GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. And this is for all of us, that when we’re going into this space of providing inclusive and affirming care, it really starts out with humility, because there’s a lot to learn.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

JULY 28, 2022

But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. They supported patients, they gave them a holding environment, they did symptom management, yada, yada, yada, like all the things we know palliative care clinicians do.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JANUARY 20, 2023

If you own and operate a nursing home and you’re taking people in, and you’re admitting new residents, what’s their accountability for how they manage compensation and quality delivery? Mike: Electronic record keeping, Eric, is the government’s gift to defense attorneys. What are they accountable for?

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

MAY 18, 2023

So the intention of the AGS Beers Criteria is to provide information primarily to clinicians, although to other audience as well, but medications that we consider to be potentially inappropriate in older adults. But it does kind of provide that caution, it kind of slows things down to make sure you’re really paying attention.

Medical 97

Medical IT Patients Clinic 97

GeriPal

DECEMBER 15, 2022

And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? It started here at Madison at one and it’s also spread outside the VA now to hospitals in Boston, Providence and now starting up actually in California and UCLA and UCSF. And then came back.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

SEPTEMBER 7, 2023

So I will say that it’s challenging, because we don’t have, unlike City of Hope, we don’t have a big team like they do of geriatricians and palliative care physicians, who can screen these older adults or help with management. So pretty soon, I hope, we’ll be able to do this all electronically by anyone who wants to.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

JUNE 15, 2023

Rethinking Automation and Inequity in Healthcare [link] [link] [link] MD Calc approach to inclusion of race [link] —— Transcript Eric: Welcome to the GeriPal podcast. Audio: [electronic voice] Alex Smith has been taken over by an artificial intelligence. This is Eric Widera. Alex: I want to hear more use cases.

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. Eric: Nudge it. Kate: Nudge it.

Consulting 116

Consulting Patient-Centered IT Patients 116

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. We weren’t randomizing providers or patients. Corita 09:39 Yeah, so we used the electronic health record, I think, in support. This is not why I went into emergency medicine.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MAY 15, 2025

At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. These were EHR documents in the patient’s chart built within the Atrium Health’s electronic health record, where they document other things. I think it’s good to place nudges in context.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? And we looked at the electronic health records at both of those hospital systems, the MGB network, folks who had fee-for-service Medicare coverage from October 2015 to about September 2017, 6,800 patients. Joel: I’ll come into that in a second.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

APRIL 6, 2023

To provide context, we are joined by Karen Steinhauser, a social scientist at Duke who has been studying spirituality for years (and published one of the most cited papers in palliative care on factors considered important at the end of life , as well as one of my favorite qualitative papers to give to research trainees ). Alex: Yeah.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

So at our cancer center, we have physicians, advanced practice providers. They had access to the cancer center resources, but they didn’t have access to sort of regular contact with palliative care mental health professionals. As Pahlavi said, you could refer to other providers. Pallavi 19:45 It’s interesting.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. Sydney 22:01 Well, it’s what’s in the electronic health record.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

FEBRUARY 24, 2022

And I also think, we still operate under pay for… We get paid for the services we provide, right? If the incentives are aligned better to provide care where people feel like they’re… where it’s patient-centered care, you know? ” And I think that’s dangerous. Eric: Yeah. Eric: Yeah. Eric: On EHR?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JULY 20, 2023

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. What did we learn during the pandemic?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73