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Search Results for READMISSIONS
Abstract Number: 135
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Black seniors have historically had higher readmission rates than white seniors, and hospitals that treat more black seniors have been disproportionately penalized the Medicare Hospital Readmissions Reduction Program (HRRP). Consequently, the policy could exacerbate racial disparities. We sought to determine whether, under the HRRP, trends in 30-day post-discharge mortality differed between black and white […]
Abstract Number: 144
Hospital Medicine 2020, Virtual Competition
Background: Many hospitals have focused on discharging patients before noon as a goal to improve throughput and decrease length of stay. However, those patients who can be discharged early in the day may actually represent a loss and not a win for the system, as they could have potentially been discharged the evening before. Methods: […]
Abstract Number: 144
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Venous thromboembolism (VTE) in hospitalized medically ill patients is a leading preventable cause of morbidity and mortality in the United States. About half of VTE events occur following discontinuation of standard-duration in-hospital prophylaxis and hospital discharge. The APEX study evaluated Betrixaban for in-hospital to home VTE prophylaxis and is the first FDA approved anticoagulant […]
Abstract Number: 144
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Health care expenditures in the United States have been increasing exponentially while hospital care accounts for one-third of the costs. Approximately 18% of hospitalized Medicare beneficiaries are being readmitted within 30 days following their discharge. As a quality measure, penalties for high readmission rates are inversely affecting the reimbursements. Currently, research on the factors […]
Abstract Number: 148
Hospital Medicine 2020, Virtual Competition
Background: Health care equity, one of the six domains of high-quality health care as defined by the Institute of Medicine, will only be achieved when health care outcomes do not vary based on patient social characteristics, such as gender, race, ethnicity, geographic location, and socioeconomic status. Readmission is a significant outcome for patients and health […]
Abstract Number: 153
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Cardiac readmissions are an ever expanding burden spanning from patients, to hospitals, all the way up to the national healthcare system. Currently, there is a lack of consensus regarding appropriate inpatient screening tests for identifying patients at high risk for readmission, as well as peri-hospitalization disease management regimens aiming to prevent readmissions. Our clinical […]
Abstract Number: 156
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Kaiser Permanente Roseville Medical Center is a 340 bed facility in Northern California. Reducing readmissions has been a focus, and the current observed over expected rate is 0.77. Starting from this relatively low readmission rate, our focus has been optimizing care for patients at high risk of readmission. A retrospective review of all patients […]
Abstract Number: 165
Hospital Medicine 2020, Virtual Competition
Background: Palliative care in seriously ill patients has been shown in some studies to improve satisfaction, symptoms, inpatient mortality rates, healthcare utilization and cost. While inpatient palliative care has been shown to improve symptoms and quality of life measures, the literature on its association with 30-day readmissions have been mixed for heart failure hospitalizations. We […]
Abstract Number: 178
SHM Converge 2024
Background: Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus that is increasing in frequency, and yet is preventable with adequate outpatient management. Studies have shown that children with diabetes in minority populations experience more frequent DKA admissions, possibly due to inequities in healthcare access. We examined whether disparities by race/ethnicity exist in DKA […]
Abstract Number: 180
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Readmissions within 30 days of discharge is used as a quality metric for the care of hospitalized patients. However, its prognostic value for patient outcomes has not been examined. We hypothesized that patients who get readmitted within 30 days of their index admission discharge may have higher short and long-term mortality. Methods: Using administrative […]