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Search Results for transition
Abstract Number: 37
SHM Converge 2023
Background: Many patients continue their post-acute care in settings such as skilled nursing facilities (SNFs). One in four hospitalized Medicare patients are discharged to SNFs. These patients are generally the elderly or require more care than patients discharged home, placing them at greater risk of clinical decline and rehospitalization. Moreover, 25% of patients discharged to […]
Abstract Number: 38
SHM Converge 2023
Background: Patients experiencing unsheltered homelessness are at extreme risk for worse outcomes, including increased mortality 10 times that of the general population and an average life expectancy of 53 (over 20 yrs less than general population). Transitions of care pose unique difficulties for this vulnerable population, with numerous barriers to ongoing care and resulting readmission […]
Abstract Number: 39
SHM Converge 2023
Background: Hospital readmission reduction has gained greater awareness since the passage of the Affordable Care Act and within it the Hospital Readmission Reduction Program (HRRP). Policy makers sought to improve quality of care by increasing reporting transparency and imposing financial penalties on facilities for excessive readmission rates. Baylor Scott & White Health (BSWH) remains committed to reducing hospital readmissions and in doing […]
Abstract Number: 40
SHM Converge 2023
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Demand for healthcare value, advances in relevant technologies, and the ongoing global pandemic have driven renewed attention to HaH models, by way of policy-based and academic pilot programs – and even commercialization attempts. Where studied, these models have […]
Abstract Number: 147
SHM Converge 2023
Background: For patients at increased risk of hospitalization, reducing hospitalization is often a key objective and can have important effects on health care costs. The Comprehensive Care Physician (CCP) model was developed originally at the University of Chicago to reintegrate inpatient and outpatient care under the same physician for patients at high risk of hospitalization […]
Abstract Number: 187
SHM Converge 2023
Background: Failure to follow-up on lab tests and radiology results can lead to major patient safety concerns due to missed or delayed diagnoses and can be a cause for litigation for health care practitioners. With increasing patient loads, the volume of follow-up testing and clarifications to documentation needed for billing can be a significant burden […]
Abstract Number: 188
SHM Converge 2023
Background: The three most common childhood-onset chronic conditions for which adolescents and young adults (YA) use pediatric hospitals are congenital heart disease (CHD), cystic fibrosis (CF), and sickle cell disease (SCD). Existing studies do not establish clear clinical benefits to continued pediatric hospitalization over hospitalization at adult hospitals. We aimed to determine if if continued […]
Abstract Number: 224
SHM Converge 2023
Background: Studies have demonstrated direct discharge to home with home care after hospitalization to be the optimal strategy for patients with social support. Even amongst sicker patients requiring intensive nursing and therapy services, evidence shows no difference in functional recovery when compared to those discharged to inpatient rehab. Furthermore, discharge location does not result in […]
Abstract Number: 254
SHM Converge 2023
Background: As healthcare consolidation accelerates, healthcare systems must navigate logistical challenges in integration while continuing to provide high quality care to their patients. One area where this can be challenging is in a patient’s transition from one healthcare system to another; for example an inpatient transition to outpatient. This is a critical period as poor […]
Abstract Number: 255
SHM Converge 2023
Background: There has been relatively little published regarding the transition from residency to faculty appointments. The learning curve during this transition is steep given the sudden increase in responsibility and is fraught with anxiety and trepidation. Given the high burnout and attrition rates within Hospital Medicine divisions, we sought to combat this through a structured […]