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Abstract Number: 405
SHM Converge 2023
Background: In November 2021, we initiated a project to improve our length of stay (LOS) and plan of care for patients with a LOS of ≥6 days. We created the Complex Cases Rounds (CCRs) for all patients hospitalized under the hospital medicine service in our community hospital, Emory Johns Creek Hospital. Purpose: CCRs provide a […]
Abstract Number: 413
SHM Converge 2024
Background: As the prevalence of patients admitted with a diagnosis of acute decompensated heart failure rises, hospitalists are at the forefront of delivering care for this complex patient population. Heart failure (HF) exacerbations are one of the leading causes of hospitalizations with high rates of readmissions and associated mortality. Evidence based studies show that optimizing […]
Abstract Number: 421
SHM Converge 2023
Background: Hospitals are facing increasing pressure to optimize throughput in order to reduce excess length of stay and improve emergency department (ED) boarding times. Improving coordination and throughput in complex organizations with multiple care sites can be particularly challenging. Health systems have implemented numerous initiatives to improve hospital throughput, but these efforts have mainly been […]
Abstract Number: 428
Hospital Medicine 2020, Virtual Competition
Background: At our Tertiary Care, Academic, Level 1 Trauma Center, length of stay (LOS) has increased over the past year. This has been associated with increased occupancy, increased boarding in the ED and increased volumes on the Medicine teams. In response, reducing LOS has has been targeted as a strategic priority for the institution. Existing […]
Abstract Number: 433
Hospital Medicine 2020, Virtual Competition
Background: Over the last 2 decades there has been increasing adoption of Observation (OBS) units across the healthcare facilities in United States. Health reforms like 2 midnight rule and 30 day readmission penalties, congestion in the ED, poor operational outcomes in OBS population mixed with inpatients (IP) etc. further added to the need for dedicated […]
Abstract Number: 434
SHM Converge 2024
Background: Hospital discharge is a complex process for patients, caregivers, and providers. A patients’ understanding of new diagnoses, medications, and appointments improves the capacity for self-care and post-discharge outcomes. A new “Team Discharge” initiative was piloted to improve patients’ understanding of the discharge plan through patient-centeredness and interdisciplinary communication during the critical transition from hospital […]
Abstract Number: 440
Hospital Medicine 2020, Virtual Competition
Background: As inpatient medical care has increased in complexity and fragmentation, rounding has become siloed away from patients and by discipline, resulting in disjointed and inefficient care models. In response, hospitalist groups across the country have been implementing unit-based rounding programs to centralize communication and align work-flow of health care team members. At UC San […]
Abstract Number: 446
SHM Converge 2024
Background: Hospitals continue to experience pressures to optimize efficiency and quality outcomes and to reduce practice variation. In surgical patient populations, the Enhanced Recovery After Surgery (ERAS) pathways have been shown to reduce length of stay, postoperative complications, hospital readmissions, and cost by integrating multidisciplinary, evidence-based interventions throughout the perioperative period (1). A similar model […]
Abstract Number: 448
SHM Converge 2024
Background: Bedside procedures are safe, cost effective, and efficient when performed by trained hospitalist physicians, unfortunately it is a skill that has been lost over the years when not practiced after residency. Interventional radiologists (IR) perform the bulk of these procedures in many different hospitals, but this can lead to delay in patient care, increased […]
Abstract Number: 470
Hospital Medicine 2020, Virtual Competition
Background: While rapid response teams are well established for inpatient emergencies, outpatient emergency response on large medical campuses is much more variable. At our institution, this need for outpatient emergency response is particularly acute. As a tertiary referral center, cancer treatment center, and the largest transplant center in the state, our clinics provide 1.4 million […]