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Abstract Number: 0025
A PILOT CLINICAL TRIAL OF A MULTICOMPONENT CARE COORDINATION PROGRAM TO IMPROVE POST-DISCHARGE SEPSIS SURVIVORSHIP OUTCOMES
SHM Converge 2025
Background: Sepsis is a life-threatening condition involving organ dysfunction caused by a dysregulated response to infection [1]. Sepsis is the leading cause of 30-day unplanned readmissions nationwide [2]. At UF Health Shands Hospital, the 30-day readmission rate for sepsis patients is 17% compared to 13% for all adult patients. Of those readmitted for sepsis, 38% [...]
Abstract Number: 0292
COLLABORATIVE SOLUTIONS TO IDENTIFY BARRIERS FOR SCHEDULING POST-HOSPITAL DISCHARGE PRIMARY CARE PROVIDER (PCP) FOLLOW-UP VISITS
SHM Converge 2025
Background: Patients who complete a primary care provider (PCP) follow-up visit within 7 days of hospital discharge have lower odds of 14-day readmission (p=0.002) OR= 0.45 (95% CI: 0.27 – 0.73) compared to patients who do not at our academic institution. However, only 44% of patients complete this visit. Patients who were scheduled with their [...]
Abstract Number: 0295
ENHANCING POST-DISCHARGE FOLLOW-UP THROUGH VIDEO-ENABLED SCHEDULING: A RANDOMIZED CONTROLLED TRIAL
SHM Converge 2025
Background: Unplanned readmissions in the U.S. healthcare system cost over $15 billion annually, a burden that increasingly impacts health systems as more patients transition to fully capitated models [1-2]. Despite evidence supporting the protective effect of post-hospitalization visits with primary care providers (PCPs), patient completion rates of these visits remain low [3-5]. Barriers include provider [...]
Abstract Number: 0426
IMPROVING POST-HOSPITALIZATION FOLLOW UP – A QUALITY IMPROVEMENT INITIATIVE
SHM Converge 2025
Background: Critical to any health system’s mission is ensuring patients receive timely access to care. Continuity of care has been shown to decrease rates of ED utilization and hospitalizations and to improve patient satisfaction [1]. Providing patients with quick access to care following a hospital stay is a tenet of high-quality health care. A growing [...]
Abstract Number: 0432
EMPOWERING PATIENTS: ENHANCING EDUCATION OF FOLLOW-UP NEEDS
SHM Converge 2025
Background: Patients are often discharged from the hospital with active medical issues needing outpatient follow-up (AINF) – including recommended labs, imaging, procedures, follow-up appointments, and follow-up of incidental findings – but patients and their outpatient providers often fail to complete these recommended workups [1]. Primary care physicians strongly recommend that discharging providers include a brief [...]
Abstract Number: 0570
POST-DISCHARGE FOLLOW-UP FOR DIAGNOSIS OF MULTIPLE MYELOMA IN A PATIENT PRESENTING WITH RECURRENT INFECTION
SHM Converge 2025
Case Presentation: A 47-year-old body builder with a history of anabolic steroid use, five recent subcutaneous infections thought to be due to non-sterile street drugs, and recent development of CKD 2 was admitted for left lateral thigh cellulitis and mild AKI. Following IV antibiotic initiation, patient reported worsening leg pain. MRI of the leg identified [...]
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