Annals of Family Medicine

NOVEMBER 20, 2024

Context: For over 25 years, the burden of clinical administrative services has been cited as contributing to the stress and burnout experienced by family physicians. Individual and team analysis. At the system level, participants underscored the need for compensation for administrative time and funding to increase clinic staff (e.g.

Primary Care 130

Primary Care Nurse Practitioner Family Physician Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population studied: The CPSMP targeted individuals suffering from chronic pain in the Champlain region of Eastern Ontario. Anyone suffering from pain could register for the program without needing a referral or formal diagnosis from a health care practitioner. The number of participants peaked in 2018 and remained stable thereafter.

Management 130

Management Utilities Referral Individual 130

Medical Xpress

MAY 3, 2023

Genetic testing for hereditary cancers, such as breast, colon, pancreatic, and ovarian cancer, helps at-risk individuals understand their familial risk for these diseases and make informed decisions about next steps in care.

Referral 98

Referral Utilities Individual Families 98

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

How Family Physicians Can Help Address Food Insecurity Family physicians are often the first point of contact for patients, uniquely positioning them to identify food insecurity and connect individuals to vital resources. Community Partnerships: Mayo Clinic collaborates with local food banks to offer mobile food distributions.

Family Physician 52

Family Physician Community Families Family 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context Global healthcare systems are not prepared to care for the 55 million individuals worldwide affected by Alzheimer's disease and related dementias (ADRD), with cases continuing to rise. clinical consensus, financing mechanisms) and the organization (e.g.,

Primary Care 130

Primary Care Screening Healthcare Finance 130

Dr. Zaar

JUNE 1, 2025

Managing Type 2 diabetes requires more than just medication—it demands a long-term partnership with a skilled healthcare provider who understands your individual needs. Firsthand referrals often lead to trusted and patient-focused providers. But how do you find the right diabetes specialist in a crowded healthcare landscape?

Diabetes 52

Diabetes Board-Certified Management Internal Medicine 52

Common Sense Family Doctor

MARCH 15, 2025

A 2022 article in the Harvard Business Review introduced the term sludge to describe “these types of situations in which the design of a specific process consistently impedes individuals from completing their intended action.”

Screening 52

Screening Insurance Primary Care Referral 52

Physicians Alliance of Connecticut

MARCH 5, 2025

At PACT Endocrinology, a referral isn’t required. Clinic location and hours: If you have a chronic endocrine condition, you’ll likely see your endocrinologist regularly. Choosing a clinic that’s located nearby and has convenient hours for your schedule can make it easier to get the care you need.

Board-Certified 52

Board-Certified Primary Care Insurance Diabetes 52

FDA Law

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 220(e)(2). 18 U.S.C. § 24(b) (emphasis added).

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

GeriPal

MARCH 14, 2024

We also talk about the importance of a proactive approach to involving speech-language pathologists in the care of individuals early on with neurodegenerative diseases like dementia and ALS. So as you mentioned, dementia, there’s some research that show about 86% or 93% of those individuals will get that. Raele: Yes, of course.

IT 124

IT Hospital Patient-Centered Individual 124

FDA Law

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 220(e)(2). 18 U.S.C. § 24(b) (emphasis added).

Lab Testing 40

Lab Testing Referral Individual Patient-Centered 40

GeriPal

OCTOBER 13, 2022

We have a discussion about the decision to remove race, a social construct, from clinical risk calculators (though I’m not 100% sold that race should always be removed – if removal is likely to worsen disparities for example – at least until a superior race-blind calculator can be developed). So you’re right.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

NOVEMBER 9, 2023

” Eric: It strikes me that there also seems to be a difference between coaching a team, like many of us are familiar with, and this individual coaching, although there may be group coaching as well. Beth: Right now, I’m actually just doing individual coaching, but we are writing a grant to start group coaching next year.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

JUNE 12, 2025

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. And sort of a few years ago, we would sometimes see referrals a bit later than we would have liked. We are Seeing referrals at an earlier time point, especially at a point that I feel that I can really help a patient.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. So celiac disease can cause dyspepsia symptoms as well.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. So no differences between the modalities.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Who do we have with us today? Katie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening IT 136

ABIM

JUNE 24, 2025

The questionnaire gathers information about clinical work and practice patterns, and ABIM uses the information to help update exam blueprints, develop policies for initial certification and MOC, and ensure adequately diverse representation of the profession in research.

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

GeriPal

JUNE 9, 2022

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. By diagnosis? By prognosis?

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JULY 11, 2024

Can you come and be in our clinic once a week? It used to also be a social worker and myself who would actually go to clinic and spend some time up there. Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? I started our liver embedded liver clinic about seven and a half years ago.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. He’s in Boston. Eric 14:10 Yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? The obstacles hindering referrals to palliative care services. 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.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. So you’re right.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 6, 2025

So let’s just say you have a healthy 55 year old or 65 year old in your clinic. So whether it’s 50, 52, 55, 65, we should ask every person who comes into clinic at least once a year, how do you feel like your thinking is? So I’m in a specialty clinic, so I’m in this interdisciplinary memory assessment clinic.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

FEBRUARY 15, 2024

We require, especially if they’re coming to us, we’re often making them come to our clinics if they’re going to get treatment, and we’re relying upon what they report to us, and are they going to tell us, “Oh, my steps are uneven and actually my railing’s all rickety and I’ve got boxes everywhere”?

Community 114

Community Transportation IT PCP 114

GeriPal

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. That’s where it really gets to this individual risks and balances, individual situation. Love to talk about also in the serious illness population. I’m going to first turn to Emmy.

IT 102

IT Families Family Diagnosis 102

PEMBlog

JANUARY 16, 2025

Well dive into the clinical presentations, including acute and chronic symptoms, the dangers of sudden sniffing death, and the specific risks associated with nitrites, hydrocarbons, and nitrous oxide. You can either get one little individual canister of nitrous, or a big canister which costs about 120 to 120. Weve got to reduce access.

Complication 52

Complication Patient-Centered Management Patients 52

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

IT 95

IT Clinic Screening Patients 95

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. And then the final category, the third category is what we called the dignity conserving repertoire, which really has to do with kind of the spiritual, and psychological landscape and makeup of that individual. I mean, I was very much a clinician.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

APRIL 6, 2023

Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. They followed them during the course of their hospital stay.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JUNE 22, 2023

Eric: So in some ways, this is kind of like the VA, where you don’t have to follow Medicare guidelines, but you can actually actively do concurrent care for these individuals. There are clinics. Eric: Does the chaplaincy also provide support to them, or can they visit the hospice unit, those individuals? Michele: Yeah.

Families 132

Families Family IT Community 132

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. Ruth: I do have to also say that it’s important to remember that feeding tube use and hospital transfers for people with advanced dementia has no demonstrated clinical benefit. Joan: A lot of my work comes out of my clinical practice.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

Family Medicine Initiative

APRIL 10, 2024

Adherence to medical advice improves and unnecessary self-referrals to other doctors decrease. On average, twice as many patients have contact with GPs than with all specialists (in offices and/or outpatient clinics) combined. Over time, more trust develops. Over time, communication improves.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

SEPTEMBER 19, 2024

Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Jennifer 07:31 From.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. And that referral can be done in real time, a soft handoff. I would hope a referral would go to what’s called an ADRC, and it’s called an Aging and Disability Resource Center.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. Eric 08:37 And that’s because you randomized clinics, you didn’t randomize patients interventions. We did it by the clinic level. And so everyone who’s in that clinic was.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 20, 2023

Joe: Well, the proposed rule changes would’ve included, for example, that you have to have a face-to-face encounter with a patient in order to prescribe over telemedicine, or you have to have received a referral from someone who did have a face-to-face, and they also would’ve had to be DEA certified. What state are they in?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73