Session Type
Meeting
Search Results for Oncology
Abstract Number: 214
SHM Converge 2023
Background: Oncology comanagement of hospitalized cancer patients is increasingly common. We (1) and others (2-4) have previously demonstrated that when compared with traditional oncologist-only staffing, hospitalist co-management can improve on well-recognized quality outcomes including length of stay, early discharge rates and 30-day readmission rates. Yet, the composition of an oncology hospitalist practice is incompletely understood […]
Abstract Number: 216
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding. Prognostic disagreement occurs even amongst providers and is a less studied phenomenon. We introduced the Surprise Question (SQ), “Would I be surprised if this patient died in the next 1 year, 6 months, and 1 month?”, at multidisciplinary […]
Abstract Number: 220
SHM Converge 2024
Background: Patients with cancer diagnoses are known to have the highest likelihood of readmission to the hospital based on nationally available data. Reducing readmissions to the hospital has remained a national priority in healthcare quality, however it can be challenging to identify patients who are at highest risk for readmission to the hospital. Currently, our […]
Abstract Number: 255
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Standardizing inter-shift handoff procedures enhances continuity of care and quality with an associated reduction in preventable medical errors. This is particularly relevant in the inpatient oncology population where patients have a relatively high morbidity/mortality compared to the general inpatient population. With increasing handoffs due to work hour restrictions, and rising utilization of multidisciplinary teams, […]
Abstract Number: 287
SHM Converge 2023
Background: Hospitalization at Home (HaH) has demonstrated clinical quality and patient experience superiority in general inpatient medical patients. Expansion of this service to sub-specialized inpatient populations would be highly beneficial to patients and health systems. Mount Sinai Health System (MSHS) HaH enrolls oncology patients with active disease admitted for acute general medical conditions and for […]
Abstract Number: 327
SHM Converge 2023
Background: Many cancer centers use the hospitalist model in the inpatient setting (1) since hospitalists provide high quality, cost efficient care (2). Our 678-bed quaternary hospital uses oncology hospitalist teams to care for all inpatients with solid tumor malignancies with medical oncology and palliative care consulting as needed. Internal medicine residents and advanced practice fellows […]
Abstract Number: 366
SHM Converge 2024
Background: Ideally, all patients should have a designated medical durable power of attorney (MDPOA) in the event that they are incapable of making decisions for themselves when admitted to the hospital. This best practice ensures that patient wishes are being followed and eliminates the burden of identifying a medical proxy during a critical and stressful […]
Abstract Number: 379
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: When a patient with cancer or terminal illness is hospitalized, they may benefit from the input of their outpatient, primary oncologist or palliative care provider to inform key decisions. As most oncologists’ and ambulatory palliative care clinics are based outside the hospital, these conversations often happen via unreimbursed phone conversations, making it difficult to […]
Abstract Number: 398
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Admitted Hematologic and Oncologic patients are often complex and have a unique set of challenges. Balancing outpatient care plans with inpatient medical and psychosocial issues can lead to long lengths of stay, patient dissatisfaction, and provider burnout. Hospitalists offer an expertise in managing complex medical problems along with an adept ability to integrate and […]
Abstract Number: 444
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The burden of acute care among cancer patients, estimated to exceed $70B by 2020, represents ~50% of all costs of advanced cancer care and accounts for 70% of nationwide regional variation in these costs. The Centers for Medicare and Medicaid Services proposed value-driven Rule OP-35 includes a mandate to reduce acute care use among […]