Remove Consulting Remove Electronics Remove Emergency Room Remove Hospital
article thumbnail

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. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality.

article thumbnail

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

GeriPal

We are fortunate to have Tammie Quest, emergency and palliative trained and long a leader in this space, to help us unpack and contextualize these findings. Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 112
article thumbnail

Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

He had a 14 month recovery in hospital and rehab and continually asked to have life sustaining treatment suspended so that he could be allowed to die. So she bled a lot and finally called for help and was transferred to the hospital, where she started crashing in the trauma room. She didn’t die in the hospital.

article thumbnail

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

GeriPal

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. We see our patients and our families throughout the illness trajectory into the hospital.

Illness 98
article thumbnail

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

Physician's Weekly

Prior authorization varies by plan but often requires patients or their providers to get permission (also called precertification, preauthorization, or preapproval) before filling prescriptions, scheduling imaging, surgery, or an inpatient hospital stay, among other expenses. The practice isn’t new.