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Abstract Number: 394
Hospital Medicine 2020, Virtual Competition
Background: Communication, availability and timeliness of evaluation (all skills of Hospitalists) are key drivers for a successful co-management service. Our Hospital Medicine Group created a Urology Hospitalist co-management program in July of 2016. We designated a core group of highly specialized urologic hospitalists (UHOS) to work closely with the urologic surgeons to coordinate and improve […]
Abstract Number: 395
Hospital Medicine 2020, Virtual Competition
Background: In surgical co-management (SCM), surgeons and hospitalists share responsibility of care of the surgical patients. In August 2012, we implemented SCM in Orthopedic and Neurosurgery services at our institution (Ann Surg 2016;264(2):275-282). This model is innovative because the same Internal Medicine hospitalists are dedicated year round to the same surgical service. After the first […]
Abstract Number: 399
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Advancement of patient care can necessitate inter-hospital transfers to another facility. The inter-hospital transferring process can pose inherent risks to the patient due to the transition of care, as well as increase overall cost for the healthcare system. Reviewing cases of mortality after inter-hospital transfer can identify opportunities to improve patient safety and efficiency […]
Abstract Number: 399
SHM Converge 2023
Background: The social determinants of health (SDOH) are widely recognized as having an important impact on health and mortality with up to 80% of health outcomes shaped by SDOH domains ( the conditions in which people are born, grow, work, live, and age). There is strong evidence that addressing unmet social needs can lower healthcare […]
Abstract Number: 400
SHM Converge 2023
Background: Correct home medication histories are critical to prevent harm during a patient’s hospitalization [1]. The wrong dose of a home medication or omission of a medication can result in serious drug toxicity or withdrawal. However, hospital medicine providers and pharmacists may have limited time and resources to perform thorough medication histories for all patients […]
Abstract Number: 401
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The simplified HOSPITAL score is an easy-to-use prediction model that accurately identifies patients at high-risk of 30-day unplanned readmission before hospital discharge. The predictors include the last available hemoglobin and sodium levels at discharge. Because an earlier stratification risk of readmission would allow more preparation time for transitional care interventions, we aimed to assess […]
Abstract Number: 402
SHM Converge 2023
Background: Inter-hospital transfers are integral to a functioning health care network. Critical access, rural, and community hospitals established in sparsely populated territories are unable to support tertiary care infrastructure and rely on academic centers for consultation and transfer. Transfers comprise an estimated 3.5% of inpatient admissions (1), owing in part to increased procedural specialization concentrated […]
Abstract Number: 404
SHM Converge 2023
Background: Our region has the lowest hospital bed per capita of any metropolitan area in the United States. Additionally, during the COVID-19 pandemic there have been outpatient dialysis chair shortages due to workforce staffing issues. This has led to many patients waiting weeks or even months in the hospital to secure a new chair for […]
Abstract Number: 405
Hospital Medicine 2020, Virtual Competition
Background: Montefiore Health System (MHS) rapidly expanded from three hospitals in close proximity to eleven hospitals across hundreds of miles. The structure of the new health system follows a hub and spoke model with the concentration of specialty care located at the hub which is the Moses campus in Bronx, NY. In order to best […]
Abstract Number: 408
Hospital Medicine 2020, Virtual Competition
Background: Shared decision making is a key component of patient-centered care, allowing physicians and patients to balance the capabilities of the medical system with the values of the patient. However, the concept of shared decision making is not unique to a physician-patient relationship. Institutions from Athens, Greece to Silicon Valley have recognized the benefits of […]