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Abstract Number: 924

IDENTIFYING BARRIERS TO INTERHOSPITAL TRANSFER FROM AN ACADEMIC MEDICAL CENTER TO AN AFFILIATED COMMUNITY HOSPITAL

SHM Converge 2026

Background: Academic medical centers (AMCs) increasingly rely on partnerships with affiliated community hospitals (CHs) to expand inpatient capacity by transferring lower-acuity patients. These partnerships are often limited by differences in specialty resources and infrastructure, narrowing the pool of eligible patients for transfer. Understanding the clinical and operational barriers to transfer is essential to guide targeted [...]

Abstract Number: 925

EVALUATING DRUG-DRUG AND DRUG-GENE INTERACTIONS IN HOSPITALIZED PATIENTS IN A TERTIARY ACADEMIC CENTER

SHM Converge 2026

Background: Hospitalized patients receive time-limited inpatient care, often from a hospitalist who does not longitudinally manage medications. Hospitalized patients are at risk for medication errors and adverse drug events (ADEs) due to poor medication reconciliation, drug-drug interactions (DDIs) and drug-gene interactions (DGIs) from newly-started medications, and/or lack of communication about changes in therapy. These challenges [...]

Abstract Number: 926

UNDERSTANDING THE PERSPECTIVES OF PATIENTS AND CARE PARTNERS IN INTER-HOSPITAL TRANSFERS: A QUALITATIVE STUDY

SHM Converge 2026

Background: Inter-hospital transfer (IHT) – the transfer of patients between acute care hospitals – is associated with higher mortality, increased hospitalization costs, and longer length of stay compared to patients admitted from the emergency department. Despite these risks, best practices for IHT care coordination remain limited. This study characterizes patient and care partner experiences, needs, [...]

Abstract Number: 927

EFFECT OF DOCUMENTED ‘MEDICAL READINESS’ ON ACCURACY AND TIMELINESS OF ESTIMATED DISCHARGE DATE

SHM Converge 2026

Background: Accurate estimation of hospital discharge date (EDD) is essential for optimizing patient flow, resource allocation, and care coordination. Inaccurate predictions contribute to prolonged hospital stays, which increase the risk of hospital-acquired infections and delay discharge. Inaccurate initial discharge plans raise the odds of delays by 2.72 times (Burns et al.). Conversely, accurate EDD not [...]

Abstract Number: 928

HETEROGENEITY AND MISALIGNED INCENTIVES IN DISCHARGE TRANSITION PROGRAMS: INSIGHTS FROM A MULTI-SITE RAPID QUALITATIVE STUDY

SHM Converge 2026

Background: Transitions of care (ToC) programs are important for patient safety, but their implementation and success remain highly variable across U.S. hospitals, particularly for patients with multimorbidity and health-related social needs (HRSNs).(1-4) Hospitalists, as key decision-makers at discharge, encounter firsthand the factors that hinder the success of ToC programs.(5) Methods: Rapid qualitative study featuring virtual [...]

Abstract Number: 929

MIND THE GAP: A POLICY ANALYSIS ON STANDARDIZED INPATIENT TRANSITION PROTOCOLS FOR SICKLE CELL DISEASE

SHM Converge 2026

Background: Sickle cell disease (SCD) is a red blood cell disorder affecting millions of people across the globe. SCD is characterized by crescent-shaped hemoglobin that can stick together and to the walls of blood vessels, causing decreased blood flow, pain, and ischemia. Advances in medical management have increased life expectancy and highlighted the need to [...]

Abstract Number: 930

CHARACTERISTICS AND OUTCOMES OF HOSPITALIZED PATIENTS DISCHARGED BEFORE NOON

SHM Converge 2026

Background: Discharge by noon (DBN) is a widely implemented strategy in health systems aimed at expediting patient discharges early in the day to enhance hospital efficiency and increase bed availability. The characteristics of patients who successfully discharge by noon and their clinical outcomes are unclear. Methods: We conducted a retrospective cohort study of adult patients [...]

Abstract Number: 931

COMORBIDITY BURDEN LIMITS EFFECTIVENESS OF HOSPITAL AT HOME EARLY SUPPORT DISCHARGE INTERVENTION ON 7 AND 30-DAY UNPLANNED READMISSION AND MORTALITY

SHM Converge 2026

Background: Thirty-day unplanned hospital readmission remains a significantly challenging metric to improve [1]. Evidence suggests successful readmission reduction strategies have both inpatient and outpatient components [2,3]. A Hospital-at-Home (HaH) Early Supported Discharge model may act as a bridge between these components; however, HaH implementation is heterogeneous across health systems (i.e. admission avoidance (AA) versus ESD [...]

Abstract Number: 932

RURAL PATIENT OUTCOMES FOLLOWING A CHRONIC CONDITION HOSPITALIZATION

SHM Converge 2026

Background: Rural patients face a greater burden of chronic conditions and higher overall mortality compared to urban counterparts. Given the risk of re-hospitalization and emergency room (ER) presentations associated with chronic conditions, we aimed to evaluate differences in hospitalization characteristics and post-discharge outcomes for rural compared to urban patients admitted for a chronic condition. Methods: [...]

Abstract Number: 933

TRANSITIONAL CARE MANAGEMENT AND 30-DAY REHOSPITALIZATIONS IN PATIENTS WITH CHRONIC CONDITIONS

SHM Converge 2026

Background: Hospital readmissions within 30 days are a major indicator of healthcare quality and required reporting by hospitals secondary to the Hospital Readmissions Reduction Program. Transitional Care Management (TCM) visits are a structured approach aimed to prevent avoidable readmissions via provision of support and resources through timely hospital follow-ups and care coordination. This study aimed [...]

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