For over a decade, there has been a high prevalence of potentially inappropriate medication (PIM) use as defined by the "Beers criteria" in the outpatient elderly population. Using CPOE medication lists, the measured prevalence of PIMs as of April 1, 2006 was 23.3% (8,693/37,247) of patients at Intermountain Healthcare and 23.0% (5,528/24,004) at the Cleveland Clinic. Patient characteristics associated with PIMs were polypharmacy, female, and multiple primary care visits. A decision support system of geriatric precaution screening alerts for 86 PIMs was integrated into ...

Since the 1920s, Camp Mather has beckoned to outdoor enthusiasts to come enjoy restful, carefree times in the Sierra. Bordering Yosemite National Park, Mather was established as a construction camp for laborers building the OShaughnessy Dam in the Hetch Hetchy Valley. The camp began welcoming San Franciscans after construction was completed and then, as now, offers a welcome respite from city life. Guests stay in employee cabins and swim in the lake near the site of a former sawmill. Horseback riding, hiking, swimming, and three-squares-a-day have long been hallmarks of the Mather experience....