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Search Results for Admission
Abstract Number: 153
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Involvement of a cardiologist in the care of hospitalized patients with a primary diagnosis of heart failure (HF) has been shown to improve outcomes and may affect their readmission rates. However, less is known about the patients admitted for a different reason who carry a secondary diagnosis of HF and the effect of cardiology […]
Abstract Number: 162
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Research on post-discharge outpatient care often focuses on single types of encounters, such as primary care in-person appointments or primary care phone calls. However, patients interact with the healthcare system following discharge using a range of communication methods. This study seeks to examine the role of different types of post-discharge encounters on unplanned hospital […]
Abstract Number: 167
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patients hospitalized for major depressive disorder (MDD) with suicidal ideation (SI) or suicide attempt (SA) may have a high risk for hospital readmission. This study evaluated readmission/subsequent emergency department (ED) visit rates and the associated healthcare resource use and costs among patients who were hospitalized for MDD with SI or SA (SI/SA). Methods: Patients […]
Abstract Number: 178
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital Readmission Reduction Program(HRRP) implemented by CMS as part of Affordable Care Act (ACA) applies financial penalties to hospitals that have higher-than-expected readmission rates for common conditions such as AMI, pneumonia, and HF. CMS extended this program to include COPD for the fiscal year (FY) 2015. While there has been a reduction in readmissions, […]
Abstract Number: 180
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Readmissions within 30 days of discharge is used as a quality metric for the care of hospitalized patients. However, its prognostic value for patient outcomes has not been examined. We hypothesized that patients who get readmitted within 30 days of their index admission discharge may have higher short and long-term mortality. Methods: Using administrative […]
Abstract Number: 215
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days). A single prior study of early readmissions applied a binary (yes/no) metric to assess for diagnostic error in early readmissions, but this may be an insensitive method. Past studies of diagnostic error in primary care […]
Abstract Number: 216
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The first 24 hours of a patient’s hospitalization is a vulnerable time period, with many aspects of care occurring at a time when patients are at their highest levels of medical acuity. Compounding this, delays in care during the transition from the ED to an inpatient level of care could result in potentially avoidable […]
Abstract Number: 231
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: There is evidence that physicians consider a variety of “non-medical” factors (e.g. lack of social support, barriers to access) in hospital admission decision-making out of concern for patient safety, and that patients are hospitalized even in the absence of a level of medical acuity warranting admission. The rationale underlying this decision may overvalue the […]
Abstract Number: 239
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) multi-site quality improvement collaborative aims to improve discharge transitions by use of a transition bundle, including use of a discharge checklist (DCL) to ensure completion of important transition tasks. These tasks included identification of a primary care provider, establishing follow up appointments, and ensuring access to medications, […]
Abstract Number: 263
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Heart failure (HF) is one of the most common discharge diagnoses for Medicare beneficiaries. As part of the Affordable Care Act, the Center for Medicare and Medicaid Services initiated the Hospital Readmission Reduction Program which reduced payments to hospitals for excess readmissions for HF and other diseases. This quality improvement project focused not only […]