Physicians Alliance of Connecticut

MARCH 5, 2025

People often see an endocrinologist after being referred by their primary care provider. While primary care providers are trained to manage conditions like diabetes, they rely on endocrinologists to provide more specialized care. At PACT Endocrinology, a referral isn’t required.

Board-Certified 52

Board-Certified Primary Care Insurance Diabetes 52

Vascular Physician

FEBRUARY 23, 2020

1) Mild symptoms should be managed conservatively with lifestyle changes, risk factor modifications (e.g., The only doctor who is an expert at all the treat-ment modalities is a vascular surgeon, and they can individualize the treatment for each patient to find the best solution.

Referral 40

Referral Hypertension Primary Care Utilities 40

FDA Law Blog

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. The Eliminating Kickbacks in Recovery Act (“EKRA”). 18 U.S.C. § 18 U.S.C. § 18 U.S.C. §

Lab Testing 52

Lab Testing Individual Referral Patient-Centered 52

FDA Law Blog

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. The Eliminating Kickbacks in Recovery Act (“EKRA”). 18 U.S.C. § 18 U.S.C. § 18 U.S.C. §

Lab Testing 40

Lab Testing Individual Referral Patient-Centered 40

GeriPal

OCTOBER 13, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

OCTOBER 2, 2024

The role of lifestyle and dietary modifications in management. Management of gastritis and the consideration of Helicobacter pylori infection. Join me as I scope out the nuances of gastroesophageal reflux and gastritis and provide practical insights for clinicians in the emergency setting. J Pediatr Gastroenterol Nutr.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JUNE 12, 2025

Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. I didn’t really know, similar to what Evie was talking about, how to provide any anticipatory guidance or to know what to expect in residency. Evie, welcome to GeriPal. Evie 00:41 Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Eric 10:25 Great.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. I think, as providers, we don’t get to see that.

Community 115

Community Transportation IT PCP 115

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. AMA PRA Category 1 credit(s) ™. Jessie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? 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.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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

JULY 21, 2022

That’s where it really gets to this individual risks and balances, individual situation. So that’s a piece that I think is important for providers anywhere along that process to be asking about driving. And the primary care provider had assumed he was no longer driving, I think. Alex: Yeah.

IT 102

IT Families Family Diagnosis 102

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. We talk a lot about people being unhoused, which I think takes the blame away from the individual and kind of de. those experiencing homelessness). We just hired a nurse. Health and health justice.

Healthcare 100

Healthcare IT Community Illness 100

PEMBlog

JANUARY 16, 2025

Learn how to recognize and manage cases in the emergency department, ask the right questions to uncover inhalant use, and provide critical resources for prevention and support. Formulate effective strategies for identifying, managing, and preventing inhalant misuse in pediatric patients. References Perry H, Burns MM.

Complication 52

Complication Patient-Centered Management Patients 52

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 22, 2023

And that grew into a group of volunteers coming back and at least providing support groups, giving those men a place where they could talk at least. Eric: So in some ways, this is kind of like the VA, where you don’t have to follow Medicare guidelines, but you can actually actively do concurrent care for these individuals.

Families 132

Families Family IT Community 132

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. I mean, I was very much a clinician.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. So I get all the referrals from my great colleagues in primary care. And I gotta manage their blood pressure and their diabetes meds. Nate 14:25 Oh.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

APRIL 6, 2023

To provide context, we are joined by Karen Steinhauser, a social scientist at Duke who has been studying spirituality for years (and published one of the most cited papers in palliative care on factors considered important at the end of life , as well as one of my favorite qualitative papers to give to research trainees ). Lexy: Yeah.

IT 99

IT Patient-Centered Families Family 99

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Well, I’m a geriatric nurse practitioner and I provided care to over 800 nursing home residents in 11 different nursing homes. I was really struck by the difference in care provided to people with advanced dementia. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

Family Medicine Initiative

APRIL 10, 2024

Having Your Own Long-Term GP Can Save Your Life Patients who choose a GP rather than a specialist as their primary care provider have a 19% 8 lower mortality and produce 22% 9 -33% 8 lower healthcare spending. Adherence to medical advice improves and unnecessary self-referrals to other doctors decrease. Over time, more trust develops.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

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. So at our cancer center, we have physicians, advanced practice providers. As Pahlavi said, you could refer to other providers.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. And is it at all individualized to the patient? This is what I do here. Yeah, yeah.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 20, 2023

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. What did we learn during the pandemic?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73