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Abstract Number: 302
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Deployment of Electronic Medical Records (EMR) consumes significant enterprise-wide resources. Hospitals may be reluctant to introduce further changes during the same year, including patient experience improvement initiatives. Deployment efforts may stretch clinical leaders who provide oversight on patient experience efforts. Lastly, EMR is noted to be a major source of provider burnout and deployment […]
Abstract Number: 309
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients, particularly the elderly and those who have chronic illnesses, often experience adverse events when transitioning from the hospital to home. An estimated 20% of all discharged patients suffer a preventable adverse event (e.g., reaction to medication) within three weeks of discharge and 20% of Medicare patients are readmitted to the hospital within 30 […]
Abstract Number: 317
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The 2001 Institute of Medicine Report Crossing the Quality Chasm cited a lack of care coordination as a contributing factor to the “chasm” between evidence-based and delivered care and suggests team-based models of care delivery. Hospitalists are tasked with increasing efficiency in inpatient care. LOS is designated as a measure of care coordination and […]
Abstract Number: 322
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: High quality discharges improve patients’ health outcomes and experience and are a vital component of resident education. Our internal medicine residency program has had challenges in sustaining our efforts to improve discharge planning and in providing resident feedback on the process. Furthermore, despite access to “big data”, many residency programs struggle to find meaningful […]
Abstract Number: 324
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Health literacy (HL) is the measure of a person’s ability to obtain, process and understand basic health information and services to make appropriate health decisions.1 Previous studies note positive correlation between high HL and patient understanding of their condition.2 Patients with low HL have greater needs in transitional care domains, citing inadequate caregiver support […]
Abstract Number: 326
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: In 2014, the organization created the RRT, a multidisciplinary team that reviews care of frequently admitted patients, strategizes how to help these patients, and coordinates care to develop a treatment plan. Of the patients reviewed, the team delivered a 47% decrease in readmissions. Purpose: The RRT addresses the needs of complex, chronically ill patients […]
Abstract Number: 327
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: It is challenging for patients to navigate through complex healthcare systems after-hours. This leads to delays in patient care, patient/provider dissatisfaction, inappropriate resource utilization, readmissions, and higher healthcare costs. Prior to August 2015, non-medical staff at external call centers with invalidated standard work, poor work cell co-location, and inadequate active daily management addressed the […]
Abstract Number: 328
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Discharge from the hospital can be overwhelming for patients. Prior to May 2016, discharge phone calls were made by inpatient bedside nurses who seldom had the resources or time to resolve patient’s unmet needs. Patients/families were often referred to the outpatient clinics for assistance. Purpose: To provide seamless connectivity to patients after discharge from […]
Abstract Number: 329
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Currently, Physical and Occupational Therapy (PT/OT) documentation dictates next site of care. PT/OT recommends how much therapy is needed upon discharge and where the therapist believes these services should be provided, which is often a Skilled Nursing Facility (SNF). This practice eliminates meaningful conversations between provider and patient regarding the patient’s wishes on next […]
Abstract Number: 335
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Recurrent hospitalizations are responsible for considerable health care costs. This retrospective observational study was undertaken to determine whether timely communication of care (COC), such as direct phone call or voicemail notice, following a hospitalization is effective at increasing clinic follow-up rates and reducing readmissions within 30 days after discharge. Methods: We analyzed 237 patients […]