Remove Complication Remove Electronics Remove Healthcare Professional Remove Utilities
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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

But the thing that really motivates me is seeing, you know, and trying to manage later stage, you know, we can call them complications of people who haven’t had a diagnosis are now really in, you know, a world of complexity around other conditions, around managing life and managing practical things.

Screening 119
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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

And we were able, because of the way OHSU has the registry and POLST link had just been integrated into our electronic medical records. So you can actually quantify how often it was accessed, at least by either calling the registry or clicking in the electronic record. Eric: That’s a complicated form then. Eric: Kelly?

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

GeriPal

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Corita 09:39 Yeah, so we used the electronic health record, I think, in support. Is that right?

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

GeriPal

We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information. These were EHR documents in the patient’s chart built within the Atrium Health’s electronic health record, where they document other things. Kate 16:25 Yeah, right. Jaspal 16:39 Right.

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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’s complicated because right now there’s no mechanism other than cost avoidance. I’m just stunned even writing that! We’ve come so far as a field. Eric: And how did you do that?

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Who should get Palliative Care? Kate Courtright

GeriPal

But there’s no real system and systematic electronic way to identify need-based palliative care right now. That gets really complicated as well. And I actually think the cool thing about a needs-based approach would allow us to better utilize the service. Where I think the field would all love to go. Alex: Yeah.

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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? So one that the primary outcome was supposed to be documentation, which it improved documentation, it wasn’t powered to actually look at any utilization or hard outcomes. We see how hard it is. Rachelle: Yeah.

Illness 98