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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

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? No, no, no.

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Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information. Prior-auth forms? Examples of nudges, some based in health care, others in coffee.

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Dignity at the End of Life: A Podcast with Harvey Chochinov

GeriPal

We published a nice piece, I think it was in the Journal of Pain and Symptom Management. The specifics of how it does that depend on the population in which it’s implemented, and the outcome measure that is utilized. We began this here in Winnipeg. He’s at UCSF, he’s an intensivist. Who’s his aunt by the way.

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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. As a managed care state also, our care managers in managed care for Medicaid could be 300 miles away. Eric: And Susan? Having that visual is really important.

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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.