The Clinical Problem Solvers

MARCH 14, 2025

Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network.  References Benton TD , Boyd RC , Njoroge WF.

Mental Health 52

Mental Health Community Patient-Centered Hospital 52

Canadian Family Physician

FEBRUARY 18, 2025

Design Population-based retrospective descriptive cohort study using electronic health records. Setting St Michael’s Hospital Academic Family Health Team, including 5 clinics and an interdisciplinary home-based outreach team, in Toronto, Ont.

Primary Care 52

Primary Care Hospital Electronics Consulting 52

Permanente Medicine

JUNE 3, 2025

I practice family and sports medicine as part of the Southern California Permanente Medical Group here in Fontana, California. WM: Like you, I’m a family physician. So it’s not uncommon that many patients start to ask certain questions and I’m like, did you happen to consult with Dr. Google before coming to see me?

IT 52

IT Patient-Centered Patients Medical 52

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . Integration of Person-Centered Narratives Into the Electronic Health Record: Study Protocol. Connection — The Integration of a Person-Centered Narrative Intervention into the Electronic Health Record : An implementation study. Bennett, C.R., Schilling, L.,

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training. And I practiced both on the palliative care consult team and in the ICU.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

MARCH 28, 2024

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?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 4, 2024

Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. If they didn’t do it all by themselves, they talked to the family and it was a conversation, but also there wasn’t a whole lot that doctors can do then. Widera and Smith have no relationships to disclose.

Families 112

Families Family Patient-Centered IT 112

GeriPal

DECEMBER 15, 2022

So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live. So those questions we ask when we’re doing a palliative care consult.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JUNE 15, 2023

Audio: [electronic voice] Alex Smith has been taken over by an artificial intelligence. So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. Matt: We have seen pilot level studies, interventions like that one to do clinical ethics consultation.

IT 99

IT Patient-Centered Patients Healthcare 99

PEMBlog

MARCH 27, 2024

Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. Since an individual must have two copies of the mutation to be affected, the parents and other family members who have one copy, which are known as carriers, will be unaffected. Updated 2023 Jul 17].

Consulting 59

Consulting Individual Families Family 59

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. If we think of discrimination, how people are treated by their biological family. Caregivers too.

Individual 81

Individual Community IT Chronic Condition 81

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

JUNE 30, 2022

And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? So, you really have to leave this up to the patients and their families to understand what the context is and what is meaningful to them. She has advance dementia. They would be horrified.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JANUARY 20, 2023

As somebody who works in a nursing home, I can barely read a nursing home note anymore because if it’s on electronic medical record, it’s usually a bunch of check boxes, several pages. Mike: Electronic record keeping, Eric, is the government’s gift to defense attorneys. It’s just these clicks.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

APRIL 10, 2025

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. Corita 09:39 Yeah, so we used the electronic health record, I think, in support. So that’s great. What does that mean? Absolutely.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 18, 2024

I wonder if you could suggest an empathetic conversation that I could have with her that would not sugarcoat the idea that she has cancer, but do it in the most supportive possible way, and taking into account that she’s got a family and she’s got young kids?” That’s a risk with electronic health records in general.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

SEPTEMBER 5, 2024

She entertained her family. Thanksgiving’s coming up, you’re having your family, Christmas coming up. You’re going to go traveling to Hawaii with your family, and, you know, you want to die in January. But this lady continued to see me every three or four months and routinely asked me the very same question.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. If they don’t, they don’t. It’s not case finding.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. It’s hard for your family to know. Juliet: Because even in the ICU, they’ll often have multiple meetings just to try and help a family move along before they can make a decision. It’s part of our family mythology.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JULY 20, 2023

If we’re going to get really academic, that’s the umbrella, and that can include a lot of things like including phone calls between a provider and a patient or messages in someone’s electronic medical record. I think you’re a loving family doing the best you can.” Eric: Yeah.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

Physician's Weekly

JUNE 17, 2025

But that’s when his family began fighting another adversary: their health insurer, which decided the treatment was “not medically necessary,” according to insurance paperwork. When the Tennant family was told histotripsy would cost $50,000 and insurance wouldn’t cover it, they appealed the denial four times.

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52