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? Alex 12:33 Sure, sure.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. In many cases, the families were the victims of the crime. Michele: Yep.

Family 132

Family Families IT Community 132

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’m unsure what they do, how often they’re used, and who pays for their work. That dawned on me.

Provider 117

Provider Illness IT Healthcare 117

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

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. I don’t want the public, or the healthcare field, to say, “It’s safe and effective, I can go do it.”

Patient-Centered 91

Patient-Centered Community IT Medical 91

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. Eric: So Isaac, is the actionable item change in US healthcare system financing?

Finance 95

Finance Board-Certified IT Provider 95

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. Alex 06:20 Can I what’s the healthcare equivalent to the Starbucks coffee? Inside or outside of healthcare?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

DECEMBER 5, 2024

I feel like, you know, even before the pandemic, certainly during the pandemic, we talk a lot about the grit and the resilience of healthcare and healthcare workers and, you know, the amazing drive that they have and the amazing ability that they have to connect with people. Ricky 11:23 Yeah. So rewind a few years.

IT 107

IT Community Patients Families 107

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

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 Families 101

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

Skepticism on the ability of predictive models to transform healthcare Consolidation of EHR’s into the hands of a very few companies, and potential for the drug and device industry to influence care delivery by tweaking AI in ways that are not transparent and already a sort of magical black box. Bob: Exactly. It could be anybody.

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

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.

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 Families Family 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

How can we take our healthcare system, and really break it, and do it better for older adults who may not fit within, or may not have the conveniences of going into the clinic, or going to the hospital, all these things that we think about. But let me ask, why, personally, did you get interested in this? We did our initial pilot study.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115