GeriPal

FEBRUARY 15, 2024

So what we found is up to 30% of people would call 911 again for a fall, and of those calls, some people became very high-utilizers and so they would call 911 over and over again. I think once someone becomes kind of a high-utilizer, it’s a slippery slope. All of these are factors that are on the individual level.

Community 115

Community Transportation IT PCP 115

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

JANUARY 25, 2024

However, its main predictors are age, comorbidity, and healthcare utilization. I’d be operating at the top of what I’m capable of doing, to provide really tailored and individualized care for my patients and their care partners, where they are. Eric: VA people will know what that is. David: Yeah. Eric: Okay.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

MAY 15, 2025

We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. We tested two different nudges individually and then we combined them. I highly encourage you. Kate 13:59 What did we do?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

OCTOBER 19, 2023

Eric: So Scott, two questions for you then is since this is aimed, POLST is people with limited life expectancy, we also have no randomized control trials of CPR of individuals in this population. What I’d really like to see is that when POLST is utilized, it’s utilized correctly. Again, it’s not the only part.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. But are we really taking full advantage of ALL social workers have to offer our field? Thank you very, very much.

IT 102

IT Families Family Clinic 102

GeriPal

MARCH 7, 2024

It sets space between us and the individuals we’re trying to take care of. I think that consistency of what is the expectation of our roles is crucial in a lot of ways, but that role is determined by the individuals we’re serving. I think the market and others will determine those individuals and who they work with.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Would it have changed potentially utilization rates like hospice utilization? That is safe.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

OCTOBER 26, 2023

I know that from Sarguni, we have some population level data, but are there any individual tools that you could use like an e-prognosis for function for hospitalized older adults? And then you have a problem with missing data always based on utilization patterns and trying to identify what that might look like. Are there any tools?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. And then the final category, the third category is what we called the dignity conserving repertoire, which really has to do with kind of the spiritual, and psychological landscape and makeup of that individual. I mean, I was very much a clinician.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 28, 2024

Eric: And we’re going to get to results, but that’s why I also love that 2016 paper: I think it was the very first palliative care trial that ever looked at individuals getting curative therapy. Eric: I think about it as the first one to address individuals’ curative therapy. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

FDA Law

AUGUST 21, 2023

Further, FDA has utilized a variety of strategies to call attention to safety issues through Dear Doctor letters or other forms of communication, even if directing changes to labeling is difficult. A recent state law failure-to-warn case in the SDNY makes that very point.

Manufacturing 40

Manufacturing Consulting Healthcare Professional Vaccination 40

GeriPal

AUGUST 25, 2022

And then secondly, around some of our quality measures, there’s been differences found in multiple papers by many teams around hospice disenrollment, higher rates of hospice disenrollment in for-profit hospices, and higher rates of healthcare utilization. There’s also been some differences in things like staffing.

Families 106

Families Family IT Patients 106

GeriPal

JUNE 9, 2022

Alex: It gets very local and individualizes as you were saying. And I actually think the cool thing about a needs-based approach would allow us to better utilize the service. How do we best utilize the power that we have in a really efficient way that allows us to reach more patients where they are and what they need.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

APRIL 14, 2022

Janet: And so we have this whole spectrum of buprenorphine at these different doses that we should be able to utilize but people can feel limited just because of this X waiver policy to not fully access and be able to offer all of the medications. And it started off with Tylenol then it went to low dose morphine.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JANUARY 20, 2023

They don’t have nearly the responsibilities that a certified nursing assistant has when thinking about utilities, groceries, rent, mortgage, all of that stuff on a monthly basis. Jasmine: Within the report, and that’s kind of tricky, we say we want more education, we want expanded roles, we want individuals to be able to do more.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. The black individuals wanted to have a separate one from the white individuals. And resource utilization was very low in all the groups.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

APRIL 6, 2023

Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. They followed them during the course of their hospital stay.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? Eric 17:06 Think like almost 50% of nursing home decedents utilize hospice, and that number has grown over the last two decades. Like, yeah, utilization of hospice has increased pretty well. Some will have stronger relationships with hospice.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

DECEMBER 19, 2024

So we’re going to be talking about palliative care for individuals with mental illness. Depending on your geography, who you are as an individual, the ethical parameter you’re considering. There’s a Boguts case, a patient with anorexia who utilized medical aid and dying. Oh, yeah, yeah. Good artist.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Again, as Greg said, where the individual chooses what works best for them. This is reaching the highest utilizers with a wraparound suite of services. To Susan’s point.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. There was a difference, though, in hospice utilization, right? Can someone describe for me what a stepped model is? Jennifer 04:25 I can take that on. That is correct.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 26, 2025

Those are all things that could dramatically be a major health shock for an individual. And we interestingly did not really see any change in function in those individuals, which has somewhat been reported in some places elsewhere, which makes one wonder if they maybe weren’t accounting for serious illness in some of those populations.

Illness 73

Illness Hospital IT Patient-Centered 73

GeriPal

DECEMBER 21, 2023

Eric: … you’re getting paid for individual encounters, not going to people’s homes, not being paid for all of the additional support that’s needed for comprehensive cancer care. The typical utilization of inappropriate hospitalization and emergency room and total cost of care. Malaz: Correct. And guess what?

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 20, 2023

We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of. But you’ve got to make it simple and it can’t be to sort of one individual, it needs to be to a practice and that sort of thing. I think at least we like to think of ourselves as ahead of the curve.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73