GeriPal

APRIL 10, 2025

We are fortunate to have Tammie Quest, emergency and palliative trained and long a leader in this space, to help us unpack and contextualize these findings. 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.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I’m embedded in the ICU in one of our smaller hospitals. I see them both inpatient and outpatient.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

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Patient-Centered Patients IT Hospital 96

GeriPal

NOVEMBER 17, 2022

I mean, people who used to be in hospitals are now with quicker DRGs. ” And the requests from management were to ask her to prescribe antipsychotics to try and sedate some of these behaviors away. Others take care of people less so, a more hospitality model, if you will. The acuity level has gone up, right?

Community 97

Community IT Mental Health Medical 97

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Thank you.

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Nurse Practitioner Hospital Families Family 60

GeriPal

OCTOBER 12, 2023

” And he says, “It’s in the emergency room.” You may not see the big picture, like treating somebody with advanced dementia by hospitalizing them and starting antibiotics for aspiration pneumonia and potentially a peg tube. We know hospital culture influences how we care for our patients.

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IT Families Family Patient-Centered 128

GeriPal

MARCH 30, 2023

She’s not in hospice, and you’re talking about admitting her to the hospital. We have these quality metrics like hospitalization days before death, used hospice, enrolled in hospice, and days before death. She really should go to the hospital. And so, how can this be? They’re limited. But it’s May 2020.

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IT Patient-Centered Patients Healthcare 95

GeriPal

APRIL 13, 2023

And so I was really thinking about why are some of my people that are hospitalized doing better than others? I’m wondering, you talked about that patient who was really isolated and coming to the emergency room. .” I’m ageist as a geriatrician that I like older people as I always say, not the younger folks.

IT 99

IT Community Patient-Centered Medical 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. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home. Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 7, 2022

Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. I was helped into a wheelchair kind of rushed to the emergency room, which was not far away because I was on the medical school campus. Welcome back to the GeriPal podcast, Haider. Haider: Thank you guys so much for having me back.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

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 Patients 98

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. Malaz: … to restrain them in the hospital. And I was terrified. And guess what?

Patient-Centered 125

Patient-Centered IT Families Family 125

Physicians News Digest

FEBRUARY 18, 2025

Health officials are urging the public to take preventive measures as hospitals nationwide grapple with a surge in influenza cases. The CDC estimates that there have been approximately 300,000 hospitalizations and 20,000 flu-related deaths this season.

Vaccination 52

Vaccination Emergency Room Complication Healthcare 52

Physician's Weekly

JULY 1, 2025

The policy covers certain types of office visits, emergency room care, hospitalization, and chemotherapy, but not immunizations or checkups. Hospitals and other providers may set their own prices for services, creating price lists called chargemasters. But what about the cost of the vaccines?

Vaccination 52

Vaccination Checkup Insurance Families 52

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

Including, I think, a 24/7 palliative care intervention in the emergency room, an inpatient comfort care intervention for COVID-positive patients … doing a tremendous amount. So we anticipated, based on what was happening in Seattle, a pretty large influx of elders that were going to come through the emergency room.

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Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

Physician's Weekly

JUNE 17, 2025

Prior authorization varies by plan but often requires patients or their providers to get permission (also called precertification, preauthorization, or preapproval) before filling prescriptions, scheduling imaging, surgery, or an inpatient hospital stay, among other expenses. The practice isn’t new. ” None of their appeals worked.

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Insurance Patients Behavioral Health Services Diagnose 52