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Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. I have spent about 11 years total with Optum and then worked with Aspire, but now I’m currently working with Contessa and Amedisys to help support palliative care at home programs.
You know, I think the key thing is that, yes, things are definitely changing back then. A lot of the principles that are talked about in core topics in substance use health, I definitely do extend. I would agree that a lot of the time the people we care for have been abandoned previously by the health systems around us.
And then I did a geriatric orthopedic fellowship and that was really an exciting opportunity to help hip fracture patients, but then someone knocked on our door. Eric: What’s a geriatric orthopedic fellowship? So I got to help create one of the first geriatric orthopedic fellowships. Eric: Oh, that’s fabulous.
Now we can talk later on about the different models of paying for carecoordination. It would have been hard to hypothesize that less contact with palliative care would have been better. But I definitely do not think it is ethical to have non palliative care. Enrolling patients in palliative care studies.
The good news is that the financial case for comprehensive dementia care is changing thanks to a new Center for Medicare and Medicaid Innovation (CMMI) alternative payment model (APM) called Guiding an Improved Dementia Experience (GUIDE) Model. And it became a terror for me. Diane: Which too many people do, Malaz.
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