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Abstract Number: 389
SHM Converge 2023
Background: Health information technology (HIT) systems were created with the intent to improve efficiency and streamline clinical workflows. However, evidence suggests HIT systems are a significant source of clinician burnout (Adler-Milstein 2020). A thorough understanding of clinicians’ frustrations is necessary to develop solutions to improve HIT systems. In doing so, efforts from the clinical informatics […]
Abstract Number: 390
SHM Converge 2023
Background: Delivering high quality and efficient care is a top priority at our 800-bed quaternary care hospital. We have seen significant improvements in many patient-care domains by implementing hospital-wide standardized interdisciplinary rounds. As part of our ongoing efforts to further improve efficiency and value, we hope to leverage a simple order in our electronic medical […]
Abstract Number: 391
SHM Converge 2023
Background: Telemedicine emerged as an innovative approach to addressing staffing shortages for hospitalists in resource-limited areas (1), the COVID-19 surge (2), and off-hour shifts (3). Telemedicine can be adapted to non-traditional hospitalist roles, i.e. the triagist where a hospitalist assesses patients for potential admissions and supports outpatient to inpatient transitions (4). Modifying the triagist to […]
Abstract Number: 392
SHM Converge 2023
Background: Statistics show at least 5.7 million Americans have a diagnosis of heart failure (HF), and they account for >1 million admissions every year in the United States. Prolonged length of stay (LOS) often leads to higher mortality and increased healthcare costs. At our urban tertiary academic medical center, we have incorporated a Microsoft Teams […]
Abstract Number: 393
SHM Converge 2023
Background: To date, there are limited reports around the use of well-designed information technology tools to enhance communication during interdisciplinary rounds (IDRs). Computer supported cooperative work (CSCW) is a field that studies the integration of information technology into the workflow of healthcare teams. In collaboration with our technology innovations center, we developed a Microsoft Teams […]
Abstract Number: 394
SHM Converge 2023
Background: To mitigate COVID-19 related hospital crowding, our hospital internal medicine (HIM) department collaborated with our emergency department (ED) to launch a service in which an HIM team was placed in the ED to assist with triage. The goal was to expedite patients with a clear need for admission, while diverting others who could be […]
Abstract Number: 395
SHM Converge 2023
Background: The electronic health record has grown and advanced in the last decade and in recent years, basic interoperability has been successfully adopted. Organizations are able to see data from other organizations. Prescriptions are no longer hand written and are sent electronically to pharmacies. One major barrier that continues to exist, however, is electronic communication […]
Abstract Number: 396
SHM Converge 2023
Background: Ongoing staffing shortages, high bed occupancy rates and post COVID changes are putting substantial strain not only on the inpatient environment, but also on the Emergency Department (ED). Increase in the number of boarded patients and length of boarding times pose risk to optimal patient care. Across the nation, the role of hospitalist as […]
Abstract Number: 397
SHM Converge 2023
Background: 22% of the hospitals overall STAR rating is based on readmission reduction for the following disease specific groups: pneumonia, chronic obstructive pulmonary disease, acute myocardial infarction and congestive heart failure. Creating strategies surrounding prevention of readmissions that create workload balance leads to improved ability to manage these patients. The hospitalist medicine, emergency medicine, pulmonary, […]
Abstract Number: 398
SHM Converge 2023
Background: Early discharge from the hospital improves hospital throughput as well as patient and staff satisfaction. At times, our emergency room tends to board many admitted patients for more than 24 hours, which further distresses our patients and staff. We noticed that the total number of patients leaving the hospital earlier in the day decreased […]