GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Welcome back Lona.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 5, 2025

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. And what does that referral process look like? So that part we know and I.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. It’s by choice, just like in the community. Did I get that close?

Family 132

Family Families IT Community 132

GeriPal

APRIL 6, 2023

We are also joined by LaVera Crawly, a physician turned chaplain, now VP of Spiritual Care at Common Spirit Health (and author of another of my favorite and most cited papers on palliative care in the African American Community ). These hick pick codes are available to any chaplain in a healthcare system. It’s now available.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 6, 2025

So I get all the referrals from my great colleagues in primary care. We’ve had difficulty in recruiting and engaging in those communities, and that’s on our end. It’s not on the community’s end. So it matters a lot to the person, to their family, to the community. We save healthcare.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

OCTOBER 6, 2022

Even with this whole discussion about diversity, even in our regular community, we are not actually making progress when you look at nationally weighted surveys. Look at the way they talk to the public, referral like HIV prep. So that’s the other part. That’s the other piece of data on top of our focus group anecdotes.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . What, published in JAMA IM? James: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. Caroline: And I love how you highlight the importance of these staff biases, perhaps implicit bias that is driving some of these healthcare decisions. That’s a problem in our healthcare financing system. Ruth: Absolutely.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. You go back home.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

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. And the entire community of palliative care said yes, not a palliative care study. We won’t kill your patient. I’m so sorry.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. So ultimately, you know, we had to get buy in at. Is that right?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

Eric 17:46 Well, how do you train them, the frontline people seeing these patients, healthcare providers, geriatricians, oncologists? Eric 39:21 Again, thinking about, like, basic approaches to these really common problems up to date, certainly out there, referrals. But I’m guessing you all bring it up, and I wonder.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 20, 2023

And I think that it was percolating in a lot of the palliative care community. And how are you going to know that when you’re just getting random referrals from teaching hospitals, for example? So it developed all this issue around what is a qualifying referral that would allow me to do telehealth prescribing?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73