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Abstract Number: 327
Hospital Medicine 2020, Virtual Competition
Background: Cancer screening guidelines based on age, biological sex, and degree of risk are intended to diagnose malignancies early and in the outpatient setting. Despite these efforts, malignancies are often diagnosed while patients are admitted to the hospital. These diagnoses are made either incidentally or after the onset of a clinical condition that necessitates an […]
Abstract Number: 335
SHM Converge 2024
Background: Coaching and mentorship programs for new hospitalists can help support early career development. However, new faculty may need additional real-time support as they attend on service for the first time. This may be particularly useful on the teaching service given the unique challenges new faculty may face, such as developing teaching points, providing feedback […]
Abstract Number: 342
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital medical groups use various staffing models which systematically affect care continuity during the admission process. Our service changed models of care from a “general model”, where hospitalists who perform hospital rounds and discharges also perform admissions on the same service day, to an “admitter-rounder model”, where service work is divided each day between […]
Abstract Number: 356
SHM Converge 2024
Background: Prolonged hospitalizations of patients who are medically ready for discharge are highly prevalent in the current acute care environment.1 Patients who remain in the hospital beyond resolution of their acute medical needs often have high medical, social and psychiatric complexity and are poorly served remaining in an environment that is not designed for their […]
Abstract Number: 361
SHM Converge 2023
Background: Hospitalist-run Medical Procedure Services (MPS) have been shown to decrease time-to-procedure, overall length of stay, and interventional subspecialty consults for bedside procedures while increasing revenue for hospitalist groups [1,2,3,4]. However, significant challenges remain in the deployment of a financially sustainable MPS, and there is interest in identifying and deploying strategies to improve sustainability. Two […]
Abstract Number: 366
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Studies have shown that overutilization of labs is common and can cause adverse health outcomes. No study to date has compared whether variation in lab ordering tendencies exists between different services within the same hospital. Methods: This observational study combined a survey of internal medicine residents and hospitalists and a retrospective […]
Abstract Number: 396
SHM Converge 2023
Background: Ongoing staffing shortages, high bed occupancy rates and post COVID changes are putting substantial strain not only on the inpatient environment, but also on the Emergency Department (ED). Increase in the number of boarded patients and length of boarding times pose risk to optimal patient care. Across the nation, the role of hospitalist as […]
Abstract Number: 459
SHM Converge 2024
Background: Work schedules are an important contributor to clinician satisfaction and wellbeing. Following increased work demands from the pandemic, we implemented a change to our hospitalist service structure from a “standard model” with 12-hour, 7-day on, 7-day off shifts including both rounding and admitting duties to an “admitter rounder model” which consisted of primarily 10-hour […]
Abstract Number: 469
Hospital Medicine 2020, Virtual Competition
Background: At academic institutions and other referral centers the process of accepting transfers from other hospitals has been a challenging and potentially laborious process to coordinate smoothly. It was also one that was not previously reimbursable. However, beginning in 2017 Medicare and other insurance companies began reimbursing Non-Face-to-Face Prolonged services procedural codes. These new codes […]
Abstract Number: 474
Hospital Medicine 2020, Virtual Competition
Background: Internal medicine and hospital medicine providers are under pressure to move patients quickly through the hospital and decrease length of stay. Providers spending most of their clinical time seeing patients, documenting or coordinating care and have minimal time to disrupt workflow to perform common bedside procedures such as paracentesis, lumbar punctures, central lines, arthrocentesis […]