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Search Results for Admissions
Abstract Number: 33
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospital readmissions continue to remain prevalent despite their negative impact on patient outcomes and economic cost. One in five Medicare beneficiaries is expected to be readmitted within 30 days. As a result, strategies to reduce readmissions is a point of emphasis for all healthcare systems. Guidance regarding reducing readmissions differs and is not abundant. […]
Abstract Number: 37
SHM Converge 2023
Background: Many patients continue their post-acute care in settings such as skilled nursing facilities (SNFs). One in four hospitalized Medicare patients are discharged to SNFs. These patients are generally the elderly or require more care than patients discharged home, placing them at greater risk of clinical decline and rehospitalization. Moreover, 25% of patients discharged to […]
Abstract Number: 70
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Co-management across service lines has become increasingly common in hospital medicine. SHM’s Co-Management Task Force has outlined several components of a successful co-management program. Recent studies have shown that cross-disciplinary service arrangements, which are more collaborative, enhance provider satisfaction and may improve patient care. These benefits have encouraged institutions to roll out multiple co-management […]
Abstract Number: 76
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Centers for Medicare & Medicaid Services (CMS) started penalizing hospitals with “excess” 30-day readmissions, as determined by observed-to-expected ratio, for patients discharged after treatment for an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). An understanding of modifiable determinants of 30-day readmission will likely help in developing interventions to reduce preventable AECOPD readmissions. […]
Abstract Number: 78
SHM Converge 2023
Background: At our Level 1 trauma center, geriatric trauma (GT) patients are primarily managed by hospitalists with surgical consultation. This care model offloads the trauma surgical services, improving time to surgery and hospital throughput. As the number of injured GT patients rose, so did the need to address a higher complication risk, longer hospital stays, […]
Abstract Number: 81
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Reducing readmission rates may only be successfully realized if all factors that influence readmissions are thoughtfully considered. Beyond medical elements, nontraditional risk factors such as social and environmental variables may be associated with a higher likelihood of being readmitted. In this study we evaluated the effect of distance between home and ‘key resources’ on […]
Abstract Number: 84
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Disruptions in normal life routines (such as sleep, function, nutrition, etc.) that commonly occur as part of routine hospital care may be traumatic for acutely ill patients and lead to a generalized condition of high risk after discharge that has been described as “post-hospitalization syndrome.” We created the ARCHES cohort study to measure these […]
Abstract Number: 86
SHM Converge 2021
Background: The number of survivors of an initial COVID-19 disease hospitalization is growing and further data describing clinical and sociodemographic risk factors for hospital readmissions is needed. The CROSS (COVID-19 Characteristics of Readmissions and Outcomes and Social Determinants of Health Study) Collaborative was developed in July 2020 and is a multidisciplinary, multi-hospital group dedicated to […]
Abstract Number: 92
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitals are incentivized to reduce 30-day readmissions under the Affordable Care Act. Medicare payments can be reduced when inpatient readmissions are excessive. The Centers for Medicare & Medicaid Services (CMS) readmission measure is defined among encounters classified with only an inpatient status. At this time, observation encounters are not included in this measure. This […]
Abstract Number: 99
SHM Converge 2024
Background: High hospital occupancy is a ubiquitous problem worldwide. Singapore General Hospital (SGH) being the largest tertiary hospital in Singapore, sees a large number of attendees come through its Emergency Department (ED) daily 1,2. With silver tsunami on the horizon and rising life expectancies around the world, we are facing higher healthcare complexities and stress […]