GeriPal

FEBRUARY 22, 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.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

MARCH 6, 2025

-Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social change in our communities. Have you thought about that?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? Should we just use the referrals, whatever’s coming into us, whoever, whatever clinician decides. By diagnosis?

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JULY 11, 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 109

Patient-Centered IT Patients Clinic 109

GeriPal

OCTOBER 20, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 17, 2024

If it’s continuing and it’s getting worse and maybe they have some swelling in the legs, there are some subtle findings on the echo, but really think for a second, could this be this really common cardiovascular condition, echocardiogram, maybe even a referral to a cardiologist? Eric 14:10 Yeah. So I think more to come.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

APRIL 6, 2023

These hick pick codes are available to any chaplain in a healthcare system. Really important person, who later in his life got very interested in healthcare. And as you’ve written in your work, there is a justified mistrust of the healthcare system and an ethic of struggle that needs to be appreciated.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 6, 2025

So I get all the referrals from my great colleagues in primary care. I mean, I don’t want to speak to your healthcare system and what’s happened, but that to me seems inappropriate. We save healthcare. So we’re talking about primary care and so I’m a little bit biased here. Nate 19:49 Yeah.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. These older patients are costing a ton in healthcare costs. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. And it’s a bit of a hokey title, but what I try and impress on readers there is that, the reflection that patients see of themselves, at least metaphorically in the eye of the healthcare provider, needs to be one that is affirming of patient dignity.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 10, 2022

We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. So we looked at hospital referral regions, and we looked at high- and low- intensity regions. That’s a problem in our healthcare financing system.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

OCTOBER 6, 2022

Then there was that New England Journal catalyst study that showed that the healthcare executives thought that 60% of the people in their hospitals who could benefit from palliative care weren’t getting it. Look at the way they talk to the public, referral like HIV prep. So that’s the other part. So that’s the thing.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

OCTOBER 27, 2022

So we have a list of various interventions like hospice referral, like more intensive treatment for blood pressure, more intensive treatment for diabetes, for dysglycemia, hyperglycemia, statins, bisphosphonates. So the time to benefit page is trying to make the mortality indexes link more closely to the time to benefit.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. We did not just rely on a physical symptom measure, which many of our colleagues are doing. It’s not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 6, 2024

It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. Eric 17:46 Well, how do you train them, the frontline people seeing these patients, healthcare providers, geriatricians, oncologists? All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box.

Illness 130

Illness IT Physicals Patients 130

GeriPal

FEBRUARY 24, 2022

And I’m worried about all of us as healthcare workers, but particularly… And when I say particularly those in the hospital, because they are just tired. And it was really good for my mental and physical… Physical health, obviously, but mental health really. Get the hospice referral.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

MARCH 27, 2025

At a high level to sort of step in and start, you know, tinkering with workflows that, you know, are kind of as healthcare is a giant machine in primary care. Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. So ultimately, you know, we had to get buy in at. Is that right?

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 20, 2023

And so I’m not sure if this is true for Joe or for Brooke, but even before the pandemic in our practice here, we saw somewhere around 40 to 50% of our patients via telemedicine anyway, because we have a catchment area of patients who live very far away, many of whom have a lot of physical disability and other limitations to coming in person.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73