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Meeting
Search Results for Follow-up
Abstract Number: 244
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients discharged against medical advice (AMA) have disproportionately high healthcare costs and increased morbidity, mortality, and hospital readmissions. While patient risk factors for discharge AMA are known, there is little data regarding providers’ practice patterns during AMA discharge, including provision of follow-up appointments. Similarly, the frequency of a documented discussion of the risks and […]
Abstract Number: 257
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: According to Medicare Payment Advisory Commission, about 75% of hospital readmissions are potentially preventable, representing an estimated $12 billion in Medicare spending. Prompt follow-up of hospital patients before primary care and subspecialist appointment may decrease readmissions.Methods: This is a prospective single-site cohort study.We developed a Transitional Medical Clinic (TMC) at Mission Hospital (Mission Viejo, CA) to […]
Abstract Number: 265
Hospital Medicine 2020, Virtual Competition
Background: Hospital discharge is a complex process that requires coordination from various parties. There still remains a significant rate of readmission, with a reported 30 day readmission of roughly 20% and annual cost of $18 Billion to Medicare. Patients with adequate discharge planning have a decreased readmission rate. Recent studies that demonstrated that high risk […]
Abstract Number: 271
SHM Converge 2023
Background: The 30-day readmission rate is a key performance indicator for hospitals and hospitalist groups alike. Studies have reported a correlation between scheduling follow-up appointments and reduced readmission rates in specific patient populations (e.g. Heart Failure, COPD). However, evidence regarding the effectiveness of scheduling post-discharge appointments in general medicine patients has been mixed. Methods: We […]
Abstract Number: 307
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transition home after hospitalization carries significant risk of adverse patient events, readmissions and increased costs. Despite significant organizational efforts to improve care transitions, there continue to be challenges in implementing consistent interventions that impact key metrics of patient experience with the care transition and 30-day readmission rates. Purpose: Designing patient-centered systems which improve collaboration […]
Abstract Number: 333
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Preventing readmissions of patients with chronic illness can improve healthcare outcomes and decrease costs. Previously reported Medicare claims data from 2003 to 2004 showed that 19.6% of Medicare beneficiaries discharged from the hospital were readmitted within 30 days at a cost of $17.4 billion. Our 232-bed community hospital has set a goal to reduce […]
Abstract Number: 411
SHM Converge 2023
Background: Close outpatient follow up is a key element of a safe and effective transition to home after hospitalization. For a wide variety of patients, including those with myocardial infarctions, heart failure, and other conditions, interventions that encourage follow up can reduce readmissions and in some cases mortality. However, competing demands by the clinical team […]
Abstract Number: 415
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Studies have shown about 2 million patients are readmitted to hospitals nationwide yearly. Data from the Center for Health Information and Analysis (CHIA) estimate the annual cost of readmissions of Medicare patients amounts to billions of dollars annually; about half this cost may be preventable. Hospitals are working to create programs to decrease readmission […]
Abstract Number: 431
Hospital Medicine 2020, Virtual Competition
Background: Congestive heart failure (CHF) is a major cause of mortality and morbidity among general population despite recent advancements in goal-directed therapies. The advent of mechanical circulatory devices, the increased availability and improvement in heart transplant techniques have improved some metrics; however, CHF patients continue to have multiple readmissions for acute exacerbations. The frequency of […]
Abstract Number: 574
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 65-year-old African American male with known comorbidities of Hypertension, coronary artery disease was brought to the hospital with a new-onset seizure. Upon presentation, vital signs were within normal limits. Physical examination noted left gaze preference, right hemiplegia, and aphasia. All labs including blood chemistries, complete blood counts, infectious workup, and urine drug […]