Permanente Medicine

MAY 20, 2025

These priorities include supporting the physician workforce, utilizing data and predictive interventions to improve patient outcomes, and boosting quality and affordability for patients. And then, so from that point on, I began to look at technology systems, processes for all settings, inpatient, outpatient care at home, a hospital at home.

Patient-Centered 52

Patient-Centered Patients Medical IT 52

PEMBlog

AUGUST 30, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Michele Nypaver, MD University of Michigan Ann Arbor, MI, USA michelen@med.umich.edu Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

FDA Law

JUNE 21, 2023

What processes and medical procedures, including diagnostics, do you believe would be ideal for transitioning from a hospital and/or healthcare setting to non-clinical care settings, for example, home use or school/work use? What medical technologies could be ideal to transition to use in non-clinical settings?

Medical 45

Medical Patients Healthcare Electronics 45

GeriPal

JULY 19, 2024

So we measure things like hospitalizations and ed visits and the like, and those data are a bit weaker, but they’re also, you know, I think they need to be contextualized in what, why we would even want to reduce hospitalizations right. Why would we want to? Now, we would believe this from a primary care perspective.

Screening 119

Screening Primary Care Patient-Centered IT 119

Physician's Practice

JUNE 20, 2025

For example, practices have adopted electronic medical records (EMR) systems only to find that productivity in the practice ground to a halt. Successful practices have found ways to work around the loss of productivity and ultimately made Electronic Medical Records (EMRs) work effectively in their practices.

Management 52

Management Patient-Centered Appointment Patients 52

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. The intervention was a negative study for the primary outcome, hospital length of stay. What is sludge?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

The Motivated MD

SEPTEMBER 19, 2024

’ Though it often does not come with the attending salary, medical trainees are getting paid to perform a service, and hospitals provide retirement plans to these individuals. Since these savings are so important, automated savings is another avenue to utilize. My children’s 529 has an option to ‘auto contribute.’

Finance 52

Finance Individual Education Healthcare Professional 52

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. Corita 09:39 Yeah, so we used the electronic health record, I think, in support.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 28, 2024

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system? I’m just stunned even writing that! We’ve come so far as a field. Eric: Okay. Kate: 3,500.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. They were at the VA, but not so much at our main hub hospital where I trained. I do tend to focus in the hospital setting. That’s just not how the hospital works. Or the hospital, the intervention delivery is by who’s in practice.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. You can contact her via email at egroopman@childrensnational.org. So get the ABCs, start D10.

Consulting 59

Consulting Individual Families Family 59

GeriPal

JANUARY 20, 2023

As somebody who works in a nursing home, I can barely read a nursing home note anymore because if it’s on electronic medical record, it’s usually a bunch of check boxes, several pages. Mike: Electronic record keeping, Eric, is the government’s gift to defense attorneys. It’s just these clicks.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. They followed them during the course of their hospital stay. These studies are important. These hick pick codes are available to any chaplain in a healthcare system. Did it have any impact?

IT 99

IT Patient-Centered Families Family 99

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. 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. Jennifer 00:44 Thanks.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. And that’s critical. Eric: Yeah.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 13, 2023

[laughter] Bob: That’s what happens when junior faculty get invited on the podcast [laughter] Eric: So we’re going to be talking about the article that just came out in JAMA on a priming intervention for goals of care conversations in hospitalized patients with serious illness. Three hospitals all within the UW medicine system.

Patient-Centered 84

Patient-Centered IT Hospital Patients 84

GeriPal

FEBRUARY 24, 2022

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. We see our patients and our families throughout the illness trajectory into the hospital.

Illness 98

Illness Patient-Centered IT Families 98

GeriPal

JULY 20, 2023

Alex: And we’re delighted to welcome back to GeriPal podcast, Brooke Calton, who is a palliative care physician and faculty at the Massachusetts General Hospital, and is also newly the Medical Director of palliative care at Devoted Health. Joe: Great to be here. Welcome back to GeriPal, Brooke. Brooke: Thank you. Eric: Yeah.

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Telemedicine Telehealth Patient-Centered Board-Certified 73