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Implementation and Uptake of the Virginia Mental Health Access Program [Child and adolescent health]

Annals of Family Medicine

Setting & Population: All clinicians in Family Medicine, Pediatrics, and Internal Medicine caring for individuals aged 22 years and younger in the Virginia All Payers Claims Database (APCD). Clinicians receiving any support from VMAP tended to be female, <40 years old, and practiced in rural communities.

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Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas

GeriPal

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. You did a rural tele-palliative care consultation study. NCP guideline, standard consultation.

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PC for People Experiencing Homelessness: Naheed Dosani

GeriPal

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. The social determinants of health and what community well being was a big part of. those experiencing homelessness).

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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. Absolutely.

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Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

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. This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Many were community hospitals.

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Storycatching: Podcast with Heather Coats and Thor Ringler

GeriPal

So those questions we ask when we’re doing a palliative care consult. So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing. ” So lo and behold, that’s how I met Thor. I may have talked about it before.