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Abstract Number: 262
SHM Converge 2023
Background: The care management and discharge planning of psychiatric patients experiencing homelessness (PPEH) is an area of debate. Due to the lack of research on best practices and community resources available, there are currently insufficient actionable guidelines in place to properly assist PPEH in their psychiatric care post-discharge, leading to high rates of readmission. Though […]
Abstract Number: 286
SHM Converge 2023
Background: In November 2020, CMS issued the Acute Hospital Care in the Home waiver which allows hospitals to care for appropriate Medicare inpatients in a patient’s home. UNC Health launched its home hospital program Advanced Care at Home in August 2021. Hospitals issued the CMS waiver are required to subject patients to both clinical and […]
Abstract Number: 287
SHM Converge 2023
Background: Hospitalization at Home (HaH) has demonstrated clinical quality and patient experience superiority in general inpatient medical patients. Expansion of this service to sub-specialized inpatient populations would be highly beneficial to patients and health systems. Mount Sinai Health System (MSHS) HaH enrolls oncology patients with active disease admitted for acute general medical conditions and for […]
Abstract Number: 316
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Communication is critical to high-quality care transitions, yet little is known about the quality of information transfer from the hospital to home health care (HHC) setting. We performed a cross-sectional survey of HHC nurses and staff to evaluate their perspective on the completeness of medical information transferred from hospitals to HHC agencies in Colorado. […]
Abstract Number: 322
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In 2012, nearly one-third of older adults (>65 years) with Medicare discharged to home after hospitalization were referred for home health care (HHC) services. Care coordination between healthcare settings is frequently inadequate. We sought to describe care coordination challenges and potential solutions from the perspective of HHC nurses. Methods: We conducted a qualitative descriptive […]
Abstract Number: 322
SHM Converge 2024
Background: The COVID-19 omicron variant pandemic has created a community outbreak and the need for tele-consultation with hospital-at-home care has surged, especially in the rural area, like Taitung. There were some innovated telemedicine pilot programs developed in Taitung over the past 4 years in Taiwan. Purpose: This study examines the key success factors driving teleconsultation […]
Abstract Number: 328
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Veterans Health Administration (VHA) is undergoing a national effort to improve access for its patients so that veterans can get the right care, in the right place, at the right time. National benchmarks suggest a time period of two weeks is adequate for non-acute specialty care follow-up, yet our hospital typically averages third […]
Abstract Number: 334
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Studies have shown that care transitions represent times of great risk, especially to vulnerable patients; medication reconciliation is a major component of ensuring safe care transitions. Yet, challenges exist to obtaining a best possible home medication list (BPHML) on a provider, patient, and institutional level. Academic hospitals have large pools of in-training providers. Safety […]
Abstract Number: 363
SHM Converge 2024
Background: Hospital at Home programs originated as pilot initiatives on a national scale, gaining momentum during the COVID-19 pandemic. The need for reevaluating healthcare delivery systems became pronounced during this period. Kent Hospital in Rhode Island collaborated with key stakeholders, including Blue Cross Blue Shield of Rhode Island, United Health Care, and CMS, to bring […]
Abstract Number: 372
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 68-year-old man presented to the Emergency Department complaining of diaphoresis with concomitant alerts on his Apple Watch which reported his heart rate was irregular. He has a known history of CAD with previous stent placement but did not report any chest pain, shortness of breath, palpitations, or recent medication changes. He did […]