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Search Results for Planning
Abstract Number: 195
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Physician Orders for Life-Sustaining Treatment (POLST) form is an important tool to elicit and document patients’ treatment preferences in a way that is valid across health care settings. Studies on its efficacy have found high rates of consistency between patients’ treatment preferences for cardiopulmonary resuscitation (CPR), medical interventions, and artificial nutrition documented on POLST […]
Abstract Number: 198
SHM Converge 2024
Background: Communication between Hospital Medicine physician teams and interdisciplinary care providers (e.g. nurses, physical and occupational therapists, case managers) regarding disposition planning is often inconsistent, potentially delaying care and resulting in poor patient and provider experience. Prior studies demonstrate that sharing the estimated discharge date (EDD) early in a patient’s hospitalization can improve communication and […]
Abstract Number: 198
SHM Converge 2023
Background: Advance care planning (ACP) informs future medical decision-making, particularly for hospitalized patients with older age or serious illness. The majority of end-of-life conversations are led by hospitalists in the inpatient setting. Despite the importance of ACP in end-of-life care, health disparities exist, with racial and ethnic minorities less likely to have advanced directives and […]
Abstract Number: 199
SHM Converge 2024
Background: Problem Definition: Inadequate Advance Care Planning conversations and documentation remain a persistent gap in healthcare delivery. Admitting patients to the inpatient service without explicitly exploring the ‘goals of care’ and ‘code status’ results in stressful moments for the patients, their families, and providers if the condition deteriorates and may result in providing care that […]
Abstract Number: 200
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: High risk patients undergoing elective surgery are at increased risk of life-threatening complications. Also, most are under anesthesia, lacking capacity for at least that time. Despite this they often lack advance directives (ADs) or do not have them accessible in their medical records. Methods: We did a retrospective chart review of 231 patients seen […]
Abstract Number: 210
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Children and Young Adults with Special Healthcare Needs (CSCHN), especially those with multiple organ systems involvement, experience frequent and often lengthy hospitalizations. Hospital discharges for these children can be a complicated process that requires a deliberate, multistep approach and coordination among multi-disciplinary team members. Previous studies have demonstrated that homecare is a cost-effective measure […]
Abstract Number: 223
SHM Converge 2024
Background: Advance Care Planning (ACP), palliative care (PC), and enrolling inpatients near end of life into hospice are known methods to improve patient experience and reduce inappropriate use of inpatient (IP) resources. We sought to increase ACP, PC, and hospice referral by proactively identifying patients near end of life. Methods: In 2020 we introduced the […]
Abstract Number: 246
SHM Converge 2021
Background: Advance care planning (ACP) helps patients plan end of life care in accordance with their goals and values, but is often performed too late and infrequently. Hospitalists play an important role in delivering ACP for patients admitted for serious illnesses, but often cite competing inpatient priorities, lack of time and training, and uncertainty about […]
Abstract Number: 252
SHM Converge 2023
Background: Understanding patient readiness for discharge requires communication between the many disciplines who care for patients. Team members use different tools in the electronic health record (EHR) to document and communicate discharge-related information, which can result in inefficient communication, delays in discharge, and adverse patient outcomes. EHR-based discharge coordination tools have potential to improve discharge […]
Abstract Number: 253
Hospital Medicine 2020, Virtual Competition
Background: Conversations around advance care planning (ACP) allow patients to direct the type and intensity of the medical care that they receive. Known ethnic and racial disparities in ACP exist, with racial and ethnic minorities less likely to have living wills and DNR orders. We aimed to understand the impact of an intervention to improve […]