Physicians Alliance of Connecticut

MAY 15, 2025

Make An Impact on Your Community Healthcare is more than a job — it’s a calling. Many healthcare professionals are drawn to the field because they want to help others and make a positive impact on people’s lives. For some, that involves providing high-quality care to individual patients.

Healthcare 52

Healthcare Healthcare Professional Insurance Provider 52

GeriPal

JANUARY 12, 2023

But if ACE units are so great, why do so few hospitals have them? Kellie Flood’s paper in JAMA IM showing that not only ACE units deliver better care, but also help with the hospitals bottom line. Eric: And we’re going to be talking about improving hospital care for older adults via ACE units, or acute care for elders.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

The Clinical Problem Solvers

OCTOBER 18, 2022

Lurie Children’s Hospital of Chicago. Incarceration negatively affects the physical and mental health of people who are incarcerated as well as their family members and loved ones, and limits access to healthcare before, during, and after incarceration. The Harmful Effects of Policing—From the Neighborhood to the Hospital.

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

GeriPal

JULY 19, 2024

So we measure things like hospitalizations and ed visits and the like, and those data are a bit weaker, but they’re also, you know, I think they need to be contextualized in what, why we would even want to reduce hospitalizations right. Why would we want to? Now, we would believe this from a primary care perspective.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JULY 27, 2023

I think the classic example is somebody who just came out of the hospital, they’re put on these new medications because they were having problems in the hospital and now they’re home and they don’t need those anymore. I think every patient I see in the hospital’s on melatonin. Brienne: Yep, the M word.

Illness 85

Illness IT Clinic Medical 85

GeriPal

NOVEMBER 9, 2023

If you’re going to be talking to the brand new intern on the service, or the chief executive of the hospital, are there some themes or similarities to how you’d approach that in the mentoring, sorry, not the mentoring, the coaching process? Beth: Yeah. Eric: Well, Greg, are there themes? I got to get my terms right. Greg: Hmm.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

MAY 19, 2022

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Eric: But is that just something special about methadone and buprenorphine? Pallimed post on “ Simplifying Opioid Conversions ”. I could put them on five milligrams BID.

IT 139

IT Patients Individual Relationship 139

Plum Health

OCTOBER 11, 2024

Your insights could help someone else in their healthcare journey! A clinic is a medical facility where healthcare professionals provide specialized medical care to patients. They also have a team of healthcare professionals such as doctors, nurses, medical assistants, and administrative staff.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

The Motivated MD

SEPTEMBER 19, 2024

In medicine, it is commonly agreed that ‘to err is human’ Most healthcare professionals would agree that humans make mistakes. ’ Though it often does not come with the attending salary, medical trainees are getting paid to perform a service, and hospitals provide retirement plans to these individuals.

Finance 52

Finance Individual Education Healthcare Professional 52

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. People had to be in the top 20th percentile of risk for being hospitalized or dying in the next year.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. So I really opted to specialize in lung cancer because I thought that was the appropriate population to build a supportive and palliative care research agenda.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? My voice is nothing special. So our inpatient hospitals are kind of under resourced for music therapy. Like, it’s like a hospital. Tyler 01:43 Okay. Alex 09:00 Not true.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. Tammie 03:04 Depends on how long they were pre-hospital.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). I saw one that reminded me of her.”

Family 112

Family Families Patient-Centered IT 112

GeriPal

OCTOBER 17, 2024

Because I think we have someone special, a guest host. And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Transcript Eric 00:00 Welcome to the GeriPal podcast.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Also the same hospital system? That’s when they got enrolled.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 10, 2024

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. There are very few palliative care fellowships for social workers, very few specialized programs who teach palliative care as a specialty area. In other words, in addition to being a specialist (e.g.

Screening 120

Screening IT Family Families 120

GeriPal

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? I was trained in the hospital where it started, and we were trained to be bedside nurses. Sue 01:26 Thank you.

IT 104

IT Patient-Centered Family Families 104

GeriPal

SEPTEMBER 7, 2023

So I make the point, they often say, “Oh, you have this special population,” like pediatrics, where it’s 10% or something. Overtreatment leads to hospitalizations, undertreatment leads to disease progression. And for some of them, the stays in hospitals are a month long. Do you worry about that? Mazie: Yes.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? I do tend to focus in the hospital setting. By diagnosis?

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

APRIL 28, 2022

So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team. Eric: Speaking of a niche humor, I love this one. But they were still valuable.

IT 145

IT Hospital Patients Illness 145

GeriPal

AUGUST 29, 2024

And my grandkid, like, I need you to see this child and, like, how wonderful and special they are. Gordon 41:13 The hospital is also on fire. I want you to be able to be in the hospital and be with your loved one. I heard that. And that is not actually tangential. And this happens months after George Floyd. And I want.

IT 132

IT Illness Family Families 132

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . Kind of flabbergasting.

Illness 109

Illness IT Family Families 109

GeriPal

AUGUST 25, 2022

Eric: Alex, we have a super special today. We’ve got a hospice super special. Alex: We have a hospice super special day. Eric: We have a smorgasbord, if you will, of papers that got published recently around hospice, and that’s why we’re calling it a hospice super special. -@AlexSmithMD. Transcript.

Family 106

Family Families IT Patients 106

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I’m embedded in the ICU in one of our smaller hospitals. You still want to go to the hospital if you get sick? And so I thought it was appropriate.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. So in our trial, because of security reasons, we are required by Health Canada to store the substance in a special secure area in my office. We dedicated team working with cancer and palliative medicine in our hospital. James, welcome to the GeriPal Podcast. Im b leary eyed.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

MAY 9, 2024

Alex: Generally in the hospital-based hospice. Matt: I’m more of a hospital guy. So I think that people like us feel more comfortable just talking to the public because that’s what we do every day of our careers, but not in the confines of a clinic or a hospital room. Alex: Not frequently, no. Sammy: Oh, okay.

Education 127

Education IT Illness Healthcare 127

GeriPal

MAY 25, 2023

Health care system drives where you end up, which hospital, which state you live in. So if we said, like, did you make a decision while one of your loved ones was in the hospital, they would say, Oh, yeah, absolutely. Terry Freed had a wonderful commentary in Jags where she argued that we need to move away from these.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

SEPTEMBER 1, 2022

And when I think about some of the … There was actually a meta-analysis looking at specialized palliative care studies, only half of the 10 randomized control studies had a social worker as part of that team. Jennifer Temel study did not have a social worker as part of the clinical team. Thank you very, very much.

IT 102

IT Family Families Clinic 102

GeriPal

APRIL 14, 2022

We got some really special guests with us. And so that lends it properties of being a pretty strong analgesic and it lends its special properties for safety, from a safety profile. I got one more lightning question, Janet, you’re at UCSF you’re caring for a patient in the hospital. Transcript. This is Eric Widera.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. It feels special to me. She’s not in hospice, and you’re talking about admitting her to the hospital. She really should go to the hospital. So unlike academic journals and elsewhere.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. I was asking about what was going to be special about the trip or if they were going to do things with their family. They’re like, “Everyone wants to make every moment of our day special.” Juliet: Lund, yeah.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

MARCH 24, 2023

It’s going to be published as a special report in JPM I hope in May with as of today, 279, I think HPM physician colleagues, signatures including 21 of the living past presidents of the academy. We don’t want people dying in the hospital if their goal is to be at home. Most of the time it works out. Tell me about that.

IT 114

IT Provider Patients Family 114

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. And so they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

OCTOBER 6, 2022

Then there was that New England Journal catalyst study that showed that the healthcare executives thought that 60% of the people in their hospitals who could benefit from palliative care weren’t getting it. We have a problem in the field that we’re considered the acute death team at the hospital. Tony: Yeah.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

SEPTEMBER 22, 2022

There’s no special thing to say, but sometimes we’re tempted to treat serious illness communication in that way, conversational judo or something, that I can maneuver around an encounter and create something new. All these studies in this fringe… We want the special key. And oftentimes there is no password.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Thank you.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60