GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

OCTOBER 24, 2024

And you could say the same thing about insurance companies. Insurance companies will pay for a lot of drugs that have really not a whole lot of evidence at a lot of costs. But to this day, I haven’t heard of an insurance company that’s willing to cover cannabis. Is that your feeling, too? Eric 45:24 Yeah.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JUNE 22, 2023

In many cases, the families were the victims of the crime. But if the services that they require aren’t able to be provided within, they have Health Net as their insurance, so we contract with specialists in the community. And we’ve really tried to serve that hospice mission of serving the patient and the family.

Family 132

Family Families IT Community 132

GeriPal

MARCH 9, 2023

One of the headlines there was about a family medicine doc, not to pick on family medicine, a doc, who was prescribing mail order psychedelics at really high volumes around the country. Alex: Psychedelics, promise and pitfalls. There was an article in New York Times last week about rampant prescribing of psychedelics.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. John: I am what I am, which is a family practice doctor. ” I think the family would like you to consider how to work with that. That dawned on me.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MAY 15, 2025

For example, putting the healthy food at the back of the grocery store is sludge; making an applicant for health insurance climb the flight of stairs to the office – weeding out those less fit – is also sludge. Their family members want them to get out of the hospital sooner. Prior-auth forms? If not, why not?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

AUGUST 8, 2024

We cover a wide range on this topic, weaving in our own stories of loss with Thomas’s experiences, stories, and poems from years of caring for families after their loved one’s have died. And this seems very basic, but try it with your insurance agent or your pastor, you know, or your banker at 03:00 in the morning.

IT 124

IT Family Families Relationship 124

GeriPal

JANUARY 20, 2023

The technology committee however, is interested in using technology and coming up with a new set of goals, priorities and preferences and basing the process on working with nursing home residents, care partners or family members if they’re involved. And the technology piece, so doing less with staff. Eric: Okay.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

JANUARY 18, 2024

We could look at cancer registry linked with… Like, I see here Medicare type big data sets, but then you have to rely on insurance claims and that’s going to underestimate SUD when most people aren’t getting treatment and it’s a tough nut to crack. Have you had a family history of substance use disorder?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

APRIL 14, 2022

But that just didn’t really resonate with what I saw clinically which was that there was lots of suffering both in the patient, their family and on the clinical team and just felt it was really this space where I didn’t have a lot of evidence to guide me. Don’t worry about their alcohol use or drug use. Give some pleasure.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

SEPTEMBER 29, 2022

I would say the drugs didn’t change as much as all the stuff about sexuality and about family dynamics and spirituality: all the things that I’m hoping people will get from this book. It’s hard to explain that to the family. Let the family know. The morphine family, there’s some pretty good data.

Management 101

Management IT Patients Family 101

GeriPal

DECEMBER 5, 2024

And I was interviewing candidates for our clinical fellowship and interviewed Alexis, who had been like family medicine doc before, done all kinds of cool things. Maybe the alternative of the patient whose family hopes for a miracle in the face of certain death, for only that death to occur as anticipated by all. Ricky 11:23 Yeah.

IT 107

IT Community Patients Family 107

GeriPal

JUNE 5, 2025

Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. So we see a lot of problems with symptom management, a lot of family conflict. That’s a big question.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 18, 2024

maybe eight or 10 months ago, “Please write a prior authorization to the insurance company. The thing just wrote this beautiful, absolutely beautiful, well-constructed prior authorization request to the insurance company. Eric: Now, insurance companies are going to want handwritten prior authorizations. ” Alex: Wow.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

AUGUST 1, 2024

So I lived with a family there. But if your patient is not able to do those things, I wouldn’t say don’t have insurer. But if they have family support or they’re able to make some foods from scratch at home, that would be preferable. The people really farm to table stuff. Lots of fish, lots of vegetables.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

AUGUST 22, 2024

Patients families want to know whether their loved one has died. Insurance companies. Healthcare provide. Healthcare companies. And one would be when care is continuing a case where people believe that the patients died, or oftentimes, this is also a source of controversy between families and clinicians.

IT 113

IT Family Families Patient-Centered 113

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.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JUNE 6, 2024

And so clearly it matters how you bring up the topic, who brings up the topic, and probably the timing when this comes up for patients and families, just like we think about conversations about illness and prognostic understanding, I wish there was a good prevalent state data on how big this is of a problem in serious illness at large.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

But as we talked to patients and providers, there was, really, this need for patients who wanted services, like IV antibiotics and IV fluids, but wanted to be able to spend that time at home, with their family, even if it meant it was their last days or weeks. What is it about my insurance, that does not cover me staying in this hospital?”

Hospital 115

Hospital Patient-Centered Supply Chain IT 115