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Abstract Number: 384
SHM Converge 2023
Background: The Vizient Quality and Accountability scorecard is a tool that measures academic medical centers (AMCs) clinical performance, focusing on quality and safety while targeting specific opportunities for improvement. The Vizient quality domains include Mortality, Efficiency, Effectiveness, Equity, Patient Experience, and Patient safety. In an academic setting, the frontline healthcare providers are resident physicians. As […]
Abstract Number: 397
SHM Converge 2024
Background: Clinical documentation is essential for adequate representation of patient quality care metrics and accurate diagnosis capture but rarely taught in graduate medical education. Inaccurate capture of diagnoses leads to clinical documentation integrity (CDI) queries, which increase workload on busy providers. Implementation of a standardized note template for our resident physicians previously resulted in an […]
Abstract Number: 416
SHM Converge 2024
Background: Clinicians spend nearly half of their time at work on clinical documentation, impacting time spent with patients and trainees. Studies have demonstrated a correlation with electronic health record (EHR) documentation burden and clinician burnout. Finding innovative ways to balance increasing EHR demands and mitigate this burden is essential. Purpose: We identified that time spent […]
Abstract Number: 426
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital discharge is a complex and dangerous process. The emergence and rapid growth of the Hospitalist specialty with the simultaneous decline of traditional practice models complicates discharges. In light of the discontinuity, it is crucial to build reliable communication tools that facilitate transmission of critical information.The discharge summary is an essential piece of that […]
Abstract Number: 427
SHM Converge 2024
Background: Diagnose and treat. That is the role of the physician. But the practice of medicine in recent years has been beaten hollow; its patient mission eclipsed by unwieldy technology and its practitioners so inundated with documentation and data entry, resulting in disengaged, frustrated, and burned out clinicians. The hospitalist has access to the entirety […]
Abstract Number: 448
Hospital Medicine 2020, Virtual Competition
Background: Clinical reasoning is a core component of medical training yet learners receive very little formative feedback on their clinical reasoning documentation. We hypothesize that this is related to the lack of a shared assessment rubric and faculty time constraints. Purpose: Here we describe the process of developing a machine learning algorithm for feedback on […]
Abstract Number: 475
Hospital Medicine 2020, Virtual Competition
Background: For academic hospital medicine groups to thrive and be partners with their hospital systems, physicians must document and bill appropriately as a means of demonstrating their clinical value. Yet, many major academic hospital medicine groups may be unaware or receive little training for this very important skill set. Based on data from the Society […]
Abstract Number: E20
SHM Converge 2022
Background: Accurate documentation of the patient’s diagnoses helps to reflect the severity of illness which has several downstream impacts: clinical outcomes data, risk stratification, hospital quality metrics data such as readmission and mortality index, hospital reimbursement. For this reason, our health system has various ongoing initiatives on clinical documentation to improve the specification of certain […]
Abstract Number: F21
SHM Converge 2022
Background: It is estimated that 3-5 falls occur per 1000 patient days in the US and UK(1). According to a study looking at National Database of Nursing Quality Indicators (NDNQI), established by the American Nurses Association, 26% of falls result in injury with 1 in 20 causing serious injuries(1). This poses a serious threat to […]
Abstract Number: H12
SHM Converge 2022
Background: While the electronic health record (EHR) provides many benefits, its use can easily allow for incomplete documentation of relevant historical information. The EHR is designed to store documentation of a patient’s past medical history (PMH), surgical history (PSH), family history (FH), and active hospital problems in the History tab. When the information is in […]