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Meetings Archive For SHM Converge 2023..

Plenary Presentations
Abstract Number: 1
GRITTYWORK: AN EVIDENCE-BASED APPROACH TO BUILDING OPTIMAL HOSPITALIST STAFFING MODELS
SHM Converge 2023
Background: Research suggests that high workloads in the inpatient setting (often measured through patient encounters/visits) contribute to increased hospital length of stay, increased costs, and delayed discharges. High workloads also negatively impact our quality improvement efforts and result in a mismatch in job demands and job resources leading to clinician burnout. To date, there is […]
Plenary Presentations
Abstract Number: 1
GRITTYWORK: AN EVIDENCE-BASED APPROACH TO BUILDING OPTIMAL HOSPITALIST STAFFING MODELS
SHM Converge 2023
Background: Research suggests that high workloads in the inpatient setting (often measured through patient encounters/visits) contribute to increased hospital length of stay, increased costs, and delayed discharges. High workloads also negatively impact our quality improvement efforts and result in a mismatch in job demands and job resources leading to clinician burnout. To date, there is […]
Plenary Presentations
Abstract Number: 2
THE EFFECT OF MEDICAID EXPANSION ON 30-DAY HOSPITAL READMISSIONS
SHM Converge 2023
Background: Although readmission rates have decreased since the implementation of higher-than-expected 30-day readmission penalties by the Centers for Medicare & Medicaid Services (CMS), rates remain above optimal. Hospital readmissions reflect two processes: discharge planning and access to care after discharge. To increase access to care, the US Congress passed the Patient Protection and Affordable Care […]
Plenary Presentations
Abstract Number: 3
A RANDOMIZED CONTROLLED TRIAL OF PHYSICIAN ROUNDING STYLES
SHM Converge 2023
Background: To relieve hospital capacity strain, hospitals often encourage clinicians to prioritize early morning discharges which may have unintended consequences. We aimed to test the effects of hospitalist physicians rounding on discharging patients first. Methods: Prospective, multi-center randomized controlled trial at three large academic hospitals. Participants were Hospital Medicine attending-level physicians and patients the physicians […]
Oral Presentations
Abstract Number: 4
A NATIONAL INDIVIDUALIZED LEARNING PLAN PILOT FOR TRANSITIONING TO INTERNSHIP
SHM Converge 2023
Background: Individualized Learning Plans (ILPs) are standardized forms that allow graduating students to self-identify goals, strengths, and weaknesses prior to starting residency. The Coalition for Physician Accountability has advocated for their use in the undergraduate (UME) to graduate medical education (GME) transition. A pilot of ILPs in pediatrics demonstrated moderate usefulness. However, within internal medicine […]
Oral Presentations
Abstract Number: 5
FOOD IS MEDICINE: ADDRESSING FOOD INSECURITY IN THE HOSPITAL
SHM Converge 2023
Background: Healthcare disparities have existed for decades, yet it took a global pandemic to put this emergency into the spotlight. The Joint Commission states “health related social needs” (HRSN) are the root cause of many disparities. HRSN encompasses a wide spectrum including inability to pay bills, poor access to transportation, and lack of housing. At […]
Oral Presentations
Abstract Number: 6
DIAGNOSTIC TIME-OUT: A CLINICAL REASONING HUDDLE TO IMPROVE DIAGNOSTIC SAFETY
SHM Converge 2023
Background: Diagnostic errors are common, costly, and harmful. Cognitive biases and suboptimal clinical reasoning are contributing factors for diagnostic error. A diagnostic time-out (DTO) is a structured tool to optimize clinical reasoning, prioritize the differential diagnosis, and communicate diagnostic uncertainty in high-risk situations susceptible to diagnostic error. Purpose: To design and implement an interactive educational […]
Oral Presentations
Abstract Number: 7
FEASIBILITY OF AI-COMPUTER VISION MONITORING FOR HIGH RISK DELIRIUM PATIENTS
SHM Converge 2023
Background: Delirium, a highly morbid condition affecting significant numbers of hospitalized adults, is under-recognized due to challenges in monitoring patients’ waxing and waning symptoms. In addition, precipitating environmental factors such as light, sound, and sleep are difficult to observe. Computer vision cameras that can generate continuous observations of patients and their in-room care environment have […]
Oral Presentations
Abstract Number: 8
VIRTUAL RURAL-ALITY: CREATING A TELE-HOSPITALIST PROGRAM TO REDUCE RURAL OUTMIGRATION
SHM Converge 2023
Background: Since 2010, 130 rural hospitals have closed, leaving only 2,250 rural hospitals remaining in the United States. Of the remaining facilities, outmigration and/or the bypassing of the local hospitals to a larger facility remains problematic and impacts a community’s access to healthcare while affecting the long-term business viability of the city. In December of […]
Oral Presentations
Abstract Number: 9
USING SINGLE HOSPITAL VS NATIONAL DATASETS TO PREDICT 30-DAY MORTALITY
SHM Converge 2023
Background: Mortality prediction models are increasingly being adopted in the clinical setting, both to retrospectively assess quality of care and to prospectively inform clinical practice. An open question is whether a particular hospital should employ a model trained using a diverse nationwide dataset or use a model developed primarily from local data. The Veterans Affairs […]