Session Type
Meeting
Search Results for Transitions of Care
Abstract Number: 402
SHM Converge 2023
Background: Inter-hospital transfers are integral to a functioning health care network. Critical access, rural, and community hospitals established in sparsely populated territories are unable to support tertiary care infrastructure and rely on academic centers for consultation and transfer. Transfers comprise an estimated 3.5% of inpatient admissions (1), owing in part to increased procedural specialization concentrated […]
Abstract Number: 403
SHM Converge 2023
Background: Successful discharge practices and avoidance of readmission requires attention to social needs and care coordination with outpatient care providers. While national programs have attempted to identify interventions within the care continuum to prevent readmission, these programs rarely involve inpatient hospitalists. While robust requirements for certain care transitions processes such as medication reconciliation and discharge […]
Abstract Number: 405
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Cognitive load (CL) is increasing in healthcare leading to provider frustration and poor performance. Human factors design principles like cognitive load theory (CLT) may mitigate the negative impacts of CL. This study examined the impact of a post-hospital dashboard (PHD) designed using CLT on provider performance and perceptions of workload in the post-hospitalization visit. […]
Abstract Number: 406
SHM Converge 2023
Background: Our Hospital (Two Campuses A and B) is a part of Yale New Haven Health System (YNHHS). YNHHS is a nonprofit healthcare system in New Haven, Connecticut. Average length of stay (ALOS) for inpatients at Bridgeport Hospital remains longer than the national average. With the recent acquisition of another campus, inpatient volume at our […]
Abstract Number: 406
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Cross-cover is defined as caring for hospitalized patients for whom one is not the primary provider. This is a common, daily practice for residents and hospitalists. It has been demonstrated that the primary intern for a patient is available for only 39% of a patient’s hospital stay. Despite this, no guidelines currently exist regarding […]
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: 412
SHM Converge 2023
Background: Since the creation of Hospitalists in 1995, there has been much written about the importance of communication with primary care physicians (PCPs) as a routine staple of hospitalization. In practice, the inconsistent nature of hospitalist-PCP communication is well established. National surveys estimate the rates of communication to be between 20-40%. Amidst multiple barriers identified, […]
Abstract Number: 413
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As patient turnover increases, inpatients and providers may feel pressure during discharge preparation. Hospitals emphasize early daily discharge to improve throughput and decrease length of stay. At our academic center, providers often report feeling rushed in the 24 hours before discharge. Increased work intensity may contribute to burnout for the interdisciplinary team. Few studies […]
Abstract Number: 417
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Interhospital transfer is a necessary part of patient care in an increasingly complex healthcare environment. However, it is an ill-defined process that has been associated with increased mortality, cost, and length of stay, even after disease severity adjustment. Purpose: We aim to describe the triage process for interhospital transfer requests at a large, urban […]
Abstract Number: 423
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital discharge is a vulnerable time: patients are at risk for readmission, adverse events, and death. Activated patients–those with the knowledge, confidence, and skills to engage in activities that promote self-management–are more likely to execute a safe discharge plan and less likely to be readmitted. Educational videos focused on self-management may increase patient activation […]