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. Same thing with kind of medication management. Carmen: Yeah.

Community 116

Community Transportation IT PCP 116

GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. And how am I going to manage their pain? And then part of our role as folks in palliative care who as Katie mentioned, really try to help folks manage distress around serious illness. Two great videos on buprenorphine initiation. Transcript.

Illness 103

Illness Patient-Centered IT Patients 103

BMJ

MAY 10, 2022

Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%). 276 (100) *Column % ** The P-Value was calculated by Chi-square test Suggestions regarding vaccination: 60.1% (n=166) of healthcare professionals considered COVID-19 disease as a threat to their health. 150 (54.3) 126 (45.7)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

JANUARY 25, 2024

However, its main predictors are age, comorbidity, and healthcare utilization. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. Eric: VA people will know what that is. David: Yeah. Eric: Okay. David: They were not.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

MARCH 28, 2024

We have our social workers and our psychologists and we know how to manage these symptoms. And then with the nurse-led telephonic case management, that was a centralized model at NYU, and we got philanthropic support to hire the nurses. I’m just stunned even writing that! We’ve come so far as a field.

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

OCTOBER 26, 2023

And so for pt, we’re generally focused on assistance with transfers, providing assistive devices to help people maintain independence with ambulation, doing stairs, leaving their homes, getting into the community, but really focusing on symptom management. And to all of our listeners, thank you for supporting the GeriPal podcast.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

JUNE 5, 2025

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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? No, no, no.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

FEBRUARY 2, 2024

Eric: Utilization, utilization, utilization. Talked about things like pragmatic ways to manage volume, anticipated volume, gave them projections of volume based on enrollment that was going on in usual care, and just really did a lot of palliative care. Eric: Yeah. Scott: That’s what it was. Eric: Okay.

Consulting 122

Consulting Hospital Patient-Centered IT 122

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. As a nurse case manager in hospice, half of my patients had dementia.

Families 107

Families Family IT Patients 107

GeriPal

JANUARY 20, 2023

If you own and operate a nursing home and you’re taking people in, and you’re admitting new residents, what’s their accountability for how they manage compensation and quality delivery? I’m the project manager, so my job’s to zoom in. What are they accountable for? Eric: Great.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

MAY 15, 2025

We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information. But you know, we managed to work it through and people got used to it and throughout the duration of the trial. We didn’t make them do anything with that information, just document it.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. So it’s a lot of palliation. I gotta get some sleep.

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. Did your intervention Lexy actually have any effect on utilization, which again, somewhat argue is the reason that services palliative care get funded?

IT 99

IT Patient-Centered Families Family 99

GeriPal

MARCH 7, 2024

Healthcare, just the way healthcare is structured, that’s not something that’s feasible unless there’s a specific symptom management need that allows for more care, but just to provide simple care doesn’t exist. We pay for the end-of-life doulas through our foundation. What was the value proposition?

Provider 119

Provider Illness IT Healthcare 119

GeriPal

AUGUST 24, 2023

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. And to all of our listeners, thank you for your continued support.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JULY 6, 2023

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.

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. Eric 23:45 Yeah, I love that, too, because I think that one for me really is, can our interventions need to target the patient population that we’re managing?

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

FEBRUARY 24, 2022

So one that the primary outcome was supposed to be documentation, which it improved documentation, it wasn’t powered to actually look at any utilization or hard outcomes. They’re looking at difficult outcomes, utilization outcomes, right? Does watching a video impact utilization to that degree? Rachelle: Yeah.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

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. I didn’t know how to manage it. The typical utilization of inappropriate hospitalization and emergency room and total cost of care.

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

JULY 20, 2023

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. It may have come to a care manager.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73