GeriPal

MARCH 28, 2024

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: I think the main one for me being asked on the fly is that one of the nudged specialist palliative care consultation, which we know has limitations. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

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. I had no idea that people were calling 911 that much sometimes.

Community 115

Community Transportation IT PCP 115

GeriPal

JANUARY 25, 2024

However, its main predictors are age, comorbidity, and healthcare utilization. So, the docs actually wrote orders for tests, medications, consults. And I think, probably, for a lot of specialty palliative care teams, it’s a lot of focus on getting the physician to see the consult. David: Yeah. Eric: Okay.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 5, 2025

And so we do have consultants who come in the building. And usually it’s simply for a consultation. Eric 17:06 Think like almost 50% of nursing home decedents utilize hospice, and that number has grown over the last two decades. Like, yeah, utilization of hospice has increased pretty well. Is that a black box?

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

OCTOBER 26, 2023

In recent years, pressures to decrease hospital length of stay and increase throughput, the rate at which patients are moved in and out of the system has contributed to a culture in many acute care environments where physical therapy functions primarily as a consultation service for discharge planning. Ann: My palliative care doc is great.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

FEBRUARY 13, 2025

You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. Marie 03:42 So probably the most important thing is we developed the consultation as a culturally based consultation process. And then we incorporated that information into the consultation process.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

APRIL 28, 2022

Did they ask for a consult?” I think it was just sort of commentary that I had running in my head about what is the real utility of this radar? I think it was a doctor describing early palliative care consults. .” So that you can see the technicians there at the radar. And they say, “Sir, 12th floor, right.

IT 145

IT Hospital Patients Illness 145

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. Now, some of the other secondary things, you know, you may have have seen if it was trigger of specialty palliative care consultations.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

FDA Law Blog

AUGUST 21, 2023

Further, FDA has utilized a variety of strategies to call attention to safety issues through Dear Doctor letters or other forms of communication, even if directing changes to labeling is difficult.

Manufacturing 40

Manufacturing Consulting Healthcare Professional Vaccination 40

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. We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

APRIL 14, 2022

So for those of you listening via YouTube, here’s the live version for those of you who are listening on the podcast, you’re going to get my prerecorded version with lots of loops and I’m doing consultation with my new music teacher who’s a music producer in LA. Alex: So we’ll see what these come out like.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JANUARY 20, 2023

They don’t have nearly the responsibilities that a certified nursing assistant has when thinking about utilities, groceries, rent, mortgage, all of that stuff on a monthly basis. I’m hearing high numbers that babysitters are getting paid to care for one child, two children.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

DECEMBER 19, 2024

Eric 12:11 And we consult psychiatry. There’s a Boguts case, a patient with anorexia who utilized medical aid and dying. And I’ll say we were clinically at the VA doing inpatient palliative care consults. We do not have a psychiatrist, but we have consultants. Dani 12:13 Yeah, like, exactly. Alex 40:57 Yeah.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

MARCH 7, 2024

Eric: When I try to think about what a doula does, should I call it a consult? We utilize the generous donations from our foundation to support the end-of-life doula program. We have one doula who is really well-trained and well experienced in advanced care planning, and that’s kind of her thing that she does. It just depends.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

SEPTEMBER 19, 2024

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. If they get palliative care consult, they get one. There was a difference, though, in hospice utilization, right? Jennifer 04:25 I can take that on.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

FEBRUARY 24, 2022

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. And I think a lot of times when we get consulted, we’re asked for the outcome, right? Does watching a video impact utilization to that degree?

Illness 98

Illness Patient-Centered IT Families 98

GeriPal

JULY 20, 2023

We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of. But in California where I practice medical aid and dying is legal and similar to other issues that are controversial in some places, many physicians do not prescribe or do visits for medical aid and dying consultations.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73