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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Eric: And how did you do that? Eric: So how do you put that all together?

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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. Why is that important in the emergency room? Actually, our training as emergency physicians is mostly to resuscitate to acute care.

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

Alex 15:13 This is really complicated. So elderly people who aspirated, got pneumonia, had an mi, didn’t get hauled off to the emergency room on an ambulance crew so they could die in the ER. And so I thought about it a while, called, and sure enough, they brought him up to the emergency room.

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Should We Shift from Advance Care Planning to Serious Illness Communication?

GeriPal

And I think the advanced planning debate is really a question of, how do we help this very complicated situation? And then three weeks later, you’re in the emergency room and somebody else talks with you for a little while. And I think a lot of times when we get consulted, we’re asked for the outcome, right?

Illness 98
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‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options

Physician's Weekly

Prior authorization mostly happens behind the scenes, almost always electronically, and nearly all requests are quickly, or even instantly, approved. In late May and early June, she said, he spent five days in the hospital after developing heart and lung complications. For most patients, though, the process works seamlessly.