Annals of Family Medicine

NOVEMBER 20, 2024

Micro-elimination projects aim to selectively foster diagnosis, treatment and reinfection of high priority demographic groups. Intervention: Patient navigation program to specialist treatment from primary care with additional referral to behavioral health services.

Behavioral Health Services 130

Behavioral Health Services Primary Care Patients Healthcare 130

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 100

Consulting Patient-Centered Diagnosis IT 100

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.” Emmy: I would say one big thing, though, is I try to not just make any decision based on a diagnosis, perhaps obviously.

IT 102

IT Families Family Diagnosis 102

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. I don’t know if we captured where the hospice referral came from. Stupid theory.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JULY 6, 2023

It’s that first place that you start where it may not be the AAAs job, but we’ve organized where they have to have the partnerships and they know who the players are and they know who to make a referral to. And that referral can be done in real time, a soft handoff. I think most states have them. Do I exercise, do I smoke?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. So we have to collect what information we have available from Health Information exchange and electronic health records. Sydney 22:01 Well, it’s what’s in the electronic health record. Eric 22:03 Okay.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

FEBRUARY 24, 2022

That this is iterative from diagnosis to end-of-life, right? Get the hospice referral. Tell me what would you… Juliet: Fully Integrated electronic medical records system that made this very easy for clinicians to do. What’s that and what’s the shift there? Rachelle: Juliet, do you want to take that one?

Illness 98

Illness Patient-Centered IT Patients 98