Integrated Care News by CFHA

MAY 1, 2025

Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025). Administrative overload fuels burnout and pushes us away from our patients.

Patient-Centered 130

Patient-Centered Integrated Care Primary Care Healthcare Professional 130

GeriPal

SEPTEMBER 7, 2023

So pretty soon, I hope, we’ll be able to do this all electronically by anyone who wants to. ” Whether it’s referrals that need to be made, or whether they’re specific actions that the person at home needs to take, like a home safety change. Or electronically, to fill out, right? This is terrific.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 21, 2022

And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. ” So a lot of times it’s a referral back to their primary care, to a specialist-. Or have electronic health record prompts so people remember to ask it?

IT 102

IT Families Family Diagnosis 102

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. Eric: LaVera, I got a question for you. Alex, is it okay if I ask? Alex: Yeah. Eric: And lastly, LaVera.

IT 99

IT Patient-Centered Families Family 99

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.

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 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

FEBRUARY 24, 2022

Get the hospice referral. But one of the things that I try to teach, because both Juliet and I have done a ton of teaching about this, is that if you follow these steps, that outcome sort of presents itself. And I think a lot of times when we get consulted, we’re asked for the outcome, right? We want to get the DNR, right?

Illness 98

Illness Patient-Centered IT Patients 98