Session Type
Meeting
Search Results for Admissions
Abstract Number: 195
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In 2016, the Centers for Medicare & Medicaid Services (CMS) released a guide to preventing readmissions among diverse patient populations. According to CMS, once the health system effectively picks up the root causes and characteristics that are linked to readmissions – then a process can be initiated that focuses on addressing barriers and developing […]
Abstract Number: 196
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: It has been detailed in the literature that a patient’s socioeconomic status (SES) may play a role in their risk of readmission for specific diseases. For instance, factors such as low income, low educational level, and Medicaid status have all been associated with significantly higher rates of readmission in patients initially admitted for congestive […]
Abstract Number: 207
SHM Converge 2021
Background: Hospitalizations among patients with opioid use disorder (OUD) have skyrocketed in the past 10 years (1). These patients represent an ever-growing portion of the typical hospital medicine census and often have readmission rates greater than expected for their age and other health status. Discharge against medical advice (AMA) is common in this population, and […]
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: 215
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days). A single prior study of early readmissions applied a binary (yes/no) metric to assess for diagnostic error in early readmissions, but this may be an insensitive method. Past studies of diagnostic error in primary care […]
Abstract Number: 216
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The first 24 hours of a patient’s hospitalization is a vulnerable time period, with many aspects of care occurring at a time when patients are at their highest levels of medical acuity. Compounding this, delays in care during the transition from the ED to an inpatient level of care could result in potentially avoidable […]
Abstract Number: 216
SHM Converge 2023
Background: Accountable Care Units (ACUs) with Structured Interdisciplinary Bedside Rounds (SIBR® rounds) have shown significant improvements in throughput, clinical outcomes, and satisfaction. Yet, prior studies have noted difficulties achieving such improvements or sustaining them. Interdisciplinary rounds are a predominantly physician-led teamwork process with efficacy vulnerable to inconsistent physician leadership and engagement. Our hospital had previously […]
Abstract Number: 216
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: COPD exacerbations are among the leading causes of hospital readmissions. According to the COPD Foundation, in 2013, 22% patients admitted for COPD exacerbation required readmission within 30 days of discharge. This represents a significant burden in terms of morbidity for these patients and increased cost to the healthcare system. The COPD readmission rate during […]
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: 225
SHM Converge 2023
Background: Cancer is a risk factor for readmissions. We aimed to describe the potentially preventable 7-day unplanned readmissions in patients admitted to the hospital medicine service at a tertiary comprehensive cancer center. There is currently no defined criteria for potentially preventable readmissions among the cancer population. Methods: This was a retrospective analysis performed by a […]