Alabama Academy of Family Physicians

FEBRUARY 19, 2025

Running from February 4 to May 15, this session promises to bring substantial changes to medical consent laws, Medicaid coverage, rural hospital funding, taxation on essential goods, and the transparency of healthcare costs. HB 86 – Rural Hospital Investment Fund Bill What’s in the Bill: Sponsored by Rep.

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Insurance Management Hospital Vaccination 130

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. And then when you see clinically patients coming into hospital, they’ll have, you know, they’ll be admitted for aspiration pneumonia.

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Illness Hospital IT Patient-Centered 92

The Motivated MD

SEPTEMBER 19, 2024

For the better half of 2024, I have been periodically writing posts that are individual articles that double as potential chapters to a future book. Before we discuss each individual savings account, let us first highlight exactly what it means to ‘automate’ your savings. Saving money is simple but not easy.

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Finance Education Individual Healthcare Professional 52

The Motivated MD

OCTOBER 3, 2024

In the wake of a hurricane as devastating as Helene, tens of thousands of individuals are likely filing claims, surely totaling billions of dollars. Assuming my hospital is still standing, I would obviously continue to work my job as best as I could to continue to bring in income. Stay motivated! The Motivated M.D.

Insurance 52

Insurance Finance Community Medical Advice 52

GeriPal

MARCH 14, 2024

We also talk about the importance of a proactive approach to involving speech-language pathologists in the care of individuals early on with neurodegenerative diseases like dementia and ALS. So as you mentioned, dementia, there’s some research that show about 86% or 93% of those individuals will get that. Raele: Yes, of course.

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IT Hospital Patient-Centered Individual 123

GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Communication techniques we can use when talking to individuals with hearing loss. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults.

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IT Screening Hospital Clinic 102

FDA Law

JUNE 21, 2023

enable individuals to have virtual consultations with healthcare providers through video calls or online platforms), at-home diagnostics (e.g., enable individuals to have virtual consultations with healthcare providers through video calls or online platforms), at-home diagnostics (e.g., telemedicine and telehealth solutions (e.g.,

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Medical Patients Healthcare Electronics 45

GeriPal

JULY 19, 2024

What should we use to screen individuals? So we measure things like hospitalizations and ed visits and the like, and those data are a bit weaker, but they’re also, you know, I think they need to be contextualized in what, why we would even want to reduce hospitalizations right. Who should get it if anyone?

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Screening Primary Care Patient-Centered IT 118

GeriPal

FEBRUARY 15, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. ABIM MOC credit will be offered to subscribers in November, 2024.

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Community Transportation IT PCP 113

FDA Law

OCTOBER 16, 2024

There, as we explained back in July , Novartis argued that FDA’s approval of a generic ENTRESTO with indication information modified rather than simply omitted “represents a sharp departure from FDA’s statutory and regulatory mandate to require that a generic drug be the ‘same’ as its reference listed drug.”

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Manufacturing Patients IT Hospital 98

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. People had to be in the top 20th percentile of risk for being hospitalized or dying in the next year.

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Patient-Centered Illness IT Patients 121

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

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Patient-Centered Hospital Patients IT 131

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. The intervention was a negative study for the primary outcome, hospital length of stay. What is sludge?

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Patient-Centered Hospital IT Illness 115

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

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Patient-Centered IT Hospital Patients 76

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

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Patient-Centered IT Patients Illness 125

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. I put a lot more information about Dr. Groopman and how to contact her in the show notes.

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Consulting Individual Families Family 59

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. They were at the VA, but not so much at our main hub hospital where I trained. I do tend to focus in the hospital setting. That’s just not how the hospital works. Or the hospital, the intervention delivery is by who’s in practice.

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Consulting Patient-Centered Diagnosis Referral 99

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system? Eric: Okay. Kate: 3,500.

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Consulting Patient-Centered IT Patients 114

GeriPal

FEBRUARY 13, 2025

Marie 03:08 So, living in Alabama, which is our palliative care desert in the south, there were no palliative care services in any of the small rural hospitals. We went to a hospital in Mississippi, one in Alabama, and one in South Carolina. And then we incorporated that information into the consultation process.

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Consulting Community Patient-Centered Families 62

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. They followed them during the course of their hospital stay.

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IT Patient-Centered Families Family 98

GeriPal

JANUARY 20, 2023

It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents? Those are evidence-based or evidence-informed tools that have been in practice. Eric: So Jasmine, we hit on care delivery, we also hit apparently on health information technology. Jasmine: Technology.

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Finance Board-Certified IT Provider 95

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. Because people, they go to the hospital, then they revoke. Lauren: Oh.

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Families Family IT Patients 105

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. And then the final category, the third category is what we called the dignity conserving repertoire, which really has to do with kind of the spiritual, and psychological landscape and makeup of that individual. So tiny, tiny, in a hospital bed.

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Patient-Centered IT Patients Illness 98

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Individuals over 65 years of age at home Yes 23 (65.7) 150 (54.3) p<0.001 Doctor 83 (65.9)

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Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? And so they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization. Like, yeah, utilization of hospice has increased pretty well. Some will have stronger relationships with hospice.

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Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. 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. Jennifer 00:44 Thanks.

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Patient-Centered IT Patients Hospital 117

GeriPal

JULY 6, 2023

I’ve been on a quest to build those services and support so that people can make true, informed decisions for themselves and their families. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home. Eric: Great, thank you both.

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Community Nurse Practitioner Provider IT 89

GeriPal

JULY 17, 2025

The ways in which death anxiety manifests in our patient’s choices and behaviors varies tremendously, and our responses as clinicians must be individualized. So maybe a hospitalized patient tells you, I have insomnia, doc, I need medication. There is no “one size fits all” approach. In one example Dani discusses, a pain level of 1.5/10

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Patient-Centered IT Patients Relationship 63

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. I could walk down the hall and get information. Malaz: … to restrain them in the hospital. So what that means is I take care of you just in my clinic, just in my hospital. And I was terrified.

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Patient-Centered IT Families Family 124

GeriPal

JULY 20, 2023

Alex: And we’re delighted to welcome back to GeriPal podcast, Brooke Calton, who is a palliative care physician and faculty at the Massachusetts General Hospital, and is also newly the Medical Director of palliative care at Devoted Health. Joe: Great to be here. Welcome back to GeriPal, Brooke. Brooke: Thank you.

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Telemedicine Telehealth Patient-Centered Board-Certified 73

FDA Law

SEPTEMBER 13, 2021

Medicare negotiation authority; encourage biosimilars and generic drug utilization). Currently, individual Medicare Part D plan sponsors negotiate rebates but the government is explicitly prohibited from interfering in those negotiations. Drug Price Negotiation to Benefit Medicare and Commercial Plans.

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Manufacturing Supply Chain Patient-Centered Utilities 98