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Enhancing Advanced Access in Primary Healthcare: Key Change Strategies from a Quality Improvement Initiative [Health care services, delivery, and financing]

Annals of Family Medicine

These are related to shaping healthcare supply to patients’ demand by 1) providing an individual assessment of caseload size to all physicians and nurse practitioners (professionals with whom patients are affiliated; and 2) reinforcing communication in the appointment scheduling process.

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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Eric 01:08 On the other, we have the young upstart telehealth delivered palliative care.

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

GeriPal

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.

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

GeriPal

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia. Nursing homes are subsidized by their Medicare, by their rehab patients. That doesn’t work.

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

GeriPal

Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic. Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.