Session Type
Meeting
Search Results for Coordination
Abstract Number: 321
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Care Coordination Rounds (CCR) provide an opportunity for members of the multidisciplinary health care team to communicate as a group regarding the care and discharge planning of hospitalized patients. The use of CCR has been found to improve efficiency and patient experience, while reducing healthcare expenditures, inpatient length of stay, and unnecessary readmissions. The […]
Abstract Number: 322
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In 2012, nearly one-third of older adults (>65 years) with Medicare discharged to home after hospitalization were referred for home health care (HHC) services. Care coordination between healthcare settings is frequently inadequate. We sought to describe care coordination challenges and potential solutions from the perspective of HHC nurses. Methods: We conducted a qualitative descriptive […]
Abstract Number: 323
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients recurrently admitted to the hospital account for a disproportionate percentage of hospital costs and frequently experience fragmentation of care and poor health outcomes. On our hospitalist service at a large academic medical center, patients admitted five or more times per year make up less than 1% of patients but approximately 5% of admissions. […]
Abstract Number: 333
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients who are high utilizers of the health care system pose a significant burden to health care in the United States. These patients have higher rates of emergency department (ED) use, hospital readmission and cost compared to the general population, and tend to be medically, behaviorally and socially complex. Patients with high healthcare usage […]
Abstract Number: 351
SHM Converge 2023
Background: Mass General Brigham’s Faulkner hospital (BWFH) is a 171 bed community hospital closely affiliated with Brigham and Women’s hospital (BWH), which is located 2.5 miles away. Patient care at BWFH is supported by robust access to consultation and advanced testing from subspecialists located at BWH. To access some advanced diagnostic testing and procedures, patients […]
Abstract Number: 380
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: A somewhat under-discussed topic in EHR implementation is the safety and efficiency consequences of their lengthy build and implementation. After multiple years of stalled clinical innovation while IT staff dedicate their focus to EHR builds, hospital systems undergo an 8 – 16 hour downtime often followed by multiple planned and unplanned downtimes that can […]
Abstract Number: 404
Hospital Medicine 2020, Virtual Competition
Background: In an increasingly digital world, there are still many manual and paper based workflows in healthcare. Paper scripts are an area that is prevalent and is the gold standard for certain prescribing behaviors. Paper scripts have numerous challenges, they can be lost, are difficult to track, and physically have to be delivered to the […]
Abstract Number: 424
SHM Converge 2023
Background: Like many other health systems, our large, academic, quaternary care center is experiencing a capacity crisis, with increasing number and duration of emergency department boarders. We hypothesized that there is a population of admitted patients who may be appropriately discharged home with timely follow-up and connection with community resources. Purpose: Our project sought to […]
Abstract Number: 445
SHM Converge 2024
Background: Like many institutions nationwide, our health system, an urban tertiary care academic medical center, has experienced challenges due strained hospital capacity. Hospitalists frequently face feedback to place discharge orders as early as possible in the day, for reasons as diverse as assisting patients with obtaining a ride home to expediting bed turnover for the […]
Abstract Number: 581
SHM Converge 2023
Case Presentation: Planning a safe discharge from the hospital is a collaboration that includes the care team and the patient. At our VA hospital, a geriatric 4M’s (Mobility, Medications, Mentation, What Matters Most) assessment helps to determine “What Matters Most” to older Veterans as well as to connect them with the right community services (such […]