GeriPal

NOVEMBER 17, 2022

Sheryl: Largely the people who live there as opposed to government funds. I mean, people who used to be in hospitals are now with quicker DRGs. Some take care of people who’ve got more healthcare needs, more mental illness, more dementia. Others take care of people less so, a more hospitality model, if you will.

Community 97

Community IT Mental Health Medical 97

GeriPal

JANUARY 20, 2023

There have been multiple subsequent government reports on nursing home care, most recently was about eight, nine years ago from the OIG. Part of it’s what Mike was saying, it’s accountability as a country, as a nation and as the government. This is a problem that’s existed for decades. What are they accountable for?

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

MARCH 2, 2023

Eric: And we have Tasce Bongiovanni, who is an acute care trauma surgeon at UCSF and the San Francisco General Hospital. Eric: And going back to that JAMA IM study, so there was also, if I remember it correctly, so this is looking at gabapentin use in the post-op setting for those who were hospitalized, they had higher delirium rates, right?

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. You didn’t have to walk many blocks down the street to a hospital or another facility where people were getting world class care. Alex 27:57 Who are hospitalized, for example?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JANUARY 11, 2024

So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. Because in medicine as somebody who works in the hospital, there’s always other treatment options. Eric: Thank you Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 24, 2023

As somebody who has been part of literally more non-profits than I can remember, non-profit governance structures is a pain in the ass. We don’t want people dying in the hospital if their goal is to be at home. They went down comparative to the chain, the diminution of the area under the curb of hospital base.

IT 113

IT Provider Patients Family 113

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

APRIL 13, 2023

And so I was really thinking about why are some of my people that are hospitalized doing better than others? You can use it on one thing to either have government, individual providers, healthcare systems do one thing differently. It wasn’t always explained just by their “traditional medical issues.”

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. And the government can do something about that?!? And hospitalization for pneumonia is like a medical event. worsening prognosis. Lauren 12:34 Yeah.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

DECEMBER 7, 2023

And so we do see hospital admissions for heat exposure and certainly cardiovascular and respiratory problems related to air pollution with climate change and also cognitive problems. And actually, we worked with a hospital on a project like that to demonstrate we don’t need to wear gloves for every time we touch a patient.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

APRIL 18, 2024

At the Mayo clinic, for example, they’ve got a very robust hospital at home program. And it happened, and it happened in large part, as you note, because of enormous stimulus from the US government for health systems to adopt electronic health records. We’ve got to get better at trying to anticipate the unanticipated.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

JULY 6, 2023

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. And that’s critical. Eric: Yeah.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. We would admit them to the hospital. Who doesn’t want to leave the hospital? Alex: Oh, yeah.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

AUGUST 22, 2024

Knowing I was interested in neurology and had opportunities to observe brain death determination in the hospital. So in the case of Jahi McMath, you were talking about, you know, her family was kicked out of the hospital. We do have, like, a relatively operable consensus around this where, you know, it’s working in the hospitals.

IT 113

IT Families Family Patient-Centered 113

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Malaz: … to restrain them in the hospital. You come over to the clinic, you go to the hospital, you provide service, and the insurance and you negotiate how much you’re going to get paid. Diane: Yeah.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JUNE 2, 2022

We’ve lived through lockdowns, toilet paper shortages, mask mandates, hospital surges where ICU’s overflowed, a million COVID deaths, prolonged school closures, development and roll out of novel vaccines, an explosion of social isolation and loneliness, and the invention of the “zoom meeting.” . But hospitalizations are low.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

Alex: And we’re delighted to welcome back to GeriPal podcast, Brooke Calton, who is a palliative care physician and faculty at the Massachusetts General Hospital, and is also newly the Medical Director of palliative care at Devoted Health. Joe: Great to be here. Welcome back to GeriPal, Brooke. Brooke: Thank you. How would you do that?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

GeriPal

APRIL 17, 2025

Now to the federal government that is going way beyond what I think people truly understand. It was last month, a staff meeting where the leadership wanted to staff up the mornings and decrease the number of rounders, and they wanted to staff up the hospital admitter to the mornings. And the uprooting of DEI is an act of violence.

IT 70

IT Community Government Management 70