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Search Results for Admission
Abstract Number: 300
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalists balance efficiency and quality in their daily practice. How a physician’s time management affects care quality is unknown. Accordingly, we aimed to compare the EHR efficiency of hospitalists, as measured by their time spent within the EHR per day, with quality of care, as measured by readmission rates and patient satisfaction. Methods: Data […]
Abstract Number: 306
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Nationally, a minority of patients with complex medical and psychosocial needs consume a disproportionate amount of healthcare. In the U.S. in 2015, the top 1% of the population accounted for 23% of all healthcare expenditures and cost ten times more per year than the average patient. No one disease accounts for a large percentage, […]
Abstract Number: 308
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Readmission rate at UMASS Memorial Hospital medicine division is high at 15.5%. Majority of patients are admitted to Hospitalist service. Given the challenges in obtaining real time readmission data, physician engagement is poor. Etiology of most of the readmissions gets attributed to system related issues. To improve physician engagement, the concept of weekly Idea […]
Abstract Number: 317
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Avoidable readmissions result in unnecessary hospital stays for patients, over utilization of beds, and increased waiting time for other patients. Multiple interventions have examined reducing readmissions, mostly focusing on pre-discharge and out of hospital post-discharge interventions. An additional potential target in reducing avoidable readmissions are the population of patients returning to the Emergency Department […]
Abstract Number: 321
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: According to a report of the Healthcare Cost and Utilization Project (HCUP) that looked at hospital admissions in 2013, the care of hospitalized malnourished patients costs twice as much as those without malnourishment due to prolonged hospital stays and increased readmission rates. Furthermore, up to 30 to 50 percent of patients are malnourished upon […]
Abstract Number: 325
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diabetes mellitus is common among hospitalized patients. An inpatient diabetes management service (IDMS) was implemented at a community hospital in suburban Maryland to provide better glycemic control for inpatients. Purpose: To analyze the length of stay (LOS) and 30-day readmission rate (30DR) of patients co-managed by an IDMS team. Description: We retrospectively analyzed LOS […]
Abstract Number: 331
Hospital Medicine 2019, March 24-27, National Harbor, Md.
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. Previous studies note positive correlation between high HL and patient understanding of their condition. Patients with low HL have greater needs in transitional care domains, citing inadequate caregiver support […]
Abstract Number: 363
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The Center for Medicare and Medicaid Services (CMS) uses 30-day readmissions as a measure of quality for a hospital system. However, there is growing literature that 30-day readmissions may not be a good measure of quality since most readmissions towards the end of 30-day window are likely not preventable. Therefore, using a shorter window […]
Abstract Number: 364
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The 7- and 30-day patient readmission rates are tracked by hospitals and are used as a metric to measure physicians’ quality of patient care. Several tools currently predict and prevent early readmission rates based on patient-specific characteristics. However, few studies have demonstrated if physician-specific characteristics play a role. The purpose of this study is […]
Abstract Number: 401
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The simplified HOSPITAL score is an easy-to-use prediction model that accurately identifies patients at high-risk of 30-day unplanned readmission before hospital discharge. The predictors include the last available hemoglobin and sodium levels at discharge. Because an earlier stratification risk of readmission would allow more preparation time for transitional care interventions, we aimed to assess […]