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Search Results for Readmission
Abstract Number: 397
SHM Converge 2023
Background: 22% of the hospitals overall STAR rating is based on readmission reduction for the following disease specific groups: pneumonia, chronic obstructive pulmonary disease, acute myocardial infarction and congestive heart failure. Creating strategies surrounding prevention of readmissions that create workload balance leads to improved ability to manage these patients. The hospitalist medicine, emergency medicine, pulmonary, […]
Abstract Number: 398
Hospital Medicine 2020, Virtual Competition
Background: The United States government has made decreasing 30-day unplanned readmissions a national priority, as early hospital readmissions are a common and costly occurrence. Establishment of the Hospital Readmission Reduction Program (HRRP) in 2012 led to financial penalties to hospitals with high 30-day readmission rates. As such, decreasing 30-day unplanned readmissions has become a key […]
Abstract Number: 401
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The simplified HOSPITAL score is an easy-to-use prediction model that accurately identifies patients at high-risk of 30-day unplanned readmission before hospital discharge. The predictors include the last available hemoglobin and sodium levels at discharge. Because an earlier stratification risk of readmission would allow more preparation time for transitional care interventions, we aimed to assess […]
Abstract Number: 401
SHM Converge 2023
Background: Case Managers (CM) are now a standard presence in emergency departments (ED) of large hospitals, partnering with ED and Hospital Medicine providers to improve care. They are integral in improving hospital throughput and reducing unnecessary hospital admissions and readmissions. Case Managers generally identify high-risk patients using a manual chart review process or by provider […]
Abstract Number: 404
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Unplanned hospital readmissions are a burden on patients and cost taxpayers tens of billions of dollars each year in the United States1. Multi-component interventions have been the most effective at readmission reduction.2. But with hospital resources spread thin, it may not be necessary or even feasible to provide a multicomponent intervention for all discharging […]
Abstract Number: 408
SHM Converge 2023
Background: Timely, effective follow-up after hospital discharge can improve the efficiency and outcomes of care by increasing hospital throughput and decreasing readmissions and other adverse events after discharge. The University of Chicago Medical Center (UCMC) has chronic bed shortages and a medically and socially complex patient population that makes optimal management of post-discharge care especially […]
Abstract Number: 410
SHM Converge 2023
Background: Avoiding preventable readmissions is a major goal of health care systems nationwide1. The Cardiorespiratory cohort consists of Veterans admitted with a diagnosis of CHF, COPD and non-COVID-19 Pneumonia, and is a high-risk group for readmissions. As part of a larger National VA High Reliability Organization (HRO) Collaborative2, an interdisciplinary team was launched to achieve […]
Abstract Number: 410
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Following discharge from hospital, Community Care Teams (CCT) continue the care of patients with chronic medical problems. Handover is by means of discharge summary with no further communication between Inpatient Teams (IPT) and CCT. When problems arise, CCT refer patients to the Emergency Department (ED) and re-admissions back to IPT are not infrequent. Purpose: […]
Abstract Number: 414
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Procedures are often an integral component of a patient’s care plan. Delays in procedures may lead to increased length of stay and decreased quality of care. For instance, prompt paracenteses in hospitalized patients with ascites is associated with a 24% decreased mortality in one study. At our institution, hospital throughput is essential given a […]
Abstract Number: 415
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Studies have shown about 2 million patients are readmitted to hospitals nationwide yearly. Data from the Center for Health Information and Analysis (CHIA) estimate the annual cost of readmissions of Medicare patients amounts to billions of dollars annually; about half this cost may be preventable. Hospitals are working to create programs to decrease readmission […]