GeriPal

JULY 19, 2024

Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. There has to be effective support provided behind any type of screening strategy in order for it to truly be effective. Joe, your thoughts?

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MAY 5, 2022

COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults. So this is a podcast going at the geriatricians and palliative care providers. Alex: Great story. Eric: And let me ask both of you.

IT 102

IT Screening Hospital Clinic 102

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

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. I think, as providers, we don’t get to see that.

Community 115

Community Transportation IT PCP 115

GeriPal

JANUARY 25, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

SEPTEMBER 1, 2022

In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team social worker. And I think that’s when I got hooked on how do we improve care, in my case again, for kids and families, but also for us, the providers. I can figure out how to provide care in this way.

IT 102

IT Family Families Clinic 102

GeriPal

OCTOBER 26, 2023

We provide critical education. We provide critical conversations with colleagues and families to coordinate transition planning.” Lynn: Well, I was just going to say there’s such an amazing breadth of things that rehab can provide. ” So that’s something that I think a lot about.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 5, 2025

So usually they’ll make recommendations, maybe some medication adjustments or something like that, and then the provider that’s caring for them in house will take over from there. So the palliative care service doesn’t necessarily need to provide those potentially. Eric 13:49 Right. Alex 14:59 What do you think?

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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 20, 2023

To me, I think the Greenhouse folks have proven that you can provide quality care in a home-like environment cost effectively if it’s done right. It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents? Mike, you’re nodding your head no.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

MARCH 7, 2024

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support at the end-of-life. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

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. Basically, there’s a lot of variation amongst hospice providers.

Family 106

Family Families IT Patients 106

GeriPal

APRIL 28, 2022

So when I make a cartoon, usually I’m sending it to a few people before it’s ever seeing the light of social media, to make sure it’s not going to come across as insensitive either to patients or to my fellow providers. And so here’s a picture of four healthcare providers behind bars. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 14, 2022

Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . And that’s a lot easier if all providers were X waivered too. Learn about using the low dose buprenorphine patch: . Low-Dose Buprenorphine Patch for Pain – Fast Fact. What’s causing you suffering right now.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. We weren’t randomizing providers or patients. Would it have changed potentially utilization rates like hospice utilization? I went into emergency medicine to act.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 2, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Consulting 121

Consulting Hospital Patient-Centered IT 121

GeriPal

AUGUST 24, 2023

And the role of the palliative care provider is to figure out, knowing that different things affect different people, is what causes somebody in that particular instance to feel their dignity is being undermined. And the data was saying, “What is really important is the way you, the care provider, experience that person.”

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 15, 2025

At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information. I think it’s good to place nudges in context.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And resource utilization was very low in all the groups. They do the homework they talk about then with their doctor or their healthcare provider. Like, what communities would have been included for that study?

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

OCTOBER 19, 2023

I think that policy in the emergency department is showing that no matter what that provider is looking to see if a patient has a preference. What I’d really like to see is that when POLST is utilized, it’s utilized correctly. Scott: Well, are we sure, Abby, that represents progress? Eric: Kelly?

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

JUNE 9, 2022

Kate: You just embed it into routine care and workflows, and you really aim for a broader population,, outcomes that are routinely collected care that can be provided in the course of routine care, and not trying to manipulate and control all of the factors. Because that’s just not, not how it’s done in the real world.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

DECEMBER 19, 2024

This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine. I want to expand it from just the maid area.

Illness 101

Illness Mental Health IT Patient-Centered 101

FDA Law Blog

AUGUST 21, 2023

Recall that the funds provided under the Prescription Drug User Fee Acts (PDUFA) are not available to support the agency’s efforts related to monograph drugs.) The GAO Report further explained that the agency did not have the resources to regulate the estimated 100,000 OTC drugs marketed through the monograph process.

Manufacturing 40

Manufacturing Consulting Healthcare Professional Vaccination 40

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 6, 2023

To provide context, we are joined by Karen Steinhauser, a social scientist at Duke who has been studying spirituality for years (and published one of the most cited papers in palliative care on factors considered important at the end of life , as well as one of my favorite qualitative papers to give to research trainees ).

IT 99

IT Patient-Centered Family Families 99

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there. They deal with that.

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. So at our cancer center, we have physicians, advanced practice providers. As Pahlavi said, you could refer to other providers. Jennifer 04:25 I can take that on.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 13, 2023

And if I remember that study correctly, it was priming both patients and providers in the outpatient setting to do goals of care conversations. And we had the date, if it was present in the EHR, to provide that context for the clinician. We also provided reassurance that this is not a long conversation. Erin: Mm-hmm. Eric: Yeah.

Patient-Centered 84

Patient-Centered IT Patients Hospital 84

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

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Eric: Okay.

Patient-Centered 125

Patient-Centered IT Family Families 125

FDA Law Blog

JUNE 1, 2025

While FDA has historically looked at manufacturer promotion, the language in the Federal Food, Drug, and Cosmetic Act (FDCA) provides that it is a prohibited act to cause the misbranding of a drug in interstate commerce. Maximizing patient clinical outcomes and quality of life may ultimately minimize healthcare resource utilization.

Healthcare Professional 59

Healthcare Professional Manufacturing Healthcare Utilities 59

GeriPal

JULY 20, 2023

What was life for you as a provider pre-pandemic? We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of. And so we’re able to provide access to those patients that may be home-bound or home limited or have a lot of struggles to get in.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73