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Abstract Number: 404
Hospital Medicine 2020, Virtual Competition
Background: In an increasingly digital world, there are still many manual and paper based workflows in healthcare. Paper scripts are an area that is prevalent and is the gold standard for certain prescribing behaviors. Paper scripts have numerous challenges, they can be lost, are difficult to track, and physically have to be delivered to the […]
Abstract Number: 404
SHM Converge 2023
Background: Our region has the lowest hospital bed per capita of any metropolitan area in the United States. Additionally, during the COVID-19 pandemic there have been outpatient dialysis chair shortages due to workforce staffing issues. This has led to many patients waiting weeks or even months in the hospital to secure a new chair for […]
Abstract Number: 411
SHM Converge 2024
Background: Healthcare systems face challenges to meet the needs of a complex aging patient population, and simultaneously at risk of clinician burnout and loss of talent. Advancements in technology for clinical use have extended the reach of clinicians into patient homes, improving operational efficiency of Acute Care at Home programs, as well as patient and […]
Abstract Number: 417
SHM Converge 2023
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. More recently, HaH models have evolved to include transitional care solutions to improve patients’ post-acute outcomes. Meanwhile, services which were traditionally provided only in the inpatient setting, such as elective arthroplasty, have begun to shift to same-day and […]
Abstract Number: 423
SHM Converge 2024
Background: In 2020 due to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services approved the Acute Hospital Care at Home Waiver allowing hospitals to be reimbursed for hospital-level care for patients in their own home. Almost 300 hospitals across 37 states have been approved to launch their own Hospital at Home (HaH) programs. […]
Abstract Number: 431
SHM Converge 2021
Case Presentation: A 52-year-old destitute G6P6006 woman with an advanced stage Inflammatory breast cancer (IBC) presented to the OB/GYN for four-month right breast pain and one-month skin changes. The examination was notable for a diffusely dense and hard to left palpation breast, peau d’orange, medial scarring similar to boils without drainage, absent nipple discharge, and […]
Abstract Number: 452
Hospital Medicine 2020, Virtual Competition
Background: Communication between home health care agencies and referring facilities is important for comprehensive care for patients. Yet, both home health care providers and hospitalists feel that this communication is frequently lacking. Purpose: To implement weekly teleconferences to discuss patients recently discharged from the Rocky Mountain Regional VA Medical Center (RMR VAMC) who are initiating […]
Abstract Number: 472
Hospital Medicine 2020, Virtual Competition
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Recent demand for healthcare value and advances in relevant technologies have driven renewed attention to HaH models, including from the Center for Medicare and Medicaid Services (CMS), and have spawned several pilots within the U.S. Where studied, these […]
Abstract Number: 534
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 52 year-old homeless man presented to the ED with knee pain after a mechanical fall. X-ray confirmed a depressed, lateral tibial plateau fracture. He was discharged with a knee brace and a referral to orthopedic surgery. Because of continued knee pain, he returned to the same ED two days later and went […]
Abstract Number: 585
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old man with a medical history of nicotine dependence, gastroesophageal disease (GERD) and chronic obstructive pulmonary disease (COPD) emphysema sub-type presented to the outpatient clinic for the evaluation of cough and shortness of breath. Cough was said to be productive of light-yellow sputum and he denied any associated fevers or chest pain. […]