GeriPal

FEBRUARY 15, 2024

They weren’t hurt, they didn’t need transport, and we were seeing the same people over and over again. But what was really interesting is the transport to the hospital was actually going down in their system. I think once someone becomes kind of a high-utilizer, it’s a slippery slope. What do you think of that?”

Community 115

Community Transportation IT PCP 115

GeriPal

JUNE 5, 2025

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. So that part we know and I. Does that sound about right to you too? Is that a black box?

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 6, 2023

This includes transportation, driver’s license, parks, volunteerism, housing, and of course health and human services. This is reaching the highest utilizers with a wraparound suite of services. That would be an example of something we’re very actively engaged in California in addition to the older Americans Act.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 21, 2023

So I think what’s really exciting is that these community-based organizations, some of those groups that provide training, transportation, respite care, all of that was never included. The typical utilization of inappropriate hospitalization and emergency room and total cost of care. And that’s a big part of this new model.

Patient-Centered 125

Patient-Centered IT Families Family 125