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How do we ensure that older adults with serious illness get best-quality care in MA plans? Lauren Hunt & my thoughts on fascinating research by Joan M Teno MD, MS et al in JAGS, and the need for more data on quality of care in MA #hpm #hapc agsjournals.onlinelibrary.wiley.com/doi/full/10.11…

Problem with remote monitoring technologies: A key role of a geriatrician is to make patients medical problems as little a part of their life as possible-So they can live their life + do whats important them But remote monitoring often results med problems dominating their life

Fancy Hospital: 💗 We have an unshakeable commitment to racial equity! 💗 Me: That's awesome! It's about time we expanded our mental health services. So hard for our BIPOC patients to access. FH: lol we can't do that. We'd lose way too much money. Me: oh /1

Even in the few brief interactions I've been lucky enough to have with J Randall Curtis, his caring for others and commitment to developing the next generation of #palliativecare researchers was so obviously apparent. Very moving podcast.

And really the biggest take away from this article is listen to @mclemoremr. She's been saying this for years! Short cut: just read all her awesome t-shirts during zoom calls. No but seriously, read all her academic and public scholarship. & Rhea Boyd MD, MPH. & Rachel R. Hardeman, PhD, MPH #CiteBlackWomen

Also shout out to Faith Fletcher, PhD, MA for putting that article in conversation with this one. These are very much structural problems and we need to really carefully examine the proposed solutions. statnews.com/2021/06/10/nih…

What about making the award process a lottery? That would reduce bias towards large, well-funded investigators and institutions, and help reduce disparities in the process.

And more troublesome features of Aducanumab by Rita Redberg 3) Biogen and FDA worked together on post-hoc analysis to explain why one of the studies showed small benefit and another didnt. And importantly, 3 years later and FDA approval, still no published Phase III study! 3/3

If people can’t go to work because they can’t get child care, and small businesses have to shut down because they can’t find the employees they need, all of a sudden we’re in a downward spiral. We can’t build a 21st-century economy without quality, affordable child care.

Very honored and hugely grateful for mentorship from Alex Smith, MD, Kristine Yaffe Melissa Aldridge and support from Ken Covinsky @klharrisonPhD John Boscardin Catherine Gilliss Hai-Yen Sung UCSF School of Nursing

⁦Joan M Teno MD, MS⁩ on Hospice economics, venture capital and proposed reforms #hospice #hapc #hpm JAMA Health Forum – Health Policy, jamanetwork.com/journals/jama-…

Thread about @manlyepic & my @jamaneuro commentary re one especially shameful aspect of the FDA approval of #aduhelm. Before working w/ @manlyepic on this, I knew it was bad, but I didn’t know how bad. doi:10.1001/jamaneurol.2021.3404 1/27

In @Biogen’s FDA filing, only 0.6% (ie 19 people) of 3285 trial participants identified as Black, 3% as Hispanic, 0.03% (1 person) American Indian or Alaska Native, and 0.03% as Native Hawaiian or Pacific Islander. Of 9% identified as Asian, 94% were recruited in Asia. 2/n

Almost half (half!!!) of hospice enrollees have dementia. Super duper important article I had the pleasure to work on with Melissa Aldridge Amy Kelley @MSHSGeriPalCare Impact of Comorbid Dementia on Patterns of Hospice Use | Journal of Palliative Medicine liebertpub.com/doi/10.1089/jp…

Love this from New Scientist

For Medicare to cover hospice, patients need a 6-month prognosis. I wrote about how that rule disadvantages people with dementia for The Washington Post. (1/8) washingtonpost.com/health/2022/03…

Thank you Emily Harris for writing about this important issue in The Washington Post. Patients with dementia and their families deserve better #hospice care at end of life.

Great advice

UCSF Geriatrics @klharrisonPhD Lauren Hunt Kristine Yaffe Christine Seel Ritchie JAGS Median life expectancy of community-dwelling persons with dementia + severe disability was 1.7 years; 1/4 died within 7 months. Life expectancy shorter for: age 90+, bedbound, homebound, unintended weight loss, comorbid cancer or depression. agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…