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Meetings Archive For Hospital Medicine 2013, May 16-19, National Harbor, Md...

Abstract Number: 1
Exploring Intrateam Handoffs
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Inpatient continuity is difficult to achieve as house‐staff work‐hour limitations result in more frequent handoffs. Although research on handoffs between teams has been done, little information exists on handoffs within the same team. Our goal was to assess intern perceptions of intrateam handoffs and coverage. Methods: We distributed an anonymous cross‐sectional survey to internal […]
Abstract Number: 2
Characterizing the Postdischarge Follow‐Up Visit
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: There is increasing emphasis on timely outpatient follow‐up visits after hospital discharge. However, there is little consensus regarding what should take place in the follow‐up visit. In this study, we described the content documented in postdischarge follow‐up visits. Methods: We reviewed the medical records of all adult patients discharged to home from the general […]
Abstract Number: 3
Improving Patient Satisfaction Outcomes and Resident Interpersonal Communication Skills Through Training and Patient Feedback
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Physician–patient communication affects patient satisfaction with medical care, continuity of care, compliance with treatment regimens, malpractice risk, and even readmission rates and certain health outcomes. Improving communication and satisfaction is therefore a priority for hospitals and hospitalists and is vital to optimizing patient outcomes. Our internal medicine residency program identified a need for formal […]
Abstract Number: 4
Primary Care Physician and Hospitalist Perceptions of Causes of Readmissions: Preliminary Results from the Hospital Medicine Reengineering Network (Homerun)
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Substantial efforts are being made to reduce readmissions. However, previous studies of causes for readmissions have not solicited input from physicians involved with patient care both in the hospital and in primary care settings. Methods: This was an observational study of patients readmitted within 30 days to general medical services at 13 academic medical […]
Abstract Number: 5
Preventability of Readmissions in a National Sample of Patients: Preliminary Results from the Hospital Medicine Reengineering Network (Homerun)
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Substantial efforts are being made to reduce readmissions. However, previous studies of causes for readmissions have been retrospective or narrowly focused on specific patient subgroups, such as those with heart failure, thereby limiting broader applicability. Few have used a structured adjudication process and multicomponent input, including patient perspectives, to determine preventability and areas in […]
Abstract Number: 6
Audit: Adequacy and Utilization of Documentation in Interhospital Transfers
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Transitions of care have become more frequent as our health care system becomes more complex. In addition, the communication of clinical patient information across the continuum of care is variable and nonstandardized and can often be inadequate. Although there is a growing body of evidence about handoff communication, one area that has not been […]
Abstract Number: 7
Postdischarge Focus Groups to Improve the Hospital Experience
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Targeting opportunities for improving the patient experience is challenging, as providers often lack the patient and family perspective. Multiple studies show that clinician perceptions of patients' priorities do not match actual patient priorities. Patient satisfaction surveys are limited in providing specific information to drive improvement. More detail about the most salient areas and specific […]
Abstract Number: 8
Lost in Transition: Discrepancies in How Physicians Perceive the Actionability of the Results of Tests Pending at Discharge
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Physician awareness of tests pending at discharge (TPADs) is poor, a potential patient safety concern. Inpatient physicians who order these tests and primary care physicians (PCPs) who follow up the results may have differing opinions about whether a specific TPAD result is actionable. Lack of agreement may affect subsequent communication and follow‐up actions. We […]
Abstract Number: 9
Postdischarge Phone Calls and Improved Patients' Perceptions After Hospital Discharge
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: The Institute of Medicine (IOM) has highlighted the importance of patient‐centered care (PCC) to health care quality. We hypothesized that patients cared for by residents exposed to a curriculum that teaches elements of PCC would report a greater level of information, support, and sense of partnership with their hospital physician. Methods: The study setting […]
Abstract Number: 10
Hospitalist and Primary Care Physician Perspectives on Inpatient Disease Management
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Hospitalizations are increasingly viewed as an opportunity to optimize issues related and unrelated to a patient's reason for admission. The degree to which hospitalists and primary care physicians (PCPs) are comfortable with hospital‐based chronic disease management during a discrete episode of illness has not yet been examined. Through a case‐based survey, we compared PCP […]