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Bouncebacks from SNFs: How one health system is making progress

Today's Hospitalist

WITH PATIENT ACUITY levels rising in hospitals, it makes sense that the patients being discharged to SNFs are likewise increasingly complex. That company, which is based in Detroit, focuses on providing post-acute care, complete with physiatrists and APRNs, as well as care managers and coordinators.

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New Report: U.S. Primary Care System Crumbling Amid Historic Disinvestment and Surge in Chronic Diseases

The Physicians Foundation

Diminishing Workforce: Primary care clinician shortages worsen access to care The number of primary care clinicians, including physicians, nurse practitioners (NPs), and physician assistants (PAs), decreased from 105.7 when excluding those practicing in hospitals—marking the lowest rate in a decade. Key findings include: 1.

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Improving Hospital Care for Older Adults through Acute Care for Elders (ACE Units): Kellie Flood and Stephanie Rogers

GeriPal

But if ACE units are so great, why do so few hospitals have them? Kellie Flood’s paper in JAMA IM showing that not only ACE units deliver better care, but also help with the hospitals bottom line. Eric: And we’re going to be talking about improving hospital care for older adults via ACE units, or acute care for elders.

Hospital 100
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GeriPal Special: Hopes and Worries for Hospice and Palliative Care

GeriPal

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. We’ve got a very large palliative care practice,” Rodgers told PCN. Transcript Eric: Hey, GeriPal listeners, this is a GeriPal special episode. Eric: Yeah.

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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

And yet we’re also in a different place in diabetes monitoring and management. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice? Listen in to learn more! Eric: And Alex, we’ve got a full house today.

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Doctor: "You are ready for discharge."

Mere Mortal MD

People are not usually fond of hospitals, especially if they happen to be the patient. A hospital is a place for sick people, a place where death lurks around the corner, where a blood sucking phlebotomist pokes around your veins after strapping a blue rubber band tightly around your upper arm. Thanks for reading Mere Mortal MD!

Hospital 221
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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

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. Stay tuned for a GeriPal podcast with the authors of the other study next week. Is it you Lyndsay?