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Abstract Number: 137
SHM Converge 2023
Background: An estimated 580,000 individuals were experiencing homelessness during the most recent national point-in-time count. Dialysis requires substantial patient engagement, and not having secure housing impedes medical care and could increase acute care utilization. The prevalence of homelessness and its impact on hospitalizations among patients with ESKD are unknown. This retrospective cohort study examined differences […]
Abstract Number: 150
Hospital Medicine 2020, Virtual Competition
Background: Patients with immune-mediated diseases such as rheumatoid arthritis, psoriatic arthritis, or inflammatory bowel disease (IBD) are increasingly being prescribed biologics. While biologics may account for roughly 2% of total prescriptions in the United States, they account for over 35% of net drug spending and for over 80% of the growth in net drug spending.1,2 […]
Abstract Number: 169
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital at Home (HaH) care is an alternative to traditional hospitalization with potential to address issues of cost and hospital capacity, while improving outcomes and patient satisfaction. In 2017, the US Department of Health and Human Services began to consider bundled payments for HaH despite a lack of US-based evidence on patient outcomes, real-world […]
Abstract Number: 200
SHM Converge 2021
Background: Communication between referring Veterans Health Administration (VHA) facilities and home health care agencies in the community is imperative for comprehensive care for Veterans. However, to date little is known about communication during care transitions from VHA facilities to home health care. The purpose of the present study is to conduct a preliminary exploratory survey […]
Abstract Number: 210
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Children and Young Adults with Special Healthcare Needs (CSCHN), especially those with multiple organ systems involvement, experience frequent and often lengthy hospitalizations. Hospital discharges for these children can be a complicated process that requires a deliberate, multistep approach and coordination among multi-disciplinary team members. Previous studies have demonstrated that homecare is a cost-effective measure […]
Abstract Number: 224
SHM Converge 2023
Background: Studies have demonstrated direct discharge to home with home care after hospitalization to be the optimal strategy for patients with social support. Even amongst sicker patients requiring intensive nursing and therapy services, evidence shows no difference in functional recovery when compared to those discharged to inpatient rehab. Furthermore, discharge location does not result in […]
Abstract Number: 232
SHM Converge 2021
Background: Hospital at home is a novel healthcare delivery model offering acute inpatient care outside hospital walls. In the United States, hospital at home programs are almost exclusively offered in urban settings. Many rural regions of the United States have difficulty with adequate healthcare access, and there is little data on rural hospital at home […]
Abstract Number: 238
SHM Converge 2021
Background: Heart failure (HF) is a major contributor to hospitalizations. At our institution, we determined that the average length of stay (LOS) for HF admissions was 0.54 days longer than expected compared to similar hospitals nationwide based on a risk-adjusted methodology. A chart review (n=25 patients) revealed that LOS was often extended due to ongoing […]
Abstract Number: 240
SHM Converge 2023
Background: Hospital at Home (HaH) programs provide feasible and effective inpatient-level care in patients’ homes, with interest in this value-based care model increasing substantially as health systems strain to meet capacity and resource demands.1-6 Despite well-documented benefits, adoption of HaH outside of capacity surges remains limited, hindering scalability efforts.7 Furthermore, patient and provider experiences of […]
Abstract Number: 253
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Homeless patients have a higher incidence of medical and psychiatric diagnoses, which often necessitate hospitalization. Studies show that homeless persons have increased lengths of stay with an average excess of 4.1 days, accounting for an average excess cost of $2414 per admission. Additionally, homeless persons have high rates of 30-day inpatient readmissions, as high […]