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Abstract Number: 28
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: This is an exciting time for Telemedicine with new programs being implemented across the continuum of care including acute care, post-acute care, and in home settings. Proving the value of telemedicine programs when no access to providers exist is relatively straightforward but proving value of programs where implemented to augment existing care by the […]
Abstract Number: 29
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The United States sees over 35 million hospital discharges a year with a 20% readmission rate. Unplanned readmissions amount to 20 billion dollars annually. Efforts to prevent readmissions impact patient’s overall morbidity/mortality and alleviate the financial burden on health care systems. To that effect, the United States health care reform, under the Affordable Care […]
Abstract Number: 37
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Rising inpatient census, limited physical space and unpredictable admission rates introduce communication inefficiencies among doctors, nurses and patients. Purpose: At UC San Diego Health System, we aimed to streamline communication among physicians, patients and other care team members. Description: Two operational changes were made: 1) establishment of team-based geographic cohorting and 2) segregation of […]
Abstract Number: 74
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Academic hospitalist play a crucial role in providing quality patient care, medical education and research. With increase in work load the burnout of hospitalist has significantly increased. This is influencing their well being as well as patient care and medical students teaching. We conducted this survey based project to study the perception of academic […]
Abstract Number: 82
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The ACGME has developed competencies for systems-based practice and problem-based learning and improvement to encourage trainees to integrate quality and safety into their everyday practice. Furthermore, the AAMC has a call to action for US Medical schools and teaching hospitals to successfully align clinical and education missions in order to have quality improvement and […]
Abstract Number: 90
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Multidisciplinary rounds occurs in various formats. On our medical wards, centralized multidisciplinary team huddles are conducted daily to ensure the entire care team is engaged and contributing to care plan development. Often times this precludes bedside team rounds. Given the dynamic fluidity of an inpatient care plan and our desire to enhance patient and […]
Abstract Number: 103
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Although Hospice has been associated with improved symptom management, quality of life, lower costs and length of survival in terminally ill patients, it is underutilized. The primary outcome of this study was to examine the relationship between hospice enrollment status and hospital readmissions in elderly patients with solid tumors. Secondary outcomes were length of […]
Abstract Number: 114
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Social determinants of health (SDOH) include stable housing, food security, and accessible transportation, and they are not universally identified or addressed in clinical health. Although physicians recognize the importance of screening patients for social needs, current hospital screening practices may only be applied occasionally, can be limited in the types of patients screened, and […]
Abstract Number: 132
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Despite rapidly growing interest in hospital medicine (HM), no prior research has examined the attributes that may be most beneficial to applicants during the HM application, interview and hiring process. We aimed to define the specific qualities that HM interviewers seek in candidates, and to assess interviewer perceptions about important applicant behaviors, attributes and […]
Abstract Number: 135
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Black seniors have historically had higher readmission rates than white seniors, and hospitals that treat more black seniors have been disproportionately penalized the Medicare Hospital Readmissions Reduction Program (HRRP). Consequently, the policy could exacerbate racial disparities. We sought to determine whether, under the HRRP, trends in 30-day post-discharge mortality differed between black and white […]