Annals of Family Medicine

NOVEMBER 20, 2024

Setting/Population studied/Intervention: A case management program (CMP) for people with complex needs was implemented in four primary care clinics of an urban area. Having more consultation time and establishing a relationship of trust with people helped to address their unmet social needs.

Integrated Care 130

Integrated Care Primary Care Management Healthcare 130

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. What can we do as a community?

Community 116

Community Transportation IT PCP 116

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. So we’re trying to help replace the transportation option. Because how that is approached can have lasting effects on relationships, unfortunately.

Family 102

Family IT Families Diagnosis 102

GeriPal

DECEMBER 5, 2024

So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. I think it started off from a need, a hunger in the community. And then as it grew, I just was viewing the entire enterprise as a love letter to health care. Emily 06:27 Yes.

IT 108

IT Community Patients Family 108

GeriPal

JUNE 5, 2025

Kathleen 14:03 I mean, back to Cari’s, you know, what Cari was talking about, about financial barriers to palliative care services in the nursing home setting. Eric 14:32 So there’s financial disincentives for interdisciplinary palliative care teams. Some will have stronger relationships with hospice.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78