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Search Results for Discharge
Abstract Number: 256
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Late discharges are associated with hospital overcrowding, delayed inter-unit patient transfers, lower patient satisfaction scores and longer length of stay. At our hospital, there has been a consistent discordance between the teaching and non-teaching hospitalist services in the percentages of patients discharged before 11 am, which was 8.4% (teaching teams) versus 36.4% (non-teaching teams) […]
Abstract Number: 265
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Insufficient communication, particularly at transitions in patient care, is a common and accepted cause of negative outcomes. Handoffs between hospitalists and primary care physicians (PCPs) are infrequent, occurring in 3-20% of cases (2). Many institutions are using discharge summaries as automated methods of handing off the patient to the PCP, however it has been […]
Abstract Number: 267
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Unimpeded patient flow enhances quality, patient experience and access, while reducing costs. Our hospital has an in house discharge pharmacy, which allows us to send patients home with their imperative medications prior to discharge. About 53% of our discharges were delayed due to discharge medications, which equates to 27.8 hours for the ~30 daily […]
Abstract Number: 277
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: As healthcare costs continue to burgeon and grow at an unprecedented rate, cost utilization is an increasingly important field of research. In-hospital costs are one of the most expensive contributors to healthcare costs in the United States. Very little research has been done in the United States regarding length of stay outliers and their […]
Abstract Number: 299
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Reducing length of stay to improve access, minimize hospital-associated morbidity, and reduce cost is a top priority at many hospitals. Information about barriers and delays impacting discharge (i.e., arranging subacute nursing facility placement, setting up a new dialysis seat, receiving consult recommendations for discharge) is rarely documented and often obtained anecdotally or qualitatively. This […]
Abstract Number: 306
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Centers for Medicare & Medicaid Services (CMS) reimbursement increasingly depends on patient satisfaction scores and readmission rates to incentivize high-quality inpatient hospital care. Providers are continuously implementing complementary interventions to improve patient satisfaction and reduce hospital readmissions. Post-discharge phone calls are a relatively simple intervention to implement that can potentially improve continuity of care […]
Abstract Number: 307
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transition home after hospitalization carries significant risk of adverse patient events, readmissions and increased costs. Despite significant organizational efforts to improve care transitions, there continue to be challenges in implementing consistent interventions that impact key metrics of patient experience with the care transition and 30-day readmission rates. Purpose: Designing patient-centered systems which improve collaboration […]
Abstract Number: 308
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Throughput is a challenge for many hospitals. Discharging patients impacts throughput, but is time-consuming and competes with other physician and nurse tasks, often being left on the “back burner” while attending to sicker patients. Discharge paperwork, patient education, and ride coordination are often incomplete when patients are ready for discharge, adding to delays. Prior […]
Abstract Number: 315
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Many patients are discharged from the hospital to post-acute rehab in a skilled nursing facility (SNF). These care transitions can be error-prone, hampered by inadequate patient preparation for rehabilitation and insufficient communication between care providers. The readmission rate from SNF was 23.5% in 2006, costing Medicare $4.34 billion. Prior studies show 30% of these […]
Abstract Number: 325
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Both inappropriate hospital admissions and inappropriate discharges from the ED are associated with adverse patient outcomes. Little is known about the accuracy (sensitivity and specificity) of the hospital admission triage process. Purpose: We sought to understand the operating characteristics of our triage process to identify opportunities for improvement and project an optimal model. Description: […]