Hospital, Referral and Screening - Primary Care Digest

Three Practices, Three Stories: best practices and unique approaches to substance use screening in rural primary care [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care (PC) practices that implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) can identify, reduce, and prevent problematic alcohol use that otherwise could go undetected. While screening and brief counseling in PC is considered best practice, it is not standard practice.

Primary Care

Primary Care Screening Nurse Practitioner Referral

Combating Food Insecurity in Minnesota

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Through food pharmacies, food insecurity screenings and innovative community partnerships, health care providers are ensuring patients get the nourishment they need to thrive. Food Insecurity Screenings: Hennepin Health Care has integrated the Hunger Vital Signs tool into routine screenings to identify and support at-risk patients.

Family Physician

Family Physician Community Family Families

A Call for Engagement Outside of the Exam Room

Physician's Weekly

JUNE 13, 2025

There is robust data regarding the importance of patient connection and engagement in the hospital and clinic setting. This can be done by maintaining a directory of community resources and making referrals during patient visits. Connect patients with local resources such as food banks, housing assistance, and mental health services.

Chronic Disease Management

Chronic Disease Management Community Education Chronic Disease

The Physicians Foundation Announces New Recipient in Leadership Award Program, Recognized for Addressing Drivers of Health

The Physicians Foundation

AUGUST 15, 2024

The clinic offers referrals to specialists, conducts free cancer screenings, provides medication vouchers and engages in extensive public health education efforts. His dedication to this cause should serve as an inspiration to the entire medical community.” In July 2024, The Physicians Foundation also honored E. Mirna Mohanraj, M.D. ,

Primary Care

Primary Care Community Chronic Disease Management Education

Psychological Issues in Palliative Care: Elissa Kozlov and Des Azizoddin

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). We saw that around 60% of people were screening positive for depression in the last month before death. Or is it that I’m just not screening? That’s a lot.

Mental Health

Mental Health Patient-Centered Illness Screening

EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

FEBRUARY 15, 2024

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. I was like, “I have all these things I’m doing in the hospital to try to make people better and then I might be sending them right back to a big hazardous environment.” Eric: Oh, no.

Community

Community Transportation IT PCP

Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. So, we are not screening for substance use in cancer care, so we don’t get good estimates among people with cancer, which is really how we would prefer to ask the question. Katie: Yeah.

Illness

Illness Patient-Centered Screening Clinic

Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

SEPTEMBER 7, 2023

Because a lot of my colleagues, who are like transplant coordinators for example, are asking, “Can you help us better screened for which older adults would be fit enough to go for transplant? There’s really no added extra resource or time that the coordinators really need to put to doing the screening, themselves.

Patient-Centered

Patient-Centered IT Patients Clinic

Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

JUNE 5, 2025

The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. And what does that referral process look like? So that part we know and I.

Referral

Referral Nurse Practitioner Consulting Board-Certified

Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this?

IT

IT Family Families Diagnosis

RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

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. It is a screening? They followed them during the course of their hospital stay. And the screening questions would just allow you to know that. These studies are important.

IT

IT Patient-Centered Families Family

New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee

GeriPal

OCTOBER 27, 2022

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. We know that a lot of times with cancer screening, you don’t actually get benefits right away and it can cause potential harms right away.

IT

IT Clinic Screening Patients

Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Thank you.

Nurse Practitioner

Nurse Practitioner Hospital Family Families

Dignity at the End of Life: A Podcast with Harvey Chochinov

GeriPal

AUGUST 24, 2023

Our early studies were looking at things like, desire for death, and syndromal depression, and screening for depression and anxiety, and will to live. So tiny, tiny, in a hospital bed. So I mean, I had referrals from as far as Canadian Arctic North, of people who were interested in doing dignity therapy.

Patient-Centered

Patient-Centered Patients IT Illness

Should We Shift from Advance Care Planning to Serious Illness Communication?

GeriPal

FEBRUARY 24, 2022

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. We see our patients and our families throughout the illness trajectory into the hospital.

Illness

Illness Patient-Centered IT Patients

Telemedicine in a Post-Pandemic World: Joe Rotella, Brooke Calton, Carly Zapata

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.

Telemedicine

Telemedicine Telehealth Patient-Centered Board-Certified

Primary Care Digest

Three Practices, Three Stories: best practices and unique approaches to substance use screening in rural primary care [Behavioral, psychosocial, and mental illness]

Combating Food Insecurity in Minnesota

Trending Sources

A Call for Engagement Outside of the Exam Room

The Physicians Foundation Announces New Recipient in Leadership Award Program, Recognized for Addressing Drivers of Health

Psychological Issues in Palliative Care: Elissa Kozlov and Des Azizoddin

EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee

Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

Dignity at the End of Life: A Podcast with Harvey Chochinov

Should We Shift from Advance Care Planning to Serious Illness Communication?

Telemedicine in a Post-Pandemic World: Joe Rotella, Brooke Calton, Carly Zapata

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