Session Type
Meeting
Search Results for Value
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Demand for healthcare value has driven renewed attention to HaH, including from the Centers for Medicare and Medicaid Services. The COVID-19 pandemic has only magnified consideration of alternative sites of care. Where studied, HaH models have had desirable […]
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: The Choosing Wisely Campaign started in 2012 with the aim of promoting high-value care. On its Choosing Wisely List, the Society of Hospital Medicine cited daily basic metabolic panel (BMP) and complete blood count (CBC) testing in the absence of clinical suspicion as unnecessary practice. Since the implementation of Choosing Wisely, there have been […]
Abstract Number: 27
SHM Converge 2021
Background: Conducting early serious illness conversations (SICs) is a high-value intervention that improves the patient and family experience while aligning care with patient preferences. Given the constraints of hospital-based clinicians, using the EHR to identify appropriate patients for SICs remains a key challenge. The aims of this study were to explore whether the EHR’s readmission […]
Abstract Number: 180
SHM Converge 2021
Background: Thrombotic disorders, such as venous thromboembolism (VTE) and ischemic stroke are highly prevalent conditions. In many cases, an underlying inciting risk factor is clearly visible that can explain the thrombotic event. When a clear explanation is not found, diagnoses such as “idiopathic VTE” and “cryptogenic stroke” are made. Except when there is a concern […]
Abstract Number: 212
SHM Converge 2021
Background: Low-value care in the form of overuse of inpatient diagnostic testing is an important driver of high healthcare costs. Financial incentives are known to impact physician behavior and may be a driver of inpatient diagnostic overuse. However, the association between hospital payer mix (which likely impacts the financial incentives for ordering diagnostic tests) and […]
Abstract Number: 214
SHM Converge 2021
Background: Healthcare costs in the United States continue to increase, largely driven by the high cost of pharmaceuticals. Cost transparency, the act of showing the cost of drugs to providers, has been proposed as a method of reducing healthcare costs, but its effectiveness has not been studied on a large scale. Methods: We tracked the […]
Abstract Number: 215
SHM Converge 2021
Background: A growing number of hospitalists are incorporating point-of-care ultrasound (POCUS) into their daily practice to answer specific diagnostic questions or guide performance of invasive bedside procedures. This study at a 464 bed community hospital investigated hospital medicine department physicians’ choices regarding POCUS as a branch point in clinical decision making. Methods: During shifts covering […]
Abstract Number: 216
SHM Converge 2021
Background: Inappropriate utilization of daily labs—complete blood counts (CBC) and serum electrolyte panels (SEP)—is an important cause of increased costs in the hospital setting. The Minnesota Lab Appropriateness (MLAB) criteria were previously developed to facilitate assessment of CBC and SEP appropriateness (1). A combination of clinical judgment and common healthcare data, including recent vital signs […]
Abstract Number: 301
SHM Converge 2021
Background: Inpatient serum folate testing was recognized as a low-value practice by the Choosing Wisely campaign in 2015. Despite this recognition, clinicians at our hospital system continue to use this test in a standard workup for conditions such as anemia, dementia and altered mental status. Shifting practice patterns away from serum folate testing remains a […]
Abstract Number: 307
SHM Converge 2021
Background: De-implementation of low-value services remains a challenge in healthcare. Research has shown that Choosing Wisely recommendations are ineffective in reducing low value care alone, and more robust interventions are needed. Additionally, most of the published efforts of reducing unnecessary inpatient services are done in smaller settings within a single hospital. Furthermore, initiatives in resource […]