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Search Results for AI
Abstract Number: 260
Hospital Medicine 2020, Virtual Competition
Background: The designation of a patient as outpatient versus inpatient status at time of discharge affects how hospitals bill Medicare for services because the center for Medicaid and Medicare services (CMS) reimburses hospitals at a higher rate for inpatient when compared to outpatient designation(1). Since the fiscal year of 2014, one of the major benchmarks […]
Abstract Number: 266
Hospital Medicine 2020, Virtual Competition
Background: Traumatic brain injuries (TBIs) pose a unique problem because prognosis is difficult to predict; therefore, treatment decisions are complex with uncertain outcomes. According to the American College of Surgeons 2018 Trauma Quality Improvement Project (TQIP), identified patients should receive a palliative care assessment within 24 hours, a family conversation should be held within 72 […]
Abstract Number: 272
Hospital Medicine 2020, Virtual Competition
Background: Discharges against medical advice (AMA) account for 0.8-2.2% of all national discharges and represents an extreme in non-compliance. Patients who elect to leave AMA have increased rates of mortality, morbidity and readmission rates. Literature on this topic, to date, has focused on AMA in the context of specific admitting diagnoses or discharges from certain […]
Abstract Number: 278
Hospital Medicine 2020, Virtual Competition
Background: The insurance authorization process for Inpatient Rehab Facility (IRF) and Skilled Nursing Facility placement is lengthy. It takes several days for insurance companies to make decisions regarding patient disposition. This creates increased length of stay (LOS) for otherwise medically stable patients. Several factors contribute to delays and include the lack of weekend authorization staff […]
Abstract Number: 300
Hospital Medicine 2020, Virtual Competition
Background: Effective teams share common attitudes, behaviors, and cognitions that support teamwork. Within patient safety literature, effective teamwork is a core feature of interventions that reduce adverse events. However, research on teamwork in healthcare has focused on teams of healthcare professionals and has not examined how patients and their family caregivers experience teamwork as part […]
Abstract Number: 301
Hospital Medicine 2020, Virtual Competition
Background: In a learning healthcare system, data collected as part of routine care is used to fuel innovation and improvement. Predictive models for post-discharge adverse events have relied on data that is available prior to hospital discharge. Post-discharge care (e.g. appointments, phone calls) can be collected from electronic health records and may impact patient risk […]
Abstract Number: 330
Hospital Medicine 2020, Virtual Competition
Background: Care fragmentation is associated with a number of clinical and socio-demographic features which have been thought to increase hospital utilization as well as morbidity and mortality. Patients who receive fragmented care at the hospital level are often underinsured and uninsured. It is unclear to what degree lack of insurance and subsequently lack of continuous […]
Abstract Number: 333
Hospital Medicine 2020, Virtual Competition
Background: Patients (pts) with congestive heart failure (CHF) are at an increased risk for community-acquired bacterial pneumonia (CABP) [1]. Moreover, CABP itself and macrolide antibiotics, which current guidelines recommend for CABP treatment [2], are both associated with increased risk of cardiac events, including worsening heart failure [3,4]. Lefamulin (LEF) is a first-in-class systemic pleuromutilin antibiotic […]
Abstract Number: 352
Hospital Medicine 2020, Virtual Competition
Background: More than 30 million children and adolescents participate in organized sports in the United States every year. Participation has numerous benefits including improved physical fitness and better school performance, however, it is not without risk. According to the Centers for Disease Control and Prevention, children sustain more than 3.1 million sports and recreation-related injuries […]
Abstract Number: 359
Hospital Medicine 2020, Virtual Competition
Background: Hospital Medicine (HM) continues to be a rapidly evolving field. Within our own institution, 15-20% of our graduates in the Internal Medicine Residency Program have pursued careers in HM in recent years. Purpose: The goal of this project is to provide residents with better preparation for careers in HM by implementing a HM Pathway. […]