GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? By diagnosis? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? Should we just use the referrals, whatever’s coming into us, whoever, whatever clinician decides.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” So that’s a piece that I think is important for providers anywhere along that process to be asking about driving.

Families 102

Families IT Family Diagnosis 102

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there. They deal with that.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Within eight weeks of diagnosis of advanced disease. So at our cancer center, we have physicians, advanced practice providers.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

MARCH 27, 2025

And so a lot of it was the facilitators calling out with the approval of the provider to the patients ahead of time to see, like, you have a visit coming up. Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. What’s in the electronic health record? It works great.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

FEBRUARY 24, 2022

That this is iterative from diagnosis to end-of-life, right? Get the hospice referral. And I also think, we still operate under pay for… We get paid for the services we provide, right? Tell me what would you… Juliet: Fully Integrated electronic medical records system that made this very easy for clinicians to do.

Illness 98

Illness Patient-Centered IT Families 98