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Abstract Number: 233
SHM Converge 2023
Background: Improving the appropriate use of peripherally inserted central catheters (PICC) has been shown to reduce the rates of PICC-associated complications. However, quality improvement (QI) programs that promote appropriate PICC use may require significant financial investment. We evaluated the cost-effectiveness of the Michigan Hospital Medicine Safety (HMS) PICC QI initiative, a physician-led, performance-incentivized, QI intervention […]
Abstract Number: 234
SHM Converge 2023
Background: Vertebral fractures are the most common type of osteoporotic fracture in older adults in the United States, and can result in acute and chronic pain, reduced quality of life, decreased survival, and increased costs. The identification and management of vertebral fractures is important because they serve as robust predictors of future fractures. Yet, hospital […]
Abstract Number: 235
SHM Converge 2023
Background: There is no formal curriculum for medical students, residents or advanced practitioner students on appropriate clinical documentation improvement (CDI). As the primary documenters for medical records, several studies have shown benefit in billing, coding and hospital metrics with trainee education [1-2]. Despite this, there remains a scarcity of education on documentation for residents and […]
Abstract Number: 236
SHM Converge 2023
Background: Structural inequities in healthcare are widespread and best documented in racial and income related inequalities to care. Prior studies show macro level differences in access to healthcare, insurance and medications as explanations for healthcare inequities. The opening of a second hospital in a suburban academic center with entirely private patient rooms presented a rare […]
Abstract Number: 237
SHM Converge 2023
Background: Lab testing is critical for clinical decision-making and used throughout healthcare systems. Overuse of lab testing is known to be commonplace and contributes to shortages in lab testing materials. While practices exist at medical institutions that aim to limit lab test overuse, it is unclear which interventions are effective. Methods: We aimed to reduce […]
Abstract Number: 238
SHM Converge 2023
Background: The importance of accurate patient care records for effective communication and medical education is well documented. However, medical documentation as a tool for financial compensation is not emphasized in graduate medical education. We performed a review and analysis of resident charting errors during inpatient rotations to determine the potential revenue loss and economic impact. […]
Abstract Number: 239
SHM Converge 2023
Background: Burnout is a syndrome characterized by three dimensions: emotional exhaustion, depersonalization, and low sense of accomplishment from work. Long work hours, sleep deprivation and loss of autonomy all contribute to higher prevalence of burnout in medical providers1. Organizations are increasingly being encouraged to routinely measure burnout in their providers and implement strategies to mitigate […]
Abstract Number: 240
SHM Converge 2023
Background: Hospital at Home (HaH) programs provide feasible and effective inpatient-level care in patients’ homes, with interest in this value-based care model increasing substantially as health systems strain to meet capacity and resource demands.1-6 Despite well-documented benefits, adoption of HaH outside of capacity surges remains limited, hindering scalability efforts.7 Furthermore, patient and provider experiences of […]
Abstract Number: 241
SHM Converge 2023
Background: Post operative VTE is higher among orthopedic surgeries when compared to other surgical fields. Within orthopedic surgery, hip and knee surgeries have the highest risk of post-op VTE. This risk is highest in the first 10 days but persists up to three months after surgery. Current American Academy of Orthopedic Surgeons (AAOS) guidelines recommend […]
Abstract Number: 242
SHM Converge 2023
Background: With the broad implementation of electronic health records, clinical documentation integrity continues to be under increasing scrutiny. On average, physicians spend over a third of their time documenting patient data¹; this burden has been extensively correlated to burnout². Leveraging automated note templates with integrated safety rounding checklists, we attempted to standardize more efficient documentation […]