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Meetings Archive For Hospital Medicine 2016, March 6-9, San Diego, Calif...

Plenary Presentations
Heads-Up: Prospective Clinical Team Surveillance Improves Safety Climate, Incident Reporting and Patient Outcomes. a Cluster Controlled Stepped Wedge Trial
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: General wards are high-risk clinical areas, but frontline staff face operational challenges not prioritized in national safety initiatives. Team reporting may identify important risks to patient care, although its impact as a safety strategy is unknown. We developed HEADS-UP (Hospital Event Analysis Describing Significant Unanticipated Problems), a system for prospective clinical team surveillance (PCTS). […]
Plenary Presentations
Impact of Hospitalist Workload on Utilization of Imaging and Consultations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital medicine is a maturing field that increasingly focuses on providing high value patient care. A key question in the value equation is how different patient census sizes impact care. Our recent research showed that higher patient censuses were associated with longer hospital length of stay and costs. This study follows up on this […]
Plenary Presentations
The Feedback Bundle: A Novel Method of Inpatient Audit and Feedback
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Audit and feedback is a commonly used strategy to improve performance among providers. Most prior studies on its efficacy were done in the outpatient setting and showed a modest benefit. Certain factors, such as clear targets and repeated frequency of feedback may increase the likelihood of improved performance; however, there is still no consensus […]
Oral Presentations
“Communicating Wisely”: Design, Implementation and Outcomes of an Email-Based Care Transitions Bundle
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patient care increasingly involves collaborative, team-based approaches in both inpatient and outpatient settings. Optimal transitions of care between the community and the hospital require bidirectional communication and collaboration. This presentation describes a structured, multidisciplinary electronic communication bundle implemented by an academic inpatient service to support care transitions in the management of patients between San […]
Oral Presentations
Attendance Rates for Provider-Booked Post-Hospitalization Follow-Up Appointments
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Executing safe transitions of care for hospitalized patients is important because of the vulnerability of patients during this time period.  While hospital-based providers frequently schedule appointments on behalf of their patients prior to discharge, cancellations and non-attendance (“no-shows”) for post-discharge follow-up appointments are anecdotally common and diminish the quality  of patient care.  Little is […]
Oral Presentations
Caring Wisely: A Program to Support Frontline Providers and Staff in Improving Healthcare and Reducing Costs
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: High value care is a key priority in healthcare, but strategies are needed to empower frontline clinicians to work with organizational leadership to reduce healthcare costs and improve care.   Purpose: Caring Wisely (CW) is a program we developed that is designed to engage frontline clinicians and staff, connect them with implementation experts, and […]
Oral Presentations
Characteristics and Outcomes of Patients Discharged from the Emergency Department After Referral for Hospitalist Admission
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospitalization is costly, associated with the potential for adverse medical events and may have deleterious health effects.  Hospitalist physicians are uniquely positioned to help patients avoid unnecessary hospitalizations.  Our attending-only hospitalist practice in a tertiary academic center admits approximately 350 patients monthly, the majority of which are referred through the emergency department (ED).  Our […]
Oral Presentations
Creating a Best Practice for Discharges Against Medical Advice
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Creating a Best Practice for Discharges Against Medical Advice Background: Nationally, 1-2% of medical discharges from hospitals are against medical advice (AMA).  Patients that leave AMA are at higher risk for readmission and adverse health events.   At our facility, FY 2014 data revealed that 1% of discharges from the medical/surgical wards were AMA.  The 30 […]
Oral Presentations
Driving Down Readmissions: Evaluation of an Inter-Professional Program to Reduce Readmissions After Copd
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD) is the third leading cause of readmissions and is now included in the Medicare Hospital Readmissions Reduction Program (HRRP). Our institution developed an inter-professional program aimed at reducing all-cause 30-day readmissions for patients admitted with AECOPD. Methods: We iteratively developed and piloted our inter-professional COPD HRRP […]
Oral Presentations
Hospitalist Empathy Is Associated with Decreased Patient Anxiety and Higher Ratings of Communication in Admission Encounters
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Experts identify empathic responses to patient expressions of negative emotion – such as anxiety, sadness, and anger – as a key component of patient-centered communication, yet evidence on the impact of empathy on patient-reported outcomes in the hospital is limited. Methods: Our study objective was to assess the association between hospitalists’ expressions of empathy […]