Session Type
Meeting
Search Results for High Value Care
Oral Presentations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: High value care is a key priority in healthcare, but strategies are needed to empower frontline clinicians to work with organizational leadership to reduce healthcare costs and improve care. Purpose: Caring Wisely (CW) is a program we developed that is designed to engage frontline clinicians and staff, connect them with implementation experts, and […]
Oral Presentations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: High value care is a key priority in healthcare, but strategies are needed to empower frontline clinicians to work with organizational leadership to reduce healthcare costs and improve care. Purpose: Caring Wisely (CW) is a program we developed that is designed to engage frontline clinicians and staff, connect them with implementation experts, and […]
Abstract Number: 31
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: An estimated one-third of national healthcare spending is waste, with the largest contribution stemming from unnecessary use of services. Published efforts to enhance cost consciousness have largely focused on residents and practicing physicians. Few curricula have been designed to educate and engage medical students in the delivery of high value care (HVC) in the […]
Abstract Number: 210
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Inpatient telemetry monitoring began over 4 decades ago. However, recently hospitals have started to implement programs that aim to improve the appropriateness of telemetry use. Quality initiatives take the American Heart Association (AHA) guidelines for practice standards for EKG monitoring in hospital settings to reduce the numbers of patients on telemetry inappropriately. Our residency […]
Abstract Number: 361
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Medical overuse, defined as the provision of services for which harms outweigh benefits, is increasingly recognized as a driver of high cost and poor clinical outcomes in the U.S. health care system. Despite increasing attention to overuse, methods for reducing it are unclear. In contrast, methods of identification, analysis, and prevention of medical errors […]
Abstract Number: 368
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Renal ultrasound (RUS) is frequently used as part of the routine work-up for acute kidney injury (AKI) for the hospitalized patient. Society guidelines and previous literature suggest that RUS should be ordered when an obstructive cause of AKI is suspected. While RUS is a non-invasive, low-cost imaging modality that does not expose patients to […]
Abstract Number: 369
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Efforts to improve value within hospitals must engage frontline clinicians to enhance organizational culture. Culture surveys have been used to drive improvements, but currently no such tool exists for measuring high-value care culture. We aimed to develop a High-Value Care Culture Survey (HVCCS) that can be used by hospitalist leaders and residency programs to […]
Abstract Number: 373
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The ABIM’s Choosing Wisely campaign targets daily phlebotomy in medical inpatients as an area of potential wasteful care. Unnecessary phlebotomy increases labor and costs while negatively impacting patient’s through hospital-acquired anemia, intravenous access issues, and false-positive results. While previous interventions have attempted to reduce overall labs ordered, few studies have examined educational attempts to reduce unnecessary lab […]
Abstract Number: 380
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: As health systems focus on providing high–value, cost–conscious care, efforts to optimize laboratory testing are increasing. In order to improve safe and effective utilization of the laboratory, it is informative to understand the prevalence of overuse and its contributing factors. Methods: The Value Improves Quality (VIQ) curriculum was implemented at our institution in 2014 […]