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Abstract Number: 188
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sepsis is a significant cause of morbidity and mortality in hospitalized patients . Early and appropriate therapy has been shown to improve outcomes, making early diagnosis and intervention critical . However, recognition and treatment of sepsis remains a challenge . In order to understand how to best deliver sepsis treatment in different hospitals within […]
Abstract Number: 195
SHM Converge 2024
Background: Medical procedure services (MPS) are increasingly implemented in Hospital Medicine programs to promote resident learning, support provider workloads, and expedite performance of common bedside medical procedures, including thoracentesis, paracentesis, and lumbar puncture (LP) [. Prior work has demonstrated safety and positive educational experience with MPS but little data exists on the impact of MPS […]
Abstract Number: 251
SHM Converge 2021
Background: COVID-19 has drastically changed medical school curriculum across the country. In March, the AAMC recommended pausing clinical activities for all medical students [1]. In response, the University of New Mexico School of Medicine (UNM SOM) transitioned to a virtual curriculum and implemented a four-week virtual public health course on COVID-19, followed by virtual clerkships […]
Abstract Number: 260
Hospital Medicine 2020, Virtual Competition
Background: The designation of a patient as outpatient versus inpatient status at time of discharge affects how hospitals bill Medicare for services because the center for Medicaid and Medicare services (CMS) reimburses hospitals at a higher rate for inpatient when compared to outpatient designation(1). Since the fiscal year of 2014, one of the major benchmarks […]
Abstract Number: 263
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Inpatient hospitalization represents a key time for patients who use tobacco to quit smoking, and inpatients who receive smoking cessation counseling, nicotine replacement, and referral to outpatient resources have increased quit rates six weeks after hospital discharge. However, in 2014, only 34.5% of tobacco users admitted to our 600-bed academic hospital were documented as […]
Abstract Number: 270
Hospital Medicine 2020, Virtual Competition
Background: Testing of ascitic fluid is recommended in all patients admitted to the hospital and delay in paracentesis has been shown to increase in-hospital mortality. Academic hospitalists in collaboration with internal medicine residency programs are establishing medicine procedure services to address concerns about resident training in procedures and patient safety. Our aim in this study […]
Abstract Number: 275
SHM Converge 2024
Background: Since the pilot project for the “hospitalist system” began in South Korea in September 2016, hospitalists have been delivering specialized care to inpatients, serving as experts in the field of hospitalization. Given the various reasons such as duty rotations, surgical procedures, and transfers, it is essential for hospitalized patients to undergo changes in their […]
Abstract Number: 303
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Hospital Discharge Day Management Service (CPT code 99238 or 99239) is a face-to-face evaluation and management (E/M) service provided to the patient by his/her attending physician on the day of discharge. The two codes differ based on the amount of documented time physicians spend in coordinating care and discharge services of either 30 […]
Abstract Number: 305
SHM Converge 2021
Background: Medicine procedure services (MPS) have been shown to increase Internal Medicine (IM) procedure volume, procedure completion rates, adherence to best practice safety measures, resident involvement, and resident satisfaction. However, deployment of MPS can be challenging as it requires significant lead time for ensuring skillset consistency, provider scheduling, and developing referral sources. At the same […]
Abstract Number: 307
SHM Converge 2021
Background: De-implementation of low-value services remains a challenge in healthcare. Research has shown that Choosing Wisely recommendations are ineffective in reducing low value care alone, and more robust interventions are needed. Additionally, most of the published efforts of reducing unnecessary inpatient services are done in smaller settings within a single hospital. Furthermore, initiatives in resource […]