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Bouncebacks from SNFs: How one health system is making progress

Today's Hospitalist

WITH PATIENT ACUITY levels rising in hospitals, it makes sense that the patients being discharged to SNFs are likewise increasingly complex. That company, which is based in Detroit, focuses on providing post-acute care, complete with physiatrists and APRNs, as well as care managers and coordinators.

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New Report: U.S. Primary Care System Crumbling Amid Historic Disinvestment and Surge in Chronic Diseases

The Physicians Foundation

Diminishing Workforce: Primary care clinician shortages worsen access to care The number of primary care clinicians, including physicians, nurse practitioners (NPs), and physician assistants (PAs), decreased from 105.7 when excluding those practicing in hospitals—marking the lowest rate in a decade. per 100,000 in 2022.

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Improving Nursing Home Quality: Jasmine Travers, Alice Bonner, Isaac Longobardi, and Mike Wasserman

GeriPal

Jasmine brings up that NASM hadn’t done a report in like 40 years, but 1974 was the first time the Senate Subcommittee on Aging did a scathing report on nursing homes. There have been multiple subsequent government reports on nursing home care, most recently was about eight, nine years ago from the OIG.

Finance 95
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Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. How many patients is my hospice nurse case manager responsible for on any given day? Management, it’s hard. Eric: Alex, we have some great guests with us today. Who sees you?

IT 113
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What is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind

GeriPal

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). So we from the very beginning had an option of clinician administered medical assistants in dying or lethal drugs administered by either a nurse practitioner or a physician or self-administered. And like 99.8%

Illness 144
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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. 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. Eric: And Susan?

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia.