Annals of Family Medicine

NOVEMBER 20, 2024

Context: Patients with chronic medical conditions (CCs) and behavioral comorbidities have lower quality of life and increased healthcare expenses. Study Design: Secondary data analysis of patient demographic, referral, and encounter-level data extracted from site eMR (Epic). 8% (n= 1,146) were ordered for medical condition management.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Healthcare providers often struggle to treat patients with chronic pain. Anyone suffering from pain could register for the program without needing a referral or formal diagnosis from a health care practitioner. Intervention: The CPSMP is a six-week, peer-led program based on self-efficacy theory.

Management 130

Management Utilities Referral Individual 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective Describe the population of patients referred to a palliative care clinic and observe their healthcare utilization patterns. Outcome Measures The primary outcome measures included changes in symptom scores as measured by the Edmonton Symptom Assessment Scale and hospital utilization rates.

Patients 130

Patients Diagnosis Patient-Centered Utilities 130

GeriPal

MARCH 14, 2024

Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. I think there’s maybe a little bit of debate as to when those turn from being just normal age related changes to then being something more, but it happens in many different areas of healthcare. Eric: Lovely.

IT 124

IT Patient-Centered Hospital Individual 124

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 IT 99

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 119

Patient-Centered IT Patients Hospital 119

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. And then, the system responds in turn.

Community 89

Community Nurse Practitioner Provider IT 89