The Clinical Problem Solvers

FEBRUARY 8, 2023

Between 2007 – 2019, Black individuals experienced a higher death rate for opioid overdose deaths than any other racial or ethnic group. These narratives have vilified individuals who would benefit from comprehensive, person-centered substance use treatment, rather than incarceration and other adverse harms.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

The Clinical Problem Solvers

APRIL 5, 2022

Push back against individual narratives that blame individuals for systemic injustice. Dr. Kushel detailed how the use of dehumanizing language equates to complicity in a narrative that systemically harms our neighbors with lived expertise in homelessness. Calac, Victor A. Push back against dehumanizing language.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

FEBRUARY 15, 2024

So what we found is up to 30% of people would call 911 again for a fall, and of those calls, some people became very high-utilizers and so they would call 911 over and over again. I think once someone becomes kind of a high-utilizer, it’s a slippery slope. All of these are factors that are on the individual level.

Community 116

Community Transportation IT PCP 116

PEMBlog

JUNE 2, 2025

Evaluation consists of lab studies, including CBC, CMP, BNP, troponin, UA, UDS, TSH with reflex to T4, and urine pregnancy test for individuals with a uterus. Additionally, hydralazine is another agent that was previously utilized in pediatric hypertensive emergencies.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

JANUARY 25, 2024

It used to be a much more complicated model. However, its main predictors are age, comorbidity, and healthcare utilization. As a nurse, how challenging would it be to do eight hours of training and jump into this complicated world? David: We used the VA specific care assessment needs score, which- Eric: Oh, the CAN score.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

MAY 15, 2025

We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. We tested two different nudges individually and then we combined them. I highly encourage you. Kate 13:59 What did we do?

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. Just an extraordinary cast of individuals who were really so incredibly inspiring. I guess one question for providers is, as we dive into individual sense of dignity, and I guess threats to that dignity, is potentially feeling like we’re opening this box.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

APRIL 10, 2025

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. Yeah, that’s a more complicated story. But yeah, it’s complicated. Is that right?

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

OCTOBER 19, 2023

Eric: So Scott, two questions for you then is since this is aimed, POLST is people with limited life expectancy, we also have no randomized control trials of CPR of individuals in this population. Eric: That’s a complicated form then. What I’d really like to see is that when POLST is utilized, it’s utilized correctly.

Patient-Centered 127

Patient-Centered IT Patients Illness 127

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. The black individuals wanted to have a separate one from the white individuals. And resource utilization was very low in all the groups.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

MARCH 7, 2024

It sets space between us and the individuals we’re trying to take care of. I thought that was an interesting take on doing this, because a mother-daughter relationship can be complicated, can be wonderful, and it’s hard to navigate when you lose your mother. I often say that doulas are mirrors. Again, I go back to this.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

OCTOBER 26, 2023

I know that from Sarguni, we have some population level data, but are there any individual tools that you could use like an e-prognosis for function for hospitalized older adults? Tamra: It’s incredibly complicated because to date, there’s not really a validated tool that’s mandated to be used across all settings.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

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. There’s also been some differences in things like staffing.

Families 107

Families Family IT Patients 107

GeriPal

MARCH 28, 2024

Eric: And we’re going to get to results, but that’s why I also love that 2016 paper: I think it was the very first palliative care trial that ever looked at individuals getting curative therapy. Eric: I think about it as the first one to address individuals’ curative therapy. I’m just stunned even writing that!

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

JUNE 9, 2022

That gets really complicated as well. Alex: It gets very local and individualizes as you were saying. And I actually think the cool thing about a needs-based approach would allow us to better utilize the service. I think need is hard without any of those other things. Because we have a pain service here, integrated pain service.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

DECEMBER 19, 2024

So we’re going to be talking about palliative care for individuals with mental illness. Depending on your geography, who you are as an individual, the ethical parameter you’re considering. There’s a Boguts case, a patient with anorexia who utilized medical aid and dying. Oh, yeah, yeah. Good artist.

Illness 102

Illness Mental Health IT Patient-Centered 102

FDA Law Blog

SEPTEMBER 6, 2021

Teva submitted an ANDA in 2002, and after some complicated regulatory history, ultimately carved-out the congestive heart failure indication by way of a section viii statement. Especially now with the utility of the use code minimized. But what is a “true carve-out?”

IT 52

IT Provider ER Insurance 52

New South Family Medicine and MedSpa

SEPTEMBER 17, 2019

The world of diets and dietary theories is complicated and can be overwhelming. However, people need to understand what works best for them individually. Let me explain why food enters the bloodstream, and blood is what creates your cells, tissues, and organs. Food has the power to regenerate the new you!

Referral 40

Referral Family Medicine DO Primary Care 40