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Search Results for Admission
Abstract Number: 272
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Defined approaches to reducing rates of hospital readmissions rates assume that patients are invested in their healthcare and in preventing readmissions. However, the extent to which patients believe that readmission is a “bad” outcome and feel that it is inevitable have not been defined. Further, the ability of patients to anticipate their own readmissions […]
Abstract Number: 276
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Abstract Text: Background: Safely and efficiently moving patients through the admission process is a key concern for emergency and hospital medicine faculty. Our hospitalist group admits approximately 400 patients per month, each admitting physician evaluates approximately 7.5 patients per shift, utilizing individual approaches. We aimed to improve the quality of our admissions by standardizing our […]
Abstract Number: 307
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Modified Early Warning Score (MEWS) was validated in 2001. In recent years hospitals across the US have implemented the MEWS as a Rapid Response Team activation trigger. In Geisinger Medical Center the MEWS was piloted and implemented in 2011.The patient’s admission disposition is based on clinical presentation but summative objective data, such as […]
Abstract Number: 308
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In order to most efficiently improve transition of care, hospitals need to target intensive discharge interventions at those patients at high risk of unplanned readmission. The “HOSPITAL” score, derived previously in the US, is an easy to use prediction model that accurately identifies medical patients at high risk of readmission. It includes the following […]
Abstract Number: 321
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients who are at risk for readmissions and emergency department visits following hospital discharge frequently have multiple medical comorbidities and a history of multiple prior hospitalizations. Over the past five years, reducing hospital readmissions has increasingly become a priority for hospitals, and effective interventions to reduce readmissions have included multiple components and multiple disciplines. […]
Abstract Number: 324
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The period following hospital discharge is a vulnerable time for patients when increased self-care requirements are common. Low levels of health literacy and social support are thought to contribute to poor post-discharge outcomes. However, little research has specifically examined the role of health literacy alone or in combination with social support in predicting readmission […]
Abstract Number: 336
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Pneumonia readmission rates are publicly reported and included as quality indicators in Medicare Value-Based Purchasing programs. The Yale New Haven Readmission Risk Score (YNHRRS) for Pneumonia is a tool that uses 25 variables including age, co-morbidities, and vital signs to predict readmission. Functional status and social support were not included in the YNHRRS, despite […]
Abstract Number: 337
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The advent of the Patient-Centered Medical Home (PCMH) and Accountable Care Organizations (ACOs) provide an opportunity for true collaboration in which both inpatient and outpatient providers contribute to improving transitions in care. The goal of this study was to develop, implement, […]
Abstract Number: 339
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hydroxyurea is an FDA approved medication for use in adults with sickle cell disease. Clinical guidelines, based on high quality evidence, recommend its use in all adults with sickle cell anemia and 3 or more moderate to severe pain crises within one year. Studies suggest its use to be inappropriately low. We assessed local […]
Abstract Number: 341
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Since the roll out of the Affordable Care Act in 2012 there has been an increased financial pressure to prevent 30-day hospital readmissions. Yet the readmissions rate has remained relatively unchanged despite myriad of health system interventions have been trialed. To approach this issue from a new perspective we decided to query the patient’s […]