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Search2020-05-20T12:01:36-05:00
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Abstract Number: 15
FEEDBACK THAT WORKS: IMPROVED BILLING THROUGH AUTOMATED PEER COMPARISON
Hospital Medicine 2020, Virtual Competition
Background: There is minimal automated electronic feedback to hospitalists about their level of service in professional billing. Based on today’s payor requirements for inpatient admission, the medical decision-making involved in the care of inpatients almost always justifies a level of service above level 1. However, encounters may still receive level 1 due to under-documentation (e.g. […]
Abstract Number: 15
FEEDBACK THAT WORKS: IMPROVED BILLING THROUGH AUTOMATED PEER COMPARISON
Hospital Medicine 2020, Virtual Competition
Background: There is minimal automated electronic feedback to hospitalists about their level of service in professional billing. Based on today’s payor requirements for inpatient admission, the medical decision-making involved in the care of inpatients almost always justifies a level of service above level 1. However, encounters may still receive level 1 due to under-documentation (e.g. […]
Abstract Number: 250
REDEFINING, REDESIGNING, AND REFINING THE PATIENT GOWN
Hospital Medicine 2020, Virtual Competition
Background: Patients feel “uncomfortable, vulnerable, and exposed” in their gowns while providers are distressed at seeing and caring for their fellow human beings clad in sub-human “threadbare,” “ugly” garments. The purpose of this study was to create a patient gown based on design suggestions by patients and providers (physicians and nurses) and to refine the […]
Abstract Number: 250
Sneaky Sarcoidosis or a Metastatic Masquerade?
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53‐year‐old African American woman presented with 2 weeks of productive cough not responsive to antibiotics and 1 week of fever, headache, night sweats, and lightheadedness. She also reported a 25‐pound weight loss over 2 months, but she denied dyspnea and chest pain. She had a 15‐pack‐year smoking history and was febrile, tachycardic, […]
Abstract Number: 379
Acute Coronary Thrombosis As the Presenting Symptom in a Patient with Essential Thrombocytosis: A Case Report
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a 51‐year‐old man with no significant medical history who presented to an outside hospital with a 1‐day complaint of sudden‐onset left‐sided chest pain radiating to the left shoulder, associated with diaphoresis and shortness of breath that developed while working out at home. The initial electrocardiogram showed acute ST‐segment elevations in leads […]
Abstract Number: 379
CONTRACTING FOR HOSPITALIST SERVICES USING A FORMAL RELATIONAL CONTRACT MODEL: A WIN-WIN SITUATION
Hospital Medicine 2020, Virtual Competition
Background: A publicly funded Health Authority embraced a Hospitalist service in 2000 as a quality improvement initiative. This relationship turned contentious over several contract renegotiations. With each successive contract, trust declined and the working environment became adversarial. Failed negotiations lead to a contract termination in 2015, ultimately affecting the stability of this medical service. Purpose: […]
Abstract Number: 451
Diabetes Insipidus As the Presenting Manifestation of a Rare Pituitary Disorder
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 47‐year‐old man with a history of stroke presented after a fall without loss of consciousness. He reported increased thirst and urination as well as headaches without vision changes. Vital signs including orthostatics were normal, and physical exam was unremarkable. Visual fields were intact and there was no thyromegaly or skin abnormalities. Laboratory […]
Abstract Number: 451
IMPROVING CARE DELIVERY TO ONCOLOGY PATIENTS THROUGH A COLLABORATIVE, ADVANCED PRACTICE PROVIDE LED URGENT CARE CLINIC
Hospital Medicine 2020, Virtual Competition
Background: Patients with advanced cancer have high readmission rates, up to 27% in some studies, and represent unique challenges related to transitions of care, complex disease management, and care coordination. Recent efforts have focused on better identification of potentially avoidable readmissions (PARs). One study found that primary reasons for PARs in cancer patients included pre-mature […]
Abstract Number: 459
Not Just Another Cause of Confusion — a Rare Case of Steroid‐Responsive Encephalopathy
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 76‐year‐old white man with a medical history of Hashimoto's thyroiditis, atrial fibrillation, coronary artery disease and hypertension presented to the emergency department with clouding of consciousness for 1 day. His vital signs were stable. Chest and cardiovascular examination was normal. He was admitted for further workup, which revealed CBC and electrolytes to […]
Abstract Number: 459
TOWARDS A LEAN DISCHARGE: UTILIZING VISUAL MANAGEMENT TO IMPROVE CARE COORDINATION ON A GENERAL MEDICINE UNIT
Hospital Medicine 2020, Virtual Competition
Background: Hospitals emphasize early discharge to improve throughput. Interdisciplinary team members often report feeling rushed in the 24 hours before discharge, which may increase the likelihood of discharge errors and burnout for the team. Purpose: To identify obstacles preventing timely completion of discharge activities, improve reliability of the discharge process, improve staff experience, and decrease […]
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  • This Month

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  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
  • Cellulitis or DVT: Do Any Clinical Features Help to Differentiate
  • All Time

  • Cellulitis or DVT: Do Any Clinical Features Help to Differentiate
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
  • “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke
  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • A Case of Jamaican Stone
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