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Meeting
Search Results for Discharge
Abstract Number: 301
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: While CT imaging has become an invaluable tool for expedited medical evaluation, its use has been associated with an increasing number of incidental findings, the handling of which creates both medical and logistical challenges. Pulmonary nodules are among the most frequent and medically relevant incidental findings, but are easily overlooked – especially when discovered […]
Abstract Number: 303
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Hospital Discharge Day Management Service (CPT code 99238 or 99239) is a face-to-face evaluation and management (E/M) service provided to the patient by his/her attending physician on the day of discharge. The two codes differ based on the amount of documented time physicians spend in coordinating care and discharge services of either 30 […]
Abstract Number: 310
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Our employed Hospitalist practice in a large academic medical center has been asked to assist with Emergency Department throughput by increasing the number of discharges by noon. Retrospective data analysis of our group showed that less than 20% of our physician discharges are before noon. To further analyze, we looked at discharge data from […]
Abstract Number: 316
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: There is increasing recognition that high quality transitions of care are essential to ensuring patient safety. While no universal standard has been identified, using available literature and data from provider surveys, Project Impact identified key elements for acute care discharge education. However, no studies have focused on the parent perspective. Objective: To determine parental […]
Abstract Number: 328
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Veterans Health Administration (VHA) is undergoing a national effort to improve access for its patients so that veterans can get the right care, in the right place, at the right time. National benchmarks suggest a time period of two weeks is adequate for non-acute specialty care follow-up, yet our hospital typically averages third […]
Abstract Number: 329
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital discharge describes the point at which inpatient hospital care ends, with ongoing care transferred to other providers. The coordination of such care typically involves multiple health care providers and social care contributors. The inherent complexity of coordinating a large number of players, often based in different settings and hospitals, leads to hospital discharge […]
Abstract Number: 335
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Against medical advice (AMA) discharges are often emotionally charged for healthcare providers. Complicated capacity assessments, confusion regarding legal and ethical obligations to patients, and limited resources may strain providers. This cross-sectional survey study explored provider perceptions, experiences, and self-assessed competence with AMA discharges at a county hospital with a high AMA rate. Methods: Surveys, […]
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: 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 […]
Abstract Number: 347
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: At our medical center, there are 14,716 discharges annually from the general medicine services. Post discharge appointments are made by residents, nurse practitioners, and hospitalists. In a baseline survey, clinicians identified logistical barriers to successfully making appointments and revealed that patients are rarely involved in scheduling discharge appointments. Only an estimated 66% of attempted […]