Session Type
Meeting
Search Results for Transitions of Care
Abstract Number: 23
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharge to post-acute care settings (PACs), such as skilled nursing facilities (SNFs), requires significant, complex discharge planning which often needs to be started early during hospitalization to be complete by time of discharge. This study sought to identify and model factors which predict a given patient’s likelihood of requiring PAC after discharge, using routinely […]
Abstract Number: 24
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: A fifth of older adults discharged from the hospital require readmission within 30 days. Readmissions impose an enormous burden on both patients and the healthcare system. Previous investigations have found that less than half of discharged patients are able to understand and execute the discharge plan and are likely to overestimate their comprehension of […]
Abstract Number: 25
Hospital Medicine 2020, Virtual Competition
Background: Discharge summaries assist in the transition from inpatient to outpatient care by communicating key diagnoses, medication changes, and follow-up instructions. Despite use of standard formats for discharge summaries through electronic medical records (EMR), primary care physicians (PCPs) report dissatisfaction with locating important information in discharge summaries. Purpose: The aim of our project was to […]
Abstract Number: 33
SHM Converge 2021
Background: Many institutions rely on informal training for internal medicine (IM) residents about how to provide effective discharge communication to patients and their caregivers. Complete instructions are essential to safe transitions of care. At our institution, we evaluated baseline knowledge of these topics among IM residents, and assessed how an educational module impacted residents’ knowledge, […]
Abstract Number: 36
SHM Converge 2024
Background: Nationwide, hospitals are experiencing high patient volumes, attributed to medical complexity, hospital length of stay, and hospital readmissions, among other factors. In this context, hospitalists’ roles have been expanding to optimize care during and following hospitalization. Post-discharge care is typically managed by primary care providers, and there is sparse information on programs that leverage […]
Abstract Number: 37
SHM Converge 2023
Background: Many patients continue their post-acute care in settings such as skilled nursing facilities (SNFs). One in four hospitalized Medicare patients are discharged to SNFs. These patients are generally the elderly or require more care than patients discharged home, placing them at greater risk of clinical decline and rehospitalization. Moreover, 25% of patients discharged to […]
Abstract Number: 37
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Increased fragmentation of inpatient medical care requires hospitalists to frequently hand off their patients to other providers. Communication breakdown during transitions of care is a major cause of adverse events. Direct observation of handoff encounters and performance feedback can help providers develop the skills needed to safely transition patients across the health system and […]
Abstract Number: 38
SHM Converge 2023
Background: Patients experiencing unsheltered homelessness are at extreme risk for worse outcomes, including increased mortality 10 times that of the general population and an average life expectancy of 53 (over 20 yrs less than general population). Transitions of care pose unique difficulties for this vulnerable population, with numerous barriers to ongoing care and resulting readmission […]
Abstract Number: 51
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Frequently hospitalized patients represent a vulnerable population due to discontinuity between episodes of inpatient, outpatient, and specialty care. This discontinuity puts patients at risk for unnecessary over-treatment, dangerous under-treatment, medication errors, and loss of trust due to conflicting messages from healthcare providers. Providers face rising clinical volumes, decreasing familiarity between providers, and ever more […]
Abstract Number: 57
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medical errors commonly occur during transitions of care, but medical trainees receive little formal education in how to recognize and address those patients most at risk. Teaching third year medical students to identify risk factors for adverse events may highlight practice changes to enhance safety during transitions. Purpose: To determine if a Transitions of […]