Annals of Family Medicine

NOVEMBER 20, 2024

Context: Asthma is a prevalent chronic disease that is difficult to manage. Objective: To assess intervention fidelity, we are monitoring documentation in the electronic medical record (EMR) of each coached patient. Intervention/Instrument: Chart review.

Asthma 130

Asthma Chronic Disease Primary Care Provider 130

GeriPal

JULY 19, 2024

So I think we’re poised now with the guide model and with the evidence we have about healthcare utilization, impact on caregivers, course of dementia, comorbidity management and all of that. And this is not about treating dementia as a disease of the brain in isolation from the person. It’s closer to 80.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MARCH 28, 2024

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. These are patients who had a pre-existing chronic disease, very broadly defined. COPD, heart failure, solid oncology, hematologic malignancy, dementia, ALS, interstitial lung disease, several others.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JULY 6, 2023

All of them offer the same array of services, really emphasizing social determinants of health and preventive services like falls prevention, chronic disease, self-management, caregiver training. It’s a healthcare crisis, it’s lack of tenant protections, death of a spouse. And then, the system responds in turn.

Community 89

Community Nurse Practitioner Provider IT 89