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Search Results for Cost
Abstract Number: 443
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Academic Medical Centers (AMC) have utilized teams comprised of an attending, resident, interns and medical students to care for hospitalized patients. ACGME work restrictions have reduced the capacity of teaching services. Consequently, most AMCs now rely on direct care Hospital Medicine Services (HMS). Non-clinical tasks (making appointments, faxing for records), traditionally performed by teaching […]
Abstract Number: 445
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Increasing number of palliative care patients are cared for by hospitalists, but the value of hospitalist on end-of-life (EOL) care is scarcely reported. The study aims to evaluate the effect of hospitalist care on the intensive care utilization and medical expenditure for end-of-life hospitalizations. Methods: A three-year retrospective observational study was conducted at a […]
Abstract Number: 457
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Providers are often frustrated by the lack of cost transparency in the US healthcare system. Studies aimed at assessing providers’ knowledge of medical costs generally show poor cost awareness. Pilot studies examining the effects of price transparency initiatives on healthcare utilization have explored a wide variety of formats, and have returned mixed results. Methods: […]
Abstract Number: 457
SHM Converge 2024
Background: Healthcare institutions face a narrow operating budget to provide patient care. Centers for Medicare and Medicaid Services (CMS) evaluate healthcare institutions based on efficiency, quality and customer experience–in other words: length of stay, readmission rate and patients’ perception of the care they received. The effectiveness of decreased readmission is based on multiple variables, and […]
Abstract Number: 482
Hospital Medicine 2020, Virtual Competition
Background: While multiple organizations have recommended reducing unnecessary and repetitive lab tests in hospitalized patients, this has not resulted in a widespread change in behavior. There is agreement that unwarranted labs increase costs, but data around specific lab costs have not been readily available. At baseline, there were 125,586 labs ordered by the UNC Rex […]
Abstract Number: 503
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 78-year-old woman with severe persistent asthma on a maximum dose of inhaled corticosteroids (ICS) was admitted for lethargy and skin nodules on her thighs. She had three hospital admissions in the past two months for reported pneumonia. She was found to have fever, left basilar crackles, and multiple violaceous, firm, tender subcutaneous […]
Abstract Number: 540
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 57 years old lady with hypertension presented to ER with chest and neck pain for 1 week. Pain was in upper right side of chest and collar bone. Pain character was sharp, 9/10 in intensity, not relieved by acetaminophen, aggravated with movement and without associating factors. On exam, vital signs were normal. She […]
Abstract Number: 558
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 72 year old male presented with worsening shortness of breath and increasing oxygen requirement for six weeks. The patient had been on supplemental oxygen for the past 2 years for hypoxia. As an outpatient, right heart catheterization revealed a pulmonary arterial pressure (PAP) of 76/24 mmHg, mean PAP of 41 mmHg, wedge […]
Abstract Number: 582
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 23- year old Latino male with no known history presented to the ER complaining of worsening left eye pain. Patient stated that he has been cleaning manmade lakes and for one week started to have an erythematous and painful left eye associated with persistent frontal headache, and blurry vision. Patient endorsed recent diagnosis […]
Abstract Number: 608
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old man with lung adenocarcinoma with multiple rib metastases and lytic spinal lesions was receiving palliative radiation treatment when computed tomography (CT) incidentally revealed a fluid collection along the anterior cecum with pneumatosis. Cultures taken during CT-guided abscess drainage were positive for piperacillin-tazobactam-sensitive enterococcus, and the patient was started on antibiotics. His […]