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Abstract Number: 237
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Outside Medical Records are essential for accurate continuity of care when patients are transferred from one healthcare system to another. Despite their importance, obtaining records in a timely manner is a notoriously difficult process. At Stanford Hospital, the medicine teams were burdened with 5 pages of paperwork per record request for a single patient. […]
Abstract Number: 257
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The overall national patient satisfaction scores have improved since the HCAHPS reporting began. However, it is unknown whether the improvement trends are different between teaching and non-teaching hospitals. Therefore, our objective was to compare long-term changes in patient satisfaction between teaching and non-teaching hospitals. Methods: We used three datasets; HCAHPS data (2008 […]
Abstract Number: 268
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: : Low patient satisfaction can result in financial loss for hospitals, and potentially for individual physicians or groups and patient satisfaction is known to be lower on academic services.1 Increasingly, Medicare funds will be withheld from hospitals for underperformance in patient satisfaction due to Value Based Purchasing (VBP). We identified a low performing, academic […]
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: 317
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Handoffs are a part of inpatient medical care and can lead to patient care errors and threats to their safety. Incomplete care transitions during service changes are associated with uncertainty of patient care plans. Current literature on handoffs focuses on day-night handoffs. Our project is intended to assess and improve handoffs at service change […]
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: 332
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Care transitions expose hospitalized patients to risks of discontinuity of care. Although various forms of care transitions have been widely studied, little is known about inter-hospital transfers (IHT, the transfer of patients between acute care hospitals). We used national Medicare data to examine the frequency of IHT and compare patient characteristics of transferred versus […]
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: 342
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital medical groups use various staffing models which systematically affect care continuity during the admission process. Our service changed models of care from a “general model”, where hospitalists who perform hospital rounds and discharges also perform admissions on the same service day, to an “admitter-rounder model”, where service work is divided each day between […]
Abstract Number: 344
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Direct hospital admissions from outside emergency departments and hospitals comprise a large proportion of admissions to tertiary medical centers. Clinical stability in these acutely ill patients can fluctuate, even during transport to a receiving medical center. Here, we report data obtained as part of an internal quality improvement initiative to identity clinical criteria present […]