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Abstract Number: 273
SHM Converge 2024
Background: Early sepsis recognition and treatment can save lives. The Centers for Medicare & Medicaid Services defines appropriate treatment using the Severe Sepsis/Septic Shock Early Management Bundle (SEP-1) components. To help improve sepsis identification, documentation, and organizational compliance with SEP-1, our hospital implemented a “best-practice alert” (BPA) comprised of Epic’s “sepsis score,” but the rates […]
Abstract Number: 274
Hospital Medicine 2020, Virtual Competition
Background: Code status discussions and documentation are a key part of inpatient care for hospital medicine providers as they become more involved in caring for those with advanced illness. Hospitalists are challenged both with efficiently addressing a complicated subject due to time constraints and by a lack of established patient relationships. If it is not […]
Abstract Number: 280
SHM Converge 2021
Background: Moonlighting trainees are an essential labor source for expanding hospital medicine groups. Though the ACGME specifies moonlighting eligibility criteria and duty work hour restrictions, it does not address specific onboarding requirements. Prior to this project, our section of hospital medicine had no formal onboarding process for moonlighters despite 400-500 shifts covered annually by approximately […]
Abstract Number: 282
SHM Converge 2021
Background: ~ 1 in 10 patients has a penicillin allergy listed, but up to 90% of those patients may tolerate penicillins and/or cephalosporins. This inaccurate history and documentation leads to altered clinical decision making and the use of 2nd or 3rd line antibiotics, and can lead to adverse short and long term outcomes at both […]
Abstract Number: 285
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Electronic health record (EHR) systems are used by a majority of US hospitals. EHR use has been associated with increased task complexity, clinical data volume and provider documentation demands. Studies of multiple specialties suggest that a significant amount of provider time is spent on indirect patient care activities including turbulent provider workflows and documentation. […]
Abstract Number: 288
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patient record form one of the most important part of clinical care as the primary source for patient information for primary team, consultants, nurses and other paramedic staff and help in providing a higher quality of care, as well as monitoring patient safety. Incomplete patient records are a source of gaps in patient care […]
Abstract Number: 293
SHM Converge 2024
Background: The Discharge Summary (DS) plays a vital role in transmitting key information about a patient’s hospital admission to their primary care clinician (PCC) and serves as a valuable information source for inpatient clinicians. However, current guidelines for DS creation tend to neglect the importance of prioritizing critical content. This oversight, coupled with the excessive […]
Abstract Number: 304
SHM Converge 2021
Background: Hospitalist providers are the backbone of inpatient medicine and are the ideal audience for hospital-driven metrics given their direct and constant care of hospitalized patients. However, these metrics often seem ambiguous, resulting in frustration and dismissal. Guiding hospitalist providers through less commonly understood topics such as utilization review determinations (nuances of observation/inpatient status), high […]
Abstract Number: 367
SHM Converge 2023
Background: Malnutrition is a significant indicator for illness severity and expected mortality. Prior to any process improvement interventions in 2014, only 4.7% of UNMH inpatients were diagnosed with malnutrition at discharge, much lower than the published national inpatient prevalence of 20-50%. Given the relatively high level of poverty in NM, we believe these lower rates […]
Abstract Number: 379
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: On October 1, 2007, Medicare changed their payment structure from Diagnosis Related Group (DRG) to Medicare Severity-Diagnosis Related Group (MS-DRG) based reimbursement. This led institutions to prioritize clinical documentation improvement (CDI) programs in an attempt to align healthcare resources with patient complexity. Complete documentation has other benefits to a healthcare system as well. These […]