Annals of Family Medicine

NOVEMBER 20, 2024

Context: Currently, primary care data, community data, and hospital data are not linked in Ontario, resulting in a disconnect in continuity of care. Datasets: Primary care EMR data from the Eastern Ontario Network and acute care, post-acute, and community mental health and addictions data from the Shared Health Integrated Information Portal.

Primary Care 130

Primary Care Electronics Hospital Medical 130

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. And so when you have that, that’s so good for the family. That’s so good for us.

IT 102

IT Family Families Clinic 102

GeriPal

MAY 15, 2025

Many were community hospitals. I mean, Cass Sunstein and Dick Thauer wrote a book entitled nudge. We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information. Examples of nudges, some based in health care, others in coffee. If not, why not?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical conversations with colleagues and families to coordinate transition planning.” And oh, guess what?

Hospital 132

Hospital Patient-Centered Patients IT 132

GeriPal

APRIL 28, 2022

Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” I was just thinking back to yesterday, we were in a family meeting. I think it was just sort of commentary that I had running in my head about what is the real utility of this radar?

IT 145

IT Hospital Patients Illness 145

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.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

Physician's Weekly

JUNE 11, 2025

Rob Kennedy mingled with about a dozen other people in a community space in Clarks Summit, Pennsylvania. He recommends memory cafes to other people with dementia and their families. “I come in now and it’s like, it’s family, it’s a big, extended family. I get to meet them.

Patients 52

Patients Family Families Diagnosis 52