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Search Results for Engagement
Abstract Number: 344
Hospital Medicine 2020, Virtual Competition
Background: Effective nurse-physician communication is imperative to safe, patient-centered care. Poor communication can lead to adverse events, ranging from near misses to patient deaths. It is important for information to be accurate and timely. In addition to patient safety, there are financial implications to poor communication. According to a 2015 study, communication failures in the […]
Abstract Number: 375
SHM Converge 2023
Background: Increasingly, hospitalizations are becoming more complex and patients are frequently discharged from the hospital with new medical diagnoses, medications, and need for close follow up care (1,2). In 2009, the Health Information Technology for Economic and Clinical Health Act published meaningful use rules for using the Electronic Health Record (EHR), which included that the […]
Abstract Number: 379
Hospital Medicine 2020, Virtual Competition
Background: A publicly funded Health Authority embraced a Hospitalist service in 2000 as a quality improvement initiative. This relationship turned contentious over several contract renegotiations. With each successive contract, trust declined and the working environment became adversarial. Failed negotiations lead to a contract termination in 2015, ultimately affecting the stability of this medical service. Purpose: […]
Abstract Number: 383
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sub-optimal discharge preparation during hospitalization may adversely impact safety and lead to a poor patient experience. As part of an AHRQ-funded study, we designed and developed interactive digital health tools (Figure 1) to engage patients and caregivers in self-assessing discharge preparedness: an educational video and 16-item discharge checklist addressing 4 domains (understanding the plan, […]
Abstract Number: 387
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Typical solutions to incorporating provider input into discharge planning often rely on one-way communication mechanisms and data entry that is not dynamic (i.e. providers estimate day of discharge in advance). We are designing a discharge readiness tool to be integrated into our current electronic health record (EHR), Epic Systems-Verona Wisconsin, that allows providers to […]
Abstract Number: 407
SHM Converge 2023
Background: Adverse events (AE) are common during care transitions (19-28%) in patients with multiple chronic conditions (MCC) and often lead to unanticipated healthcare resource utilization after discharge. While early indicators of these AEs include new and worsening symptoms, systematic monitoring of patient-reported symptoms is lacking. The 21st Century Cures Act mandates the healthcare industry to […]
Abstract Number: 431
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: A vaso-occlusive episode (VOE) is a common complication of sickle cell disease (SCD). The most common presentation of VOE is pain that, if undertreated, can lead to life-threatening complications. Nearly all persons with SCD will have a VOE, however, data show that patients frequently receive inadequate analgesia when being treated for acute pain related […]
Abstract Number: 453
SHM Converge 2024
Background: As hospital systems look to a future of accelerated movement toward value, hospitalist engagement will be necessary for identifying opportunities and executing improvement in the inpatient space. Improvement in efficiency of clinical care, and related decrease in length of stay (LoS), has been identified as a way hospitalist teams can contribute to value-based care. […]
Abstract Number: 477
Hospital Medicine 2020, Virtual Competition
Background: The timing of discharges of admitted patients has a significant impact on hospital efficiency and throughput. Earlier discharges are associated with improved boarding times, admissions arriving to inpatient units earlier in the day, and decreased length of stay. Discharges that occur later in the day creates a bottleneck effect, causing emergency room congestion, overcrowding, […]
Abstract Number: 478
Hospital Medicine 2020, Virtual Competition
Background: The Cost Savings Reinvestment Program (CSRP) was created to benefit both the School of Medicine (SoM) and Stanford Health Care by incentivizing physicians to develop and assist with the implementation of initiatives that reduce hospital costs while maintaining or enhancing the quality of care provided to hospital patients. Cost savings realized from successful initiatives […]