The Clinical Problem Solvers

APRIL 5, 2022

Dr. Margot Kushel is a Professor of Medicine and Division Chief at the Division of Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center and Director of the UCSF Center for Vulnerable Populations and UCSF Benioff Homelessness and Housing Initiative. Can you refer your patient there? 3.

Community 52

Community Patient-Centered Emergency Room Medical 52

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. When to go to the ER for a sore throat Go to the emergency room (ER) if your sore throat causes any difficulty swallowing or breathing. This requires emergency treatment.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

Noreta Family Medicine

APRIL 17, 2024

Part 2 Here are some frequently asked questions I get as a Primary Care Provider. Therefore, family physicians are trained to do minor surgical procedures in the office, care for kids and adults, provide various GYN services, among many other comprehensive services for patients. What is primary care?

Primary Care 52

Primary Care Board-Certified GP Family Physician 52

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. Tammie 03:04 Depends on how long they were pre-hospital.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 112

Family Families Patient-Centered IT 112

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. Also the same hospital system?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JULY 11, 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.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

NOVEMBER 17, 2022

People saw that there were people who needed to have supportive care, didn’t need to have the level of nursing that was provided in nursing homes, and there was money to be made. I mean, people who used to be in hospitals are now with quicker DRGs. Others take care of people less so, a more hospitality model, if you will.

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. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. I think I feel more comfortable as a provider in trying to support people in their isolation.

IT 99

IT Community Patient-Centered Medical 99

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. Wasn’t that the Provide Your Opinion, Don’t Hide It?

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IT Family Families Patient-Centered 128

GeriPal

SEPTEMBER 5, 2024

He had a 14 month recovery in hospital and rehab and continually asked to have life sustaining treatment suspended so that he could be allowed to die. So she bled a lot and finally called for help and was transferred to the hospital, where she started crashing in the trauma room. She didn’t die in the hospital.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

MARCH 30, 2023

This week we’ve invited three guests to share their stories about storytelling that’s written for healthcare providers. 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.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. 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. But, what you need is a community-based game there.

Community 89

Community Nurse Practitioner Provider IT 89

FDA Law Blog

MAY 21, 2024

The Attorney General also released DOJ’s Office of Legal Counsel (“OLC”) opinions providing the rationale and support for the NPRM. Schedules of Controlled Substances: Rescheduling of Marijuana, 89 Fed. 44,597 (May 21, 2024). Basis at 18; NPRM at 44,605. Basis at 45; NPRM at 44,613. Basis at 7-8; NPRM at 44,614.

Physicals 69

Physicals Medical Clinic Emergency Room 69

Doctors for America

MAY 30, 2025

This federal law has required hospitals with emergency departments to provide stabilizing treatment, including abortion, to patients experiencing medical emergencies for nearly four decades. EMTALA was designed to protect patients in crisis.

Patients 93

Patients Medical Student Patient-Centered Emergency Room 93

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

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. Very, very few centers are providing those services. Welcome back to the GeriPal podcast, Haider.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Eric: Okay.

Patient-Centered 125

Patient-Centered IT Family Families 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

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 13, 2025

Cuts to Medicaid and other federal health programs proposed in President Donald Trump’s budget plan would rapidly push more than 300 financially struggling rural hospitals toward a fiscal cliff, according to researchers who track the facilities’ finances. “People will die” if rural hospitals close, he said.

Finance 52

Finance Hospital Community Emergency Room 52

GeriPal

DECEMBER 12, 2024

Algorithms using millions of direct observations of a persons behavior to provide an authentic portrait of the way a person lived? That makes us lots of money for our hospital, but none of them want to be in the ICU and a respirator because we’re not making as much money off of that. Dave 34:28 Yeah. And so we end up with, huh.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

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. .” An Unintended Consequence of Health Reform?

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52

Physician's Weekly

JUNE 13, 2025

Walk-in clinics are overbooked, the emergency rooms at the hospitals all have overfull waiting rooms and doctors and nurses are doing 12-hour or longer shifts. I had a biopsy in a hospital last month, and one of the nurses spoke to me as if I were a 2-year-old. I only wish I had read this article a month ago.

Vaccination 52

Vaccination Family Families IT 52