GeriPal

FEBRUARY 15, 2024

They weren’t hurt, they didn’t need transport, and we were seeing the same people over and over again. But what was really interesting is the transport to the hospital was actually going down in their system. And one person even called the system 75 times and that was just a light-bulb event for me. Eric: Oh, no.

Community 113

Community Transportation IT PCP 113

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 112

Primary Care Patient-Centered IT Patients 112

GeriPal

JULY 6, 2023

This includes transportation, driver’s license, parks, volunteerism, housing, and of course health and human services. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. And that referral can be done in real time, a soft handoff.

Community 89

Community Nurse Practitioner Provider IT 89