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Search Results for Admission
Abstract Number: 96
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Heart failure is a common condition characterized by recurrent exacerbations. Medication and dietary nonadherence are associated with readmissions. Telling smokers their lung age significantly improves the likelihood of successful smoking cessation. We hypothesized that using hand-carried ultrasound (HCU) to share with patients their own images of inferior vena cava (IVC) measurements would serve as […]
Abstract Number: 99
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Centers for Medicare & Medicaid Services (CMS) have sought to reduce readmissions through penalties applied to hospitals with readmission rates that are higher than expected, as calculated from models that use patient-level administrative data to account for case mix. Similar approaches are used to determine expected morality rates. Currently, CMS disseminates hospital-level adjusted […]
Abstract Number: 109
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Factors that impact the length of stay (LOS) in hospitalized patients have not been well characterized. We used a dataset from a large national cohort of hospitalized patients to determine if patient demographics, admission month and weekday, payer type, and other hospital care variables are associated with LOS in hospitalized patients. Methods: We used […]
Abstract Number: 113
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Emergency Department (ED) overcrowding and delays in ED throughput have several important consequences , such as boarding of admitted patients in the ED, longer hospital stays and delay in effective inpatient discharge planning (1). Longer ED boarding time and delay in inpatient discharge process are parts of a vicious cycle of internal bottleneck contributing […]
Abstract Number: 126
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Unplanned readmissions among cancer patients are common and gastrointestinal (GI) cancer has some of the highest readmission volumes. Under the Affordable Care Act, hospitals have been getting penalized for excessive readmission rates. For now, the medical treatment of cancer is exempt from this measure. This is because the readmission profile of the cancer patient […]
Abstract Number: 129
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Chronic Obstructive Pulmonary Disease (COPD) is the third most common cause of hospital readmission within 30 days of discharge. These readmissions increase the overall healthcare cost burden. We examined the effect of early follow-up visit with patient’s primary care physician (PCP) or pulmonologist on 30-day and 1-year readmission risk. Methods: We constructed an electronic […]
Abstract Number: 136
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: A small population of patients disproportionately consume an increasing share of medical resources. These super-utilizers often have complex medical and psychosocial conditions that require carefully coordinated, individualized care. As this population drives unplanned readmissions, programs to reduce readmissions may create unintended incentives to direct super-utilizers to another hospital system. This study was designed to […]
Abstract Number: 198
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The need to improve patient satisfaction (or patient experience) is increasing dramatically. Patient satisfaction is not only a direct indicator of quality of care but it is also an important component of pay for performance metrics. We started a standardized process of admitting patients by developing dedicated admission teams called Patient Centered Admission Teams […]
Abstract Number: 201
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Traditional readmission case review processes at our tertiary-care academic institution failed to identify obvious target processes for readmission reduction. Looking for a more nuanced method of readmission review, we turned to our patients. We conducted over 300 readmitted patient interviews and a focus group to learn from our patient’s experiences. We then developed a […]
Abstract Number: 248
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In shared decision making models, decisional conflict is a measure of uncertainty and readiness and comfort level in making a decision. The literature examining decisional conflict is currently relatively immature. The act of a patient being readmitted is, in part, an effect of multiple small decisions a patient makes in the time between index […]