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Search Results for 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: 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: 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: 345
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients discharged to post-acute care facilities are at higher risk for re-admissions compared to those discharged home. Mount Sinai Hospital (MSH) discharges a significant number of patients to Terence Cardinal Cooke Health Care Center (TCC), a post-acute care nursing facility in Manhattan. In 2013, MSH discharges by the hospitalist service to TCC had an average […]
Abstract Number: 381
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Sickle cell crisis is a acute medical emergency, which may require management in the ICU. Sickle cell anemias are remarkable in their clinical heterogeneity. Some people remain asymptomatic in their adult life, whereas others suffer repeated crisis; requiring multiple hospitalizations. In this study, we determine the demographic factors associated with a high readmission rate […]