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Search Results for Planning
Abstract Number: 256
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Late discharges are associated with hospital overcrowding, delayed inter-unit patient transfers, lower patient satisfaction scores and longer length of stay. At our hospital, there has been a consistent discordance between the teaching and non-teaching hospitalist services in the percentages of patients discharged before 11 am, which was 8.4% (teaching teams) versus 36.4% (non-teaching teams) […]
Abstract Number: 268
SHM Converge 2023
Background: Efficient discharge planning for hospital medicine patients requires alignment across multiple disciplines. Understanding how clinicians communicate information about discharge readiness can identify opportunities to improve discharge coordination and impact length of stay, hospital capacity, and patient satisfaction. The objective of this study was to outline the existing information gathering and communication pathways around discharge […]
Abstract Number: 270
SHM Converge 2024
Background: Hospital discharge requires coordination among multiple disciplines and may feel chaotic as discharge approaches. The 48-Hour Discharge Prediction Tool (48DPT) is an AI-based system developed to predict clinical readiness for discharge 48 hours beforehand, with the aim of alerting the interdisciplinary team and prompting earlier completion of preparatory procedures. This study assessed 48DPT’s impact […]
Abstract Number: 299
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Reducing length of stay to improve access, minimize hospital-associated morbidity, and reduce cost is a top priority at many hospitals. Information about barriers and delays impacting discharge (i.e., arranging subacute nursing facility placement, setting up a new dialysis seat, receiving consult recommendations for discharge) is rarely documented and often obtained anecdotally or qualitatively. This […]
Abstract Number: 314
Hospital Medicine 2020, Virtual Competition
Background: Effective discharge planning requires early identification of patients’ post-acute care needs as well as potential barriers to placement. Housestaff receive little formal training on discharge planning and are instead expected to learn “on-the-go”. At the West Los Angeles Veterans Affairs (WLAVA) Medical Center there exists many disposition options that aren’t available to our housestaff […]
Abstract Number: 350
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: While Medicare data demonstrates that healthcare spending is up to four times higher in yearly decedents than survivors, studies demonstrate that early advance care planning (ACP) leads to improved clinical outcomes and reduces cost without increase in patient anxiety or depression. Nationwide the creation of the Physician Order for Life Sustaining Treatment (POLST), a […]
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: 409
SHM Converge 2024
Background: Medically stable patients with barriers to discharge in the acute care setting are a growing proportion of hospitalized patients throughout the nation at a time when many hospitals are experiencing both bed and healthcare worker shortages. These patients remain bedded across various acute units in the hospital, reducing bed availability and staffing for more […]
Abstract Number: 413
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As patient turnover increases, inpatients and providers may feel pressure during discharge preparation. Hospitals emphasize early daily discharge to improve throughput and decrease length of stay. At our academic center, providers often report feeling rushed in the 24 hours before discharge. Increased work intensity may contribute to burnout for the interdisciplinary team. Few studies […]
Abstract Number: 422
SHM Converge 2024
Background: Goal-concordant care is an ongoing challenge in hospital settings. Failures in communication with patients and caregivers can lead to unwanted usage of hospital resources, including the ICU. This leads to lower quality care for patients and increased burden on the hospital. Goals of care conversations can be utilized to ensure that care aligns with […]