Session Type
Meeting
Search Results for Post-acute care
Abstract Number: 276
SHM Converge 2023
Background: The VA, like many health care systems, seeks to meet the needs of a rapidly growing older adult population. The transition from hospital to post-hospital care – particularly in older adults- is increasingly common, but unfortunately is high-risk and low-value. Further, 85% of older adults choosing a skilled nursing facility had a higher-quality facility […]
Abstract Number: 279
SHM Converge 2024
Background: Hospitalized patients often require post-acute care (PAC) after discharge ranging from long-term acute care hospitals (LTACH) to home health services. However, patients waiting for discharge to PAC are at risk for delayed discharges [1], which can increase in-hospital complications, increase costs, and decrease access to hospital care for other patients. [2, 3] Disposition prediction […]
Abstract Number: 285
SHM Converge 2024
Background: Black patients have distinct disadvantages that are associated with poor functional outcomes. Physical therapy (PT) is an invaluable tool for improving functional outcomes including hospital-associated disability and physical deconditioning. However, Black patients on trauma surgery services or with traumatic brain injury are less likely to be offered post-acute rehabilitation. Older White patients have higher […]
Abstract Number: 304
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The number of older adults discharged to post-acute care (PAC) facilities (such as skilled nursing facilities) after hospitalization is increasing rapidly, but their clinical course in PAC is uncertain. More than 25% will be readmitted, and some may not successfully rehabilitate and return to the community. Clinicians and patients currently lack data to inform […]
Abstract Number: 345
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients discharged to post-acute care facilities are at higher risk for re-admissions compared to those discharged home. Mount Sinai Hospital (MSH) discharges a significant number of patients to Terence Cardinal Cooke Health Care Center (TCC), a post-acute care nursing facility in Manhattan. In 2013, MSH discharges by the hospitalist service to TCC had an average […]
Abstract Number: 422
SHM Converge 2023
Background: Prior to the COVID Pandemic, the telemedicine market was expected to grow at a rate of 18.4 percent a year. With the Coronavirus Preparedness and Response Supplemental Appropriations Act signed into law in March 2020, Telehealth has experienced rapid expansion. Tele-hospital medicine is carving out several new niches. One is providing a virtual hospitalist […]
Abstract Number: 479
Hospital Medicine 2020, Virtual Competition
Background: Hospital medicine continues to expand and hospitalist practitioners are now rising to challenges of other venues looking to capture the value hospitalists bring. One area with a paucity of such skill but a rising need is the realm of eating disorder medicine. Purpose: To showcase hospital medicine in a niche role, specifically eating disorder […]
Abstract Number: O15
SHM Converge 2022
Background: The hospital discharge represents a time-dependent and vulnerable chapter in the patient pathway. Approximately one-fifth of hospital discharges suffer delays due to non-medical reasons with one major factor being inadequate assessment and recognition of barriers to discharge when first admitted. Promising work in the existing literature demonstrates a relationship between a measure of patient’s […]
Oral Presentations
Abstract Number: OP12
SHM Converge 2022
Background: Previous studies have documented discriminatory refusals from post-acute care facilities related to opioid use disorder or opioid agonist therapy, however the impact of inability to secure skilled nursing facility (SNF) placement for patients with any substance use disorder (SUD) has not been fully explored. The objective of this study is to measure the odds […]
Oral Presentations
Abstract Number: Oral
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists increasingly confront patient care and policy dilemmas due to financial incentives created by bundled payments, single payments that “bundle” acute and post-acute care for specific diagnoses. The most common and most successful bundled payment has been for total joint replacement, where cost savings have been achieved through discharging patients to home rather than […]