Scott Halpern

speaker
451 appearances 3 recordings 1 series first heard Sep 2021 last heard Feb 2024

Scott Halpern’s voice in public audio — every appearance, attributed to the second.

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You lost the
Yeah, I think you're you're sort of uh like eye roll at secondary outcomes aside, um that we can actually stay a lot.
So um Oshwan brought up the uh the complier average treatment effect analysis.
This is an unbiased way of saying that when inpatient palliative care teams see patients who are sixty-five and older with one of those three diseases in this health system.
Which is the largest non profit health system in the country, by the way.
So it's a pretty generalizable thing.
But with those caveats, yeah, we can say that length of stay is reduced.
We can also say that among all comers who are going to get a palliative care consult, those who get it by default get it sooner and more often.
And we can say that
Getting palliative care does not change your odds of dying in the hospital, which is important to a lot of people.
And yet it does increase the odds that you're gonna be discharged to hospice care.
Which those two things together, no increase in mortality, but increase in hospice utilization.
It doesn't prove that that palliative care is goal concordant, but it's certainly suggestive.
Great.
Scott?
My passion project uh that Kate and other members of the Pear Center are working actively on is to figure out what outcome measures we can actually use in our next generation uh big pragmatic drink uh pallide.
It will not be length of stay.
We'd love to everyone and their mother wants to use Gol Concord and Care, but you know, newsflash, we don't have a good way of measuring that.
But we we can we may I mean we're in the world of large language models.
We we may be able to get there.
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