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Search Results for Hospital
Abstract Number: 418
Hospital Medicine 2020, Virtual Competition
Background: Our 165-bed community hospital is in a phase of rapid growth due to demographic changes and expansion of services offered within the hospital. While offering unprecedented level of healthcare access to the community, improvement with emergency department (ED) throughput has emerged as one of our challenges from a patient safety perspective. Unnecessarily prolonged ED […]
Abstract Number: 424
Hospital Medicine 2020, Virtual Competition
Background: In tertiary care centers, transfers from outside hospitals are a common occurrence. Prior studies have shown that interhospital transfers (IHT) in certain populations are associated with an increased adjusted odds of ICU transfer (Mueller 2019). In the age of the electronic medical record(EMR), patient transfer has been improved by direct access to patient records. […]
Abstract Number: 433
Hospital Medicine 2020, Virtual Competition
Background: Over the last 2 decades there has been increasing adoption of Observation (OBS) units across the healthcare facilities in United States. Health reforms like 2 midnight rule and 30 day readmission penalties, congestion in the ED, poor operational outcomes in OBS population mixed with inpatients (IP) etc. further added to the need for dedicated […]
Abstract Number: 435
Hospital Medicine 2020, Virtual Competition
Background: Heart Failure (HF) is an important health care issue given its high prevalence, mortality, and cost of care. By 2030, greater than 8 million Americans will be living with HF. The projected cost will increase to close to 70 billion with the majority of the cost attributed to hospitalization. Despite numerous evidence-based strategies in […]
Abstract Number: 443
Hospital Medicine 2020, Virtual Competition
Background: Rural areas are disproportionately affected by physician shortages, and small rural hospitals in particular struggle to staff acute medicine services 24/7. Telehospitalist models are emerging as an alternative to provide inpatient medicine services in rural settings. In a 2018 needs assessment of rural Veterans Health Administration (VHA) hospitals, 60% percent reported being short on […]
Abstract Number: 445
Hospital Medicine 2020, Virtual Competition
Background: When used optimally, technology should serve as a tool for clinicians, not an obstacle. Yet according to a recent study by the Mayo Clinic, Electronic Health Records (EHR) score in the bottom nineth percentile of technologies when evaluated for usability. This lack of usability can lead to increased documenting times, workflow bottlenecks, and physician […]
Abstract Number: 446
Hospital Medicine 2020, Virtual Competition
Background: Data dashboards are used in many industries to track performance, however their development and efficacy in hospital medicine has not been well described. Data availability, provider attribution, feedback timeliness, and data accuracy have been cited as barriers to developing and implementing an effective performance dashboard. Purpose: We developed a hospital medicine clinical data dashboard […]
Abstract Number: 450
Hospital Medicine 2020, Virtual Competition
Background: Patients with complex medical problems are at high risk of readmission when transitioning from the hospital to home, especially when they reside in rural areas (as is the case within our VA Health Care System (HCS)). Innovative solutions are needed to improve access to post hospitalization follow up within our facility. We hypothesized that […]
Abstract Number: 462
Hospital Medicine 2020, Virtual Competition
Background: Given the shift-based nature of modern hospital medicine, block schedules where physicians are on clinical service for a defined period of time are common place. As such, end-of-service handoffs are a routine element of hospital medicine practice. Like handoffs to an overnight cross-covering physician, end-of-service handoffs pose a risk to patients if critical information […]
Abstract Number: 469
Hospital Medicine 2020, Virtual Competition
Background: At academic institutions and other referral centers the process of accepting transfers from other hospitals has been a challenging and potentially laborious process to coordinate smoothly. It was also one that was not previously reimbursable. However, beginning in 2017 Medicare and other insurance companies began reimbursing Non-Face-to-Face Prolonged services procedural codes. These new codes […]