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Meeting
Search Results for Transition of Care
Abstract Number: 254
SHM Converge 2023
Background: As healthcare consolidation accelerates, healthcare systems must navigate logistical challenges in integration while continuing to provide high quality care to their patients. One area where this can be challenging is in a patient’s transition from one healthcare system to another; for example an inpatient transition to outpatient. This is a critical period as poor […]
Abstract Number: 259
SHM Converge 2023
Background: To support patients after hospital discharge, we developed and implemented a 30-day automated text-messaging intervention. The program was piloted in a single practice in Philadelphia, and was associated with a significant reduction in 30 day readmission and utilization of acute care resources. However, we wanted to understand the timing and nature of patient needs […]
Abstract Number: 268
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Emergency department (ED) overcrowding is a commonly encountered challenge and is associated with adverse events and poor patient satisfaction. One of the factors that can contribute to ED overcrowding is the boarding of admitted patients in the ED. Various methods have been implemented to improve this issue with limited success. Purpose: A collaborative workgroup […]
Abstract Number: 286
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Electronic prescribing (eRx) at discharge enhances safety and quality of care transitions. It results in improved medication adherence and a decreased chance of readmission. Stage 3 Meaningful Use goals include discharge eRx rates of greater than 25%. As of September 2017, our large academic medical center had a year-to-date discharge eRx rate of 18.3%, […]
Abstract Number: 293
SHM Converge 2024
Background: The Discharge Summary (DS) plays a vital role in transmitting key information about a patient’s hospital admission to their primary care clinician (PCC) and serves as a valuable information source for inpatient clinicians. However, current guidelines for DS creation tend to neglect the importance of prioritizing critical content. This oversight, coupled with the excessive […]
Abstract Number: 311
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Previous studies demonstrate patient readmissions to the Medical Intensive Care unit (MICU) from the ward are potentially associated with worse outcomes due to breakdowns in communication during ICU-ward transfer. Though previous work highlights the importance of shared mental models (whether clinicians have a mutual understanding) during handoffs, no studies examined the prevalence of a […]
Abstract Number: 317
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The 2001 Institute of Medicine Report Crossing the Quality Chasm cited a lack of care coordination as a contributing factor to the “chasm” between evidence-based and delivered care and suggests team-based models of care delivery. Hospitalists are tasked with increasing efficiency in inpatient care. LOS is designated as a measure of care coordination and […]
Abstract Number: 323
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Effective communication and care coordination between inpatient and outpatient teams are essential for safe care transitions. Currently there is infrequent communication between PCPs and Hospitalists around the time of discharge. Often, the PCPs are not aware of pending tests that need follow-up, and in the cases where they are aware of a pending test, […]
Abstract Number: 329
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Currently, Physical and Occupational Therapy (PT/OT) documentation dictates next site of care. PT/OT recommends how much therapy is needed upon discharge and where the therapist believes these services should be provided, which is often a Skilled Nursing Facility (SNF). This practice eliminates meaningful conversations between provider and patient regarding the patient’s wishes on next […]
Abstract Number: 335
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Recurrent hospitalizations are responsible for considerable health care costs. This retrospective observational study was undertaken to determine whether timely communication of care (COC), such as direct phone call or voicemail notice, following a hospitalization is effective at increasing clinic follow-up rates and reducing readmissions within 30 days after discharge. Methods: We analyzed 237 patients […]