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Search Results for Readmission
Abstract Number: 165
Hospital Medicine 2020, Virtual Competition
Background: Palliative care in seriously ill patients has been shown in some studies to improve satisfaction, symptoms, inpatient mortality rates, healthcare utilization and cost. While inpatient palliative care has been shown to improve symptoms and quality of life measures, the literature on its association with 30-day readmissions have been mixed for heart failure hospitalizations. We […]
Abstract Number: 166
Hospital Medicine 2020, Virtual Competition
Background: Sepsis is a leading cause of hospital death and readmission (1-2). Prior work has suggested that early, adequate intravenous fluid (IVF) administration during sepsis care is associated with lower mortality, even among those at risk for fluid overload (including patients with chronic kidney disease [CKD] or heart failure [HF]) (3). At the same time, […]
Abstract Number: 213
Hospital Medicine 2020, Virtual Competition
Background: Agency of Healthcare Research and Quality reported an increase in Opioid-related hospitalizations from 2005 to 2014. Previous studies in patients undergoing surgery have shown an increased risk of readmission with opioid dependence. This study was intended to identify the all-cause 7 and 30-day readmission rates of hospitalizations with opioid-related disorders, and potential predictors of […]
Abstract Number: 221
Hospital Medicine 2020, Virtual Competition
Background: The Hospital Readmissions Reduction Program (HRRP) incentivizes acute care hospitals to decrease their preventable readmissions by putting hospitals at risk of reduced Medicare reimbursements. There exist many sources of heterogeneity in the actual incentives individual hospitals face each year. The HRRP applies the same methodology to hospitals regardless of their share of Medicare patients, […]
Abstract Number: 226
Hospital Medicine 2020, Virtual Competition
Background: Heart failure (HF) is a major cause of hospital readmissions and healthcare costs. HF patients have the highest rate of unexpected readmission of all diseases tracked by the Centers for Medicare and Medicaid Services (CMS), at 21.2% (1). HF prevalence is also projected to increase 46% from 2012 to 2030, with total costs rising […]
Abstract Number: 235
Hospital Medicine 2020, Virtual Competition
Background: Hospital readmissions are an important marker of healthcare quality, reflecting worse patient outcomes and resulting in millions of dollars of penalties annually. Medication nonadherence is an important driver of hospital readmissions, with one significant factor being difficulty obtaining medications after discharge. The difficulty could be due to copays, availability, or transportation to a local […]
Abstract Number: 245
Hospital Medicine 2020, Virtual Competition
Background: Hospital readmission rates are heavily scrutinized, and are utilized as a measure of the quality of care provided by hospitals. In the Oklahoma City Veterans Affair Health Care System (VAHCS), there was a significant increase in the number of cardiorespiratory 30-day readmissions in the month of September (8% to 14%). Most patients (76%) were […]
Abstract Number: 265
Hospital Medicine 2020, Virtual Competition
Background: Hospital discharge is a complex process that requires coordination from various parties. There still remains a significant rate of readmission, with a reported 30 day readmission of roughly 20% and annual cost of $18 Billion to Medicare. Patients with adequate discharge planning have a decreased readmission rate. Recent studies that demonstrated that high risk […]
Abstract Number: 296
Hospital Medicine 2020, Virtual Competition
Background: In 2011, ~3.3 million adult 30-day US hospital readmissions generated $41.3 billion in hospital costs. $8.26 billion (20%) of this was considered preventable. Numerous studies demonstrate relationships between hospital readmissions and social determinants of health (SDoH). Lack of education, socioeconomic status, and lack of social support have all been cited as core contributors to […]
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 […]