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Search Results for Hospital
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: 212
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Capacity constraints are a common problem at many academic institutions. At Duke University Hospital (DUH) , capacity constraints continue to result in critical bed shortages. Our affiliated hospital, Duke Regional Hospital (DRH) which is less than 5 miles away, has the capacity and capability to provide care to these general medicine patients. Shifting general […]
Abstract Number: 233
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Current staffing models cannot deliver the benefits of hospital medicine to the 1300 critical access hospitals (CAHs) located throughout the rural United States. Staffing each CAH with local hospitalists would require at least 5500 hospitalists (more than 10% of the workforce), to cover less than 2% of the hospitalized population. A “virtual hospitalist” program […]
Abstract Number: 245
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients admitted to inpatient hospital services are increasingly cared for by hospitalists rather than their primary care providers. When transitioning from hospital-based to ambulatory care, suboptimal information transfer can lead to serious adverse events and readmissions; therefore, demands for timely preparation of high-quality discharge summaries are increasing. Confronted with these demands, most hospitalists are […]
Abstract Number: 251
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Transfers to academic tertiary care centers often involve complicated patients requiring subspecialty consultation and coordination of care. Therefore appropriate handoff and communication from sending to receiving institution is needed to streamline care and minimize redundancies. At our institution, we received approximately 1200 transfer requests annually. Process improvement carries the potential to impact many patients […]
Abstract Number: 256
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital readmissions remain highly prevalent despite being the target of policies and financial penalties. Evidence comparing effectiveness and costs of interventions to reduce readmissions is lacking, leaving healthcare systems with little guidance on how to improve quality and avoid costly penalties. Effective interventions likely need to bridge inpatient and outpatient settings, incorporate information technology, […]
Abstract Number: 257
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: According to Medicare Payment Advisory Commission, about 75% of hospital readmissions are potentially preventable, representing an estimated $12 billion in Medicare spending. Prompt follow-up of hospital patients before primary care and subspecialist appointment may decrease readmissions.Methods: This is a prospective single-site cohort study.We developed a Transitional Medical Clinic (TMC) at Mission Hospital (Mission Viejo, CA) to […]
Abstract Number: 258
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) exposes patients to risks of discontinuity of care and remains a largely unstudied process of care. In this study, we aimed to investigate patient experiences with IHT.Methods: Interview guides were developed using themes extracted from prior research along with expert opinion and stakeholder […]
Abstract Number: 259
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients are often transferred between hospitals to provide access to required specialty services. However, prior research suggests that transfer destinations are often chosen based on institutional relationships rather than solely on patient need. In this national study, we evaluated the appropriateness of transfer, as measured by the frequency of required specialty services available at […]
Abstract Number: 262
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The HOSPITAL score is an internationally validated risk assessment to identify patients at risk of 30 day readmission for adults discharged from an inpatient medical department.1The HOSPITAL score is validated for all hospital admissions – acute and chronic. The purpose of this study was to assess the use of the HOSPITAL score to predict […]