By Ryan Van Wert, MD The Centers for Medicare & Medicaid Services (CMS) has spent many years developing and refining new reimbursement models with the goal of improving quality and containing costs. From the first Pioneer Accountable Care Organization (ACO) model in 2011, to the Next Generation ACO and Medicare Shared Savings Program (MSSP), to
The National POLST Paradigm is a voluntary approach to end of life planning that emphasizes eliciting, documenting and honoring the treatment preferences of seriously ill or frail individuals using a portable medical order called a POLST Form. If a seriously ill or frail patient wants to use a POLST Form, his/her health care professional will
My grandfather was the patriarch of his family, at the center of a tightknit Lebanese immigrant community in Toronto, Canada. Some of my warmest childhood memories are from Sundays at my grandparents’ home, where there was always family, community, and delicious food.
GeriPal John’s Story Since his college days, John was always a runner. Now at age 65, limping with arthritis, his orthopedic surgeon has recommended a left knee replacement. John completed a consent form authorizing the procedure.
Providing high quality emergency care to individuals with serious, life-limiting illness starts with an understanding of their treatment goals and care preferences above all else. Speaking as a critical care physician, this is absolutely essential information to have at the time of an emergency. It helps me to formulate a plan to provide the best