GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Communication techniques we can use when talking to individuals with hearing loss. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults.

IT 102

IT Screening Hospital Clinic 102

FDA Law

JUNE 21, 2023

enable individuals to have virtual consultations with healthcare providers through video calls or online platforms), at-home diagnostics (e.g., How can the FDA facilitate individuals accessing medical technologies in remote locations when they are unable or unwilling to access care in clinical settings?

Medical 45

Medical Patients Healthcare Electronics 45

FDA Law

JUNE 27, 2024

“A prescription for a controlled substance may only be filled by a pharmacist, acting in the usual course of his professional practice” and “[a] prescription for a controlled substance to be effective must be issued for a legitimate medical purpose by an individual practitioner acting in the usual course of his professional practice.”

Insurance 52

Insurance Patients Utilities Chronic Condition 52

FDA Law

JUNE 16, 2023

The statute confuses the issue by providing that “every individual transaction in violation of [the excessive price increase prohibition] is considered a separate violation,” making it unclear whether this is a per-day or per-transaction penalty, and, if the latter, what the transaction is.

Manufacturing 45

Manufacturing Provider Consulting IT 45

FDA Law

APRIL 23, 2023

The Draft Guidance recommends that, where possible, the outcome should be assessed by individuals blinded to treatment status, which may require re-adjudication of externally controlled data. Sponsors should also propose additional analyses to evaluate the comparability between the trial arms for important covariates.

Patient-Centered 49

Patient-Centered Clinic Patients Provider 49

FDA Law

SEPTEMBER 20, 2021

First, CDER will publish a new MAPP (the Manual for Policies and Procedures, meant to guide CDER staff in their review activities and interactions with sponsors) describing: (1) early engagement with sponsors and (2) “science- and risk-based approaches” for CMC development that “may be warranted and utilized.

Patient-Centered 52

Patient-Centered Manufacturing Clinic Provider 52

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

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 115

Community Transportation IT PCP 115

GeriPal

JUNE 9, 2022

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. I have never myself called a palliative care consult as a trainee because we didn’t have one. And I practiced both on the palliative care consult team and in the ICU.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. Meaning that an individual must inherit two copies of the mutation, so one from each of his or her parents, to be affected. And not all IEMs are included on NBS, NBS can miss individuals with IEMs.

Consulting 59

Consulting Individual Families Family 59

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

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

However, its main predictors are age, comorbidity, and healthcare utilization. I’d be operating at the top of what I’m capable of doing, to provide really tailored and individualized care for my patients and their care partners, where they are. So, the docs actually wrote orders for tests, medications, consults.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? 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.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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

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

FDA Law

JULY 9, 2024

Where sponsors plan to conduct several clinical studies that may be subject to DAP requirements, the plan for each study should reflect a strategy that leads to an overall proportionate representation, even though individual studies may not. by sex, age or by genetic variations). socio-economic status, geographic location, comorbidities).

Clinic 59

Clinic Provider Individual IT 59

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 tested two different nudges individually and then we combined them. What is sludge? I highly encourage you. Kate 13:59 What did we do?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

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

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. A recent state law failure-to-warn case in the SDNY makes that very point.

Manufacturing 40

Manufacturing Consulting Healthcare Professional Vaccination 40

GeriPal

MARCH 7, 2024

It sets space between us and the individuals we’re trying to take care of. I think that consistency of what is the expectation of our roles is crucial in a lot of ways, but that role is determined by the individuals we’re serving. Eric: When I try to think about what a doula does, should I call it a consult?

Provider 117

Provider Illness IT Healthcare 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

New South Family Medicine and MedSpa

SEPTEMBER 17, 2019

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Referral 40

Referral Family Medicine DO Primary Care 40

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. Jasmine: Within the report, and that’s kind of tricky, we say we want more education, we want expanded roles, we want individuals to be able to do more.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

DECEMBER 19, 2024

So we’re going to be talking about palliative care for individuals with mental illness. Eric 12:11 And we consult psychiatry. 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.

Illness 101

Illness Mental Health IT Patient-Centered 101

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

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