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Search Results for Systems
Abstract Number: 341
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Since the roll out of the Affordable Care Act in 2012 there has been an increased financial pressure to prevent 30-day hospital readmissions. Yet the readmissions rate has remained relatively unchanged despite myriad of health system interventions have been trialed. To approach this issue from a new perspective we decided to query the patient’s […]
Abstract Number: 342
SHM Converge 2024
Background: Health systems science (HSS) is a burgeoning field in medical education, a movement spearheaded by the American Medical Association (AMA). Proposed as the Third Pillar of Medical Education alongside the two existing Pillars of Basic and Clinical Sciences, this field focuses education on how health care is delivered and improved on every level of […]
Abstract Number: 346
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: As electronic health records (EHR) become ubiquitous, the impact on patient outcomes remains largely unknown. One major communication barrier during patient transfers is the lack of interoperability between EHR systems. Inter-hospital transfers involve transitioning high acuity patients between hospital systems that may not be able to directly communicate with one another, creating the ideal […]
Abstract Number: 359
SHM Converge 2024
Background: Our Academic Medical Center, (AMC), located near the US-Mexico border, began receiving and treating patients with COVID-19 beginning in February of 2020. After activating incident command to increase surge capacity and developing protocols for treatment of patients with COVID-19, we developed adequate capacity for the most likely scenarios of pandemic progression. By April of […]
Abstract Number: 368
Hospital Medicine 2020, Virtual Competition
Background: Calls to action to address well-being recommend addressing systems drivers and improving the culture of medicine, in addition to devoting attention to individual self-care. In 2018, an internal medicine residency well-being elective was developed to teach residents about systems and cultural drivers of well-being in residency, and to facilitate deep exploration through individual systems […]
Abstract Number: 385
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diabetes is common, present in up to one third of hospitalized patients and up to 50% of critically ill patients. Studies have shown that hyperglycemia among hospitalized patients leads to worse clinical outcomes and increases readmission rates by over 30% relative to normo-glycemic patients. Insulin is the only medication recommended for treatment of diabetes […]
Abstract Number: 387
SHM Converge 2024
Background: Hospital systems are increasingly focusing on health equity, including identifying and addressing social drivers of health and healthcare disparities. Conventional quality improvement (QI) approaches have been used to address disparities with varying success. In our health system, using QI to increase use of interpreters has been the primary intervention for improving outcomes in patients […]
Abstract Number: 405
Hospital Medicine 2020, Virtual Competition
Background: Montefiore Health System (MHS) rapidly expanded from three hospitals in close proximity to eleven hospitals across hundreds of miles. The structure of the new health system follows a hub and spoke model with the concentration of specialty care located at the hub which is the Moses campus in Bronx, NY. In order to best […]
Abstract Number: 459
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Regardless of specialty or discipline, healthcare professionals are tasked with addressing high value care (HVC). It is therefore crucial that hospitalists and other members of the interprofessional team have training in addressing HVC, specifically around education and incorporating HVC into clinical practice and health systems improvement activities. Purpose: We developed a longitudinal curriculum at […]
Abstract Number: 557
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 65 year-old man with end-stage renal disease was brought to the Emergency Department (ED) when he developed confusion and shortness of breath at a skilled nursing facility (SNF). He had a recent prolonged hospitalization for pelvic osteomyelitis and was discharged to the SNF 3 days before presentation. In the ED, the providers […]