GeriPal

JANUARY 25, 2024

David: Similarly informed by my clinical experience, really, actually, beginning in residency when I took care of a lot of sick folks in the hospital, particularly those with cancer and heart and lung diseases like these. However, its main predictors are age, comorbidity, and healthcare utilization. Eric: How about you, David?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 15, 2024

So what we found is up to 30% of people would call 911 again for a fall, and of those calls, some people became very high-utilizers and so they would call 911 over and over again. I think once someone becomes kind of a high-utilizer, it’s a slippery slope. Same thing with kind of medication management. Carmen: Yeah.

Community 115

Community Transportation IT PCP 115

GeriPal

MARCH 28, 2024

Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample sizes, and analytics plans. These were clinically significant and statistically significant improvements. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Ann Henshaw is an occupational therapist who works clinically at Georgetown and teaches at GW. Alex: Today we are delighted to welcome Ann Henshaw who brought this podcast idea to us.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JUNE 5, 2025

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. So it’s a lot of palliation. I gotta get some sleep.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

AUGUST 25, 2022

And yet, we know little about the clinical experience of people with dementia in hospice. My interest in this paper and this topic goes back a long time and is based on my clinical experience as a hospice nurse, where I was taking care of what I felt like and what we’ve confirmed with research is about half of my patients.

Families 106

Families Family IT Patients 106

GeriPal

FEBRUARY 2, 2024

But you could have clustering within clinics, within clinicians who care for a panel of patients, that sort of thing. Eric: Utilization, utilization, utilization. And then the cluster part is simply our randomization unit, and for us it was a hospital and, again, for a number of reasons. Eric: Yeah. Eric: Okay.

Consulting 121

Consulting Hospital Patient-Centered IT 121

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. Okay, I don’t necessarily want to stay clinical, but I really love that spiritual work and what’s the closest profession. This is Eric Widera.

IT 99

IT Patient-Centered Families Family 99

GeriPal

MAY 15, 2025

We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information. But you know, we managed to work it through and people got used to it and throughout the duration of the trial. And it’s the right thing to do clinically for patients and families.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

AUGUST 24, 2023

And so the importance of the picture and the epiphany that really came many years later, I published a paper in the Journal of Clinical Oncology called Dignity in the Eye of the Beholder. How do you do that in clinical practice, in a way that doesn’t take five hours of sitting down with somebody? Eric: So how do you do that?

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 7, 2024

Healthcare, just the way healthcare is structured, that’s not something that’s feasible unless there’s a specific symptom management need that allows for more care, but just to provide simple care doesn’t exist. Is that right, Jane? Jane: Yeah, that’s right. What was the value proposition?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

SEPTEMBER 19, 2024

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? Can someone describe for me what a stepped model is?

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. There’s so many great tech tools out there now that older adults are using and can use to really wrap around the social services and the clinical services.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

FEBRUARY 24, 2022

Should we focus on something else, both from a clinical and a research perspective? So one that the primary outcome was supposed to be documentation, which it improved documentation, it wasn’t powered to actually look at any utilization or hard outcomes. They’re looking at difficult outcomes, utilization outcomes, right?

Illness 98

Illness Patient-Centered IT Families 98

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. So what that means is I take care of you just in my clinic, just in my hospital.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 20, 2023

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. It may have come to a care manager.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73