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Abstract Number: 176
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Practical and financial pressures have placed a renewed focus on improving the human experience of healthcare from both the patient and provider perspective. Despite this, aligning patients and interdisciplinary providers around meaningful experience improvement in the inpatient setting remains elusive. We sought to develop an innovative interdisciplinary design process for experience improvement on a […]
Abstract Number: 177
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Do-not-resuscitate (DNR) orders are intended to allow patients to forgo cardiopulmonary resuscitate (CPR) in the event of cardiac arrest. They are applied to cases of cardiac arrest, and they cannot be applied to any situation other than cardiac arrest. However, prior studies have shown that the presence of DNR orders led to changes in treatment […]
Abstract Number: 178
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalization of the patient with advanced cancer can be a pivotal moment and opportunity to explore patient goals of care in order to deliver high value, patient-centered care that emphasizes quality of life. Part of this discussion should define patient preferences regarding code status as it is known that prognosis is extremely poor and […]
Abstract Number: 195
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In 2016, the Centers for Medicare & Medicaid Services (CMS) released a guide to preventing readmissions among diverse patient populations. According to CMS, once the health system effectively picks up the root causes and characteristics that are linked to readmissions – then a process can be initiated that focuses on addressing barriers and developing […]
Abstract Number: 196
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: It has been detailed in the literature that a patient’s socioeconomic status (SES) may play a role in their risk of readmission for specific diseases. For instance, factors such as low income, low educational level, and Medicaid status have all been associated with significantly higher rates of readmission in patients initially admitted for congestive […]
Abstract Number: 199
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Evidence is equivocal that unit-based interventions improve quality on inpatient medical services, but most studies have reported their effect in isolation. These interventions may be better conceptualized as complementary components of a redesigned clinical microsystem. A clinical microsystem is defined as the small group of people who work together in a defined setting on […]
Abstract Number: 210
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Children and Young Adults with Special Healthcare Needs (CSCHN), especially those with multiple organ systems involvement, experience frequent and often lengthy hospitalizations. Hospital discharges for these children can be a complicated process that requires a deliberate, multistep approach and coordination among multi-disciplinary team members. Previous studies have demonstrated that homecare is a cost-effective measure […]
Abstract Number: 213
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Frequent readmissions pose a challenge to hospitals across the country. They are associated with increasing healthcare costs and display a failure to effectively care for certain groups of patients. The Centers for Medicare and Medicaid Services (CMS) apply a penalty towards hospitals with higher than expected 30-days readmission rates. In response, hospitals have implemented […]
Abstract Number: 216
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding. Prognostic disagreement occurs even amongst providers and is a less studied phenomenon. We introduced the Surprise Question (SQ), “Would I be surprised if this patient died in the next 1 year, 6 months, and 1 month?”, at multidisciplinary […]
Abstract Number: 222
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background : As part of the Choosing Wisely campaign, the Society of Hospital Medicine recommends against performing “repetitive complete blood count [CBC] and chemistry testing in the face of clinical and lab stability.” This recommendation stems from a body of research that shows that frequent or excessive phlebotomy can have negative consequences, including iatrogenic anemia, increased […]