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Oral

Abstract Number: 0016

THE HALO EFFECT OF HIGH VALUE CARE: REDUCING VITAMIN LEVEL TESTING AND INSPIRING BROADER CHANGE

SHM Converge 2025

Background: Routine laboratory testing is a cornerstone of inpatient care. However, indiscriminate ordering can lead to resource waste, prolonged length of stay, and unnecessary costs. At our community teaching hospital in Queens, New York, we identified high rates of vitamin level testing—specifically vitamin B12, folate, and vitamin D25—which were often ordered without clinical indication. This [...]

Oral

Abstract Number: OP10

INTERHOSPITAL PATIENT TRANSFERS WITHIN A LARGE HEALTHCARE SYSTEM

SHM Converge 2022

Background: The availability of beds within healthcare systems has been stressed during each wave of the COVID-19 pandemic. Healthcare systems with tertiary hospitals have had increasing patient volumes and face limitations of specialized urgent (e.g., ECMO) and routine (e.g., Percutaneous Coronary Intervention) functions during critical inpatient surge volumes. Reserving the limited capacity at a tertiary [...]

Oral

Abstract Number: OP11

THE IMPACT OF A CLINICAL PATHWAY FOR HOSPITALIZED INFANTS WITH FAILURE TO THRIVE

SHM Converge 2022

Background: Failure to thrive and malnutrition continues to be a common diagnosis in pediatrics contributing to a significant number of hospital admissions (1-5). There is no national practice guideline or consensus recommendation for diagnosis and treatment for patients hospitalized with failure to thrive, contributing to significant clinical practice variation. Unnecessary variability in practice has been [...]

Oral

Abstract Number: OP12

SUBSTANCE USE DISORDER AS A PREDICTOR OF SKILLED NURSING FACILITY REFERRAL FAILURE

SHM Converge 2022

Background: Previous studies have documented discriminatory refusals from post-acute care facilities related to opioid use disorder or opioid agonist therapy, however the impact of inability to secure skilled nursing facility (SNF) placement for patients with any substance use disorder (SUD) has not been fully explored. The objective of this study is to measure the odds [...]

Oral

Abstract Number: OP13

THE APPLET CORE: SMALL APPS TO SOLVE BIG PROBLEMS

SHM Converge 2022

Background: Despite the widespread use of technology across our daily lives, many processes in the hospital remain manual and labor-intensive. As hospital medicine divisions grow, there is an increasing need for automated and scalable solutions. While many hospitals look to external vendors to provide automated solutions, these often lack customizability and gaps remain. Purpose: To [...]

Oral

Abstract Number: Oral

A BUPRENORPHINE PROGRAM FOR HOSPITALIZED PATIENTS WITH OPIOID USE DISORDER INCREASES INPATIENT TREATMENT AND OUTPATIENT FOLLOW-UP IN ADDICTION TREATMENT

SHM Converge 2021

Background: Despite evidence that the use of medications for patients with opioid use disorder (OUD) leads to reduced mortality and improved engagement in outpatient addiction treatment, these life-saving medications are underutilized in the hospital setting. This study reports the outcomes of a hospitalist-led interprofessional and multidisciplinary inpatient program, known as the B-Team (buprenorphine team), to [...]

Oral

Abstract Number: Oral

A HOSPITALIST-LED HOSPITAL AT HOME MODEL

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

Abstract Number: Oral

AN INTENSIVE HIGH UTILIZER INTERVENTION DOES NOT REDUCE HOSPITAL READMISSIONS: THE CHAMP RANDOMIZED CONTROLLED TRIAL

SHM Converge 2021

Background: A small number of patients account for a disproportionate number of hospital readmissions. The Complex High Admission Management Program (CHAMP) is designed to improve care and reduce hospitalizations for frequently readmitted patients. Non-randomized studies of CHAMP found reductions in readmission but may be subject to regression to the mean. We conducted a randomized trial [...]

Oral

Abstract Number: Oral

BEST PRACTICES IN PEDIATRIC HOSPITAL CARE DURING THE COVID-19 PANDEMIC

SHM Converge 2021

Background: The COVID-19 pandemic has necessitated rapid changes in healthcare delivery in the United States, including changes in the care of hospitalized children. Our study aimed to identify the major changes in inpatient pediatric healthcare delivery and potential learnings from these changes. Methods: We conducted semi-structured interviews for this qualitative study. We purposefully sampled hospitals [...]

Oral

Abstract Number: Oral

BRINGING THE WEARABLE REVOLUTION INTO THE HOSPITAL: ADAPTATION OF CONTINUOUS VITAL SIGN MONITORING TO THE INPATIENT NON-INTENSIVE CARE SETTING

Hospital Medicine 2020, Virtual Competition

Background: Failure to promptly recognize clinically deteriorating patients in the hospital leads to delays in critical interventions and worse health outcomes. Current standard practice in patient monitoring on most medical-surgical wards involves vital sign assessment at discrete time points, typically every four to eight hours. More frequent or continuous vital sign monitoring has historically been [...]

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