GeriPal

AUGUST 25, 2022

And then secondly, around some of our quality measures, there’s been differences found in multiple papers by many teams around hospice disenrollment, higher rates of hospice disenrollment in for-profit hospices, and higher rates of healthcare utilization. Basically, there’s a lot of variation amongst hospice providers.

Families 107

Families Family IT Patients 107

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. We weren’t randomizing providers or patients. Yeah, that’s a more complicated story. But yeah, it’s complicated. I went into emergency medicine to act.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. And the role of the palliative care provider is to figure out, knowing that different things affect different people, is what causes somebody in that particular instance to feel their dignity is being undermined. Eric: Sorry, I was on mute.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 15, 2025

At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information. I think it’s good to place nudges in context. Eric 23:03 If you want.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And resource utilization was very low in all the groups. We gave these tools to oncology and fusion room N that was complicated. They do the homework they talk about then with their doctor or their healthcare provider.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

DECEMBER 19, 2024

This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine.

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

OCTOBER 19, 2023

I think that policy in the emergency department is showing that no matter what that provider is looking to see if a patient has a preference. Eric: That’s a complicated form then. What I’d really like to see is that when POLST is utilized, it’s utilized correctly. You write who the surrogate is.

Patient-Centered 127

Patient-Centered IT Patients Illness 127

GeriPal

JUNE 9, 2022

Kate: You just embed it into routine care and workflows, and you really aim for a broader population,, outcomes that are routinely collected care that can be provided in the course of routine care, and not trying to manipulate and control all of the factors. That gets really complicated as well. Kate: That’s right.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

FEBRUARY 24, 2022

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

Illness Patient-Centered IT Patients 98