Session Type
Meeting
Search Results for Care
Abstract Number: 235
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Though the use of point of care ultrasound (POCUS) has increased over the last decade, hospitalists may still find it difficult to gain formal hospital credentialing for POCUS. National organizations have not yet published recommended guidelines for POCUS credentialing in hospital medicine (HM) We established a protocol for hospitalists at a large tertiary care […]
Abstract Number: 241
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalized older adults are increasingly referred to skilled nursing facilities (SNFs) for post-acute care following hospitalization. However, whether hospitalized older adults are enabled to make high-quality decisions about different post-acute care options is unclear. This is important because a high-quality decision aligned with patient values and expectations may lead to a better match of […]
Abstract Number: 242
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Communication has been cited as the most common root cause in sentinel events, with failed patient care handoffs contributing to an estimated 80% of serious preventable adverse events. Handoffs to sub-acute care such as nursing homes are at particularly high risk for communication breakdown given high patient complexity and comorbidity. Our healthcare system includes […]
Abstract Number: 243
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: With advances in medical care, there is a growing population with childhood-onset chronic health conditions reaching adulthood. A 2011 consensus statement by the AAP, AAFP and ACP identified an algorithm for transition from pediatric to adult care, but change in practice has been slow. The purpose of this study was to better understand the […]
Abstract Number: 244
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients discharged against medical advice (AMA) have disproportionately high healthcare costs and increased morbidity, mortality, and hospital readmissions. While patient risk factors for discharge AMA are known, there is little data regarding providers’ practice patterns during AMA discharge, including provision of follow-up appointments. Similarly, the frequency of a documented discussion of the risks and […]
Abstract Number: 246
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital admissions are the majority contributor to the cost in caring for diabetes, accounting for about 40% of the costs. As most hospital reimbursements are based upon diagnosis-related groups, hospitals have strong financial incentives for quicker discharges to control length of stay and costs. This can limit the time available to develop a comprehensive […]
Abstract Number: 248
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients diagnosed in-hospital with acute venous thromboembolism (VTE) are at high risk for post-discharge complications and readmission similar to patients with chronic conditions. Patient navigation reduces post-discharge complications and readmissions in patients with chronic diseases, however its role in acute conditions is less clear. Similarly, the use of mobile technology to improve patient engagement […]
Abstract Number: 249
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: National readmission rates for all-cause hospitalizations are as high as 14 readmits per 100 index admissions and have been relatively unchanged for at least the last 5 years (Fingar K, et al. Agency for Health Care Policy and Research, 2015). Since January of 2013, the Centers for Medicare & Medicaid Services has adopted a […]
Abstract Number: 252
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Readmissions after hospitalisation are a healthcare quality indicator and carry considerable financial penalties in some healthcare systems. Internationally, readmission rates at 28 – 30 days for medical inpatients range between 10 – 22%. However there is almost no information available around readmissions for medical inpatients in the Middle East region. We conducted a pilot […]
Abstract Number: 253
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Homeless patients have a higher incidence of medical and psychiatric diagnoses, which often necessitate hospitalization. Studies show that homeless persons have increased lengths of stay with an average excess of 4.1 days, accounting for an average excess cost of $2414 per admission. Additionally, homeless persons have high rates of 30-day inpatient readmissions, as high […]