GeriPal

OCTOBER 19, 2023

Gretchen Schwarze like surgery, four things, live longer, feel better, be more functional, make a diagnosis. What I’d really like to see is that when POLST is utilized, it’s utilized correctly. Nobody wants to have CPR, like Bob Barland says he hasn’t met a person who wants this intervention. Eric: Kelly?

Patient-Centered 127

Patient-Centered IT Patients Illness 127

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And then from a dementia and multiple different diagnoses, how much should hospice look the same for everyone, or tailored to the patient or the diagnosis that we’re dealing with? I threw out a lot.

Families 107

Families Family IT Patients 107

GeriPal

MARCH 7, 2024

Well, I’d agree, John, for palliative care ideally starts around the time of diagnosis. That’s where we have the largest evidence base for palliative care in the outpatient setting, in the setting of serious illness around the time of diagnosis. Alex: That is not around the time of diagnosis. Jane: Right. Alex: Yeah.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

DECEMBER 19, 2024

There’s a Boguts case, a patient with anorexia who utilized medical aid and dying. But some of the nuance I would want to point out is that, like Brent mentioned, first of all, this is not a diagnosis. Like 80 to 90% of patients we see have a psychiatric diagnosis. Which is very quick, clearly labeled six months or less.

Illness 102

Illness Mental Health IT Patient-Centered 102

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. Within eight weeks of diagnosis of advanced disease. There was a difference, though, in hospice utilization, right? Jennifer 04:25 I can take that on.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JULY 6, 2023

60% of all medical costs have nothing to do with your health diagnosis. It has to do with genetics, 30%, 10% your diagnosis, the other 60% is your built-in environment, educational status, income and your personal choices. This is reaching the highest utilizers with a wraparound suite of services. Do I have access to good food?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 26, 2025

And it was her conceptual, like incorporation of functional decline, some measure of functional decline along with a serious illness diagnosis that you’re utilizing here. And the other giant whose footsteps you stand on is Amy Kelly, who developed sort of a definition of who are the people with serious illness.

Illness 60

Illness Hospital IT Patient-Centered 60

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. That this is iterative from diagnosis to end-of-life, right? They’re looking at difficult outcomes, utilization outcomes, right? Juliet: Sure.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

But what happened when we finally… When he did get the diagnosis, it all fell into place. The typical utilization of inappropriate hospitalization and emergency room and total cost of care. And we defined that as earlier detection and timely detection diagnosis to evaluation, care planning delivery, all the way to end of life.

Patient-Centered 126

Patient-Centered IT Families Family 126