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Search Results for practice
Abstract Number: 351
SHM Converge 2024
Background: There were 527,000 hospitalizations due to opioid use in 2012, which equates to more than $15 billion in medical care costs (Ronan & Herzig, 2016). Providers report significant barriers in treating patients with substance use disorders (SUDs), including feelings of unpreparedness to treat addiction (Calcaterra et al., 2021). Advance practice provider (APP) education lacks […]
Abstract Number: 352
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Appropriate use of consultation can improve mortality and decrease cost of care. However, inappropriate consultation may carry risks to patients. Little is known about the variability of inpatient consultation. We aim to describe patient-, admission-, and physician- level factors that influence the variability of inpatient consultation. Methods: We conducted a secondary analysis of 2011-2015 […]
Abstract Number: 364
Hospital Medicine 2020, Virtual Competition
Background: Advanced Practice Providers (APPs) are becoming a very prevalent part of academic hospital medicine. From 2016 to 2018, APP utilization in academic hospital medicine groups has increased by 23.6%, with 75.7% of academic HMGs now employing APPs. In our division, APPs have become an integral part of our educational fabric, teaching a wide array […]
Abstract Number: 369
SHM Converge 2024
Background: Advanced practice providers (APPs) are among the fastest growing occupations in the US. Onboarding APPs is imperative to ensure adequate training in hospital medicine, but can be challenging given the resources required for optimal training. Team-based training offers opportunities to provide comprehensive onboarding while efficiently utilizing existing staff and resources. Purpose: To develop a […]
Abstract Number: 371
SHM Converge 2023
Background: Compared to ten other high-income countries in the Organization for Economic Cooperation and Development (OECD), the US spent nearly twice as much on healthcare. Yet, compared to these countries, the US has the lowest life expectancy. This disparity will worsen as the US’s national healthcare expenditures rise from $4.1 trillion in 2020 to a […]
Abstract Number: 371
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Clinician prescribing practices are a contributing factor to and potential mitigator of the opioid epidemic in the United States. Several studies have identified the hospital setting as an important entry point into chronic opioid use. The Society for Hospital Medicine (SHM) and the Centers for Disease Control and Prevention (CDC) have made recommendations for […]
Abstract Number: 375
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: There is a huge desire to have hospitalist program in smaller community and rural hospitals. Few hospitals will be reluctant to have their own hospitalist program due to multiple issues. Bothwell Regional Health Center (BRHC) is a general medical and surgical hospital in Sedalia, MO, with 132 beds, located 68 miles west of Columbia, […]
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: 431
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: A vaso-occlusive episode (VOE) is a common complication of sickle cell disease (SCD). The most common presentation of VOE is pain that, if undertreated, can lead to life-threatening complications. Nearly all persons with SCD will have a VOE, however, data show that patients frequently receive inadequate analgesia when being treated for acute pain related […]
Abstract Number: 436
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Background: Advanced Practice Providers (APPs) are being increasingly utilized in hospital medicine groups. However, there is significant variation in how APPs are trained and utilized, resulting in high turnover rates, decreased provider satisfaction, and resistance to adopting a physician-APP practice model. Much of the literature around APP utilization is comparative in nature, describing APP […]