital length of stay.

Patient-Centered 115

Patient-Centered Hospital IT Illness 115

GeriPal

APRIL 28, 2022

So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team. Did they ask for a consult?” ” Nathan: The clown is a surrogate.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. So that’s great.

Patient-Centered 76

Patient-Centered IT Hospital Patients 76

GeriPal

FEBRUARY 13, 2025

We’re gonna be talking about three different articles that are gonna be presented Saturday, I believe, at the annual meeting. Three different articles. You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. NCP guideline, standard consultation. Have to see.

Consulting 62

Consulting Community Patient-Centered Family 62

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 Family 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 they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

OCTOBER 5, 2023

We’ve invited Jacqueline Kruser and Bob Arnold on this week’s podcast to talk about their recently published JAMA Viewpoint article titled “ Reconsidering the Language of Serious Illness. ” You recently published an article in the New Yorker titled, I can’t even read my own, what was the title again? Of course not.

Illness 135

Illness IT Patient-Centered Family 135

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

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.

Patients 71

Patients Clinic Patient-Centered Illness 71