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Search Results for VA
Abstract Number: 459
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 […]
Abstract Number: 468
Hospital Medicine 2020, Virtual Competition
Background: On January 1st, 2017, the Joint Commission antibiotic stewardship accreditation standard came into effect, requiring hospital wide antibiotic stewardship programs. In West Virginia, per the CDC, in 2014, less than 28% had a stewardship program that met all 7 of the CDC core elements. In a May 2017 article of Clinical Infectious Diseases, authors […]
Abstract Number: 472
Hospital Medicine 2020, Virtual Competition
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Recent demand for healthcare value and advances in relevant technologies have driven renewed attention to HaH models, including from the Center for Medicare and Medicaid Services (CMS), and have spawned several pilots within the U.S. Where studied, these […]
Abstract Number: 475
Hospital Medicine 2020, Virtual Competition
Background: For academic hospital medicine groups to thrive and be partners with their hospital systems, physicians must document and bill appropriately as a means of demonstrating their clinical value. Yet, many major academic hospital medicine groups may be unaware or receive little training for this very important skill set. Based on data from the Society […]
Abstract Number: 476
Hospital Medicine 2020, Virtual Competition
Background: COPD is the third leading cause of death and hospital readmissions. Inpatient care for patients with COPD exacerbations varies widely across the US which can lead to patients failing to receive recommended evaluation, treatment, education, and follow-up to reduce the likelihood of recurrent exacerbations and unnecessary acute care utilization. In an effort to innovate […]
Abstract Number: 478
Hospital Medicine 2020, Virtual Competition
Background: The Cost Savings Reinvestment Program (CSRP) was created to benefit both the School of Medicine (SoM) and Stanford Health Care by incentivizing physicians to develop and assist with the implementation of initiatives that reduce hospital costs while maintaining or enhancing the quality of care provided to hospital patients. Cost savings realized from successful initiatives […]
Abstract Number: 481
Hospital Medicine 2020, Virtual Competition
Background: There is growing adoption of Observation units as an answer to increasing payment denials in short stay admissions (ranging from 24-72 hours), overcrowding in emergency room, need for inpatient capacity and mismatched resource utilization. There is quite a bit of variation in the type of OBS units like Level I OBS unit- which is […]
Abstract Number: 482
Hospital Medicine 2020, Virtual Competition
Background: While multiple organizations have recommended reducing unnecessary and repetitive lab tests in hospitalized patients, this has not resulted in a widespread change in behavior. There is agreement that unwarranted labs increase costs, but data around specific lab costs have not been readily available. At baseline, there were 125,586 labs ordered by the UNC Rex […]
Abstract Number: 483
Hospital Medicine 2020, Virtual Competition
Background: The merging of academic and community hospitals into a single large healthcare system often does not account for the differences in health care delivery between sites, despite attempts by the system to streamline care through standardized policies, common metrics, and a shared medical record system. Multi-site service lines can be an effective strategy for […]
Abstract Number: 491
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25 year-old woman with severe persistent asthma, chronic self-resolving episodes of hemoptysis, history of miscarriage, and iron deficiency anemia secondary to heavy menses presented with sub-acute worsening shortness of breath and hemoptysis despite adherence to home inhalers. Patient had multiple prior hospitalizations requiring intubation for asthma exacerbations, complicated by hemoptysis. Upon presentation, […]