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Meeting
Search Results for READMISSIONS
Abstract Number: 76
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Centers for Medicare & Medicaid Services (CMS) started penalizing hospitals with “excess” 30-day readmissions, as determined by observed-to-expected ratio, for patients discharged after treatment for an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). An understanding of modifiable determinants of 30-day readmission will likely help in developing interventions to reduce preventable AECOPD readmissions. […]
Abstract Number: 78
SHM Converge 2023
Background: At our Level 1 trauma center, geriatric trauma (GT) patients are primarily managed by hospitalists with surgical consultation. This care model offloads the trauma surgical services, improving time to surgery and hospital throughput. As the number of injured GT patients rose, so did the need to address a higher complication risk, longer hospital stays, […]
Abstract Number: 81
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Reducing readmission rates may only be successfully realized if all factors that influence readmissions are thoughtfully considered. Beyond medical elements, nontraditional risk factors such as social and environmental variables may be associated with a higher likelihood of being readmitted. In this study we evaluated the effect of distance between home and ‘key resources’ on […]
Abstract Number: 84
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Disruptions in normal life routines (such as sleep, function, nutrition, etc.) that commonly occur as part of routine hospital care may be traumatic for acutely ill patients and lead to a generalized condition of high risk after discharge that has been described as “post-hospitalization syndrome.” We created the ARCHES cohort study to measure these […]
Abstract Number: 86
SHM Converge 2021
Background: The number of survivors of an initial COVID-19 disease hospitalization is growing and further data describing clinical and sociodemographic risk factors for hospital readmissions is needed. The CROSS (COVID-19 Characteristics of Readmissions and Outcomes and Social Determinants of Health Study) Collaborative was developed in July 2020 and is a multidisciplinary, multi-hospital group dedicated to […]
Abstract Number: 92
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitals are incentivized to reduce 30-day readmissions under the Affordable Care Act. Medicare payments can be reduced when inpatient readmissions are excessive. The Centers for Medicare & Medicaid Services (CMS) readmission measure is defined among encounters classified with only an inpatient status. At this time, observation encounters are not included in this measure. This […]
Abstract Number: 99
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Centers for Medicare & Medicaid Services (CMS) have sought to reduce readmissions through penalties applied to hospitals with readmission rates that are higher than expected, as calculated from models that use patient-level administrative data to account for case mix. Similar approaches are used to determine expected morality rates. Currently, CMS disseminates hospital-level adjusted […]
Abstract Number: D8
SHM Converge 2022
Background: Google searches for hospitals typically yield a Google star rating (GSR). These ratings are an important source of information for consumers. The degree to which GSRs are associated with traditional quality measures has not been evaluated recently. We sought to characterize the relationship between a hospital’s GSR, its Hospital Consumer Assessment of Healthcare Providers […]
Abstract Number: 103
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Although Hospice has been associated with improved symptom management, quality of life, lower costs and length of survival in terminally ill patients, it is underutilized. The primary outcome of this study was to examine the relationship between hospice enrollment status and hospital readmissions in elderly patients with solid tumors. Secondary outcomes were length of […]
Abstract Number: 126
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Unplanned readmissions among cancer patients are common and gastrointestinal (GI) cancer has some of the highest readmission volumes. Under the Affordable Care Act, hospitals have been getting penalized for excessive readmission rates. For now, the medical treatment of cancer is exempt from this measure. This is because the readmission profile of the cancer patient […]