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Abstract Number: 69
SHM Converge 2023
Background: Despite benefits of early Serious Illness Conversations (SICs), including increased satisfaction and earlier hospice referral, rates of SICs remain low. The primary aim of this study is to assess if standardized documentation of SICs increase following implementation of interventions for providers to have more of these conversations with patients admitted to a general medicine […]
Abstract Number: 70
SHM Converge 2023
Background: Nearly 6 million pediatric patients are discharged from the hospital yearly in the United States (AHRQ 2012), and social determinants of health (SDoH) impact discharge outcomes (Nacht 2022). Effective discharge planning prevents patient readmissions (Shapiro 2021), but the literature on how best to educate pediatric trainees is limited (Key-Solle 2010, Widmer 2015). We assessed […]
Abstract Number: 73
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The UCLA Department of Medicine (DOM) Rapid Mortality Review (RMR) is an innovative in-person, near real-time review of all deaths to capture the unique insight of the care providers into aspects of end-of-life care quality that otherwise go undocumented and unreported. The purpose of this study is to examine characteristics of mortality cases that […]
Abstract Number: D5
SHM Converge 2022
Background: Serious Illness Conversations (SICs) lead to a better understanding of patient values and preferences, improved patient and family satisfaction, and other benefits. Prognostic awareness and early identification of patients who may benefit from an SIC remains a challenge. Epic’s Risk of Unplanned Readmission (Readmission Risk Score), a composite score (0-100) that includes clinical factors […]
Abstract Number: J7
SHM Converge 2022
Background: Documentation of code status is critical to goal-concordant care. Historically, documentation rates have been low due to time, the sensitive nature of discussions, and lack of experience. The COVID-19 pandemic, due to the risk of rapid decompensation and in-hospital mortality, created an urgent need for documentation of code status preferences among patients admitted to […]
Abstract Number: K6
SHM Converge 2022
Background: As the COVID-19 pandemic continues, the hospitalist workforce, which has been at the forefront, has been further stretched in both clinical and non-clinical domains. Hospitalists have faced increased clinical workloads due to inpatient volume surges, have been asked to lead hospital administrative pandemic responses, and have had to quickly adapt research to the context […]
Abstract Number: 110
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Advance care planning (ACP) is recommended to improve compliance with patient end-of-life wishes and to ensure appropriate use of healthcare resources. However, most American adults have neither living wills nor advance directives. Hospital physicians play a critical role in discussing and executing advance care plans, and stronger doctor-patient relationships may help increase rates of […]
Abstract Number: 110
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Situated in coastal Florida, the four hospitals/1,000 beds in the Health First Integrated delivery network are located right in hurricane alley. Our hospitalist program had to plan for, communicate, and execute our hurricane staffing and disaster plan twice in one year. Purpose: Lessons learned from the implementation of our Hospitalist staffing and disaster plan […]
Abstract Number: 145
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Lonely adults are prone to a variety of poor health outcomes, including accelerated functional and cognitive decline, depression, and premature mortality. As a result, lonely adults may be prone to higher health-related suffering, triggering increased healthcare utilization and possibly undesired aggressive care, particularly as they approach end of life (EOL). However, little is known […]
Abstract Number: 176
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Inconsistent transitions of care from the inpatient to outpatient setting may lead to preventable readmissions. Critical processes completed at discharge shown to reduce readmissions at our institution include admission and discharge medication reconciliation, clinically appropriate follow-up scheduled prior to discharge, and timely completion of a discharge summary within 48 hours of discharge (the “Core […]