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Search Results for transfer
Abstract Number: 417
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Interhospital transfer is a necessary part of patient care in an increasingly complex healthcare environment. However, it is an ill-defined process that has been associated with increased mortality, cost, and length of stay, even after disease severity adjustment. Purpose: We aim to describe the triage process for interhospital transfer requests at a large, urban […]
Abstract Number: 421
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Interhospital transfer is a poorly understood transition of care that is associated with increased length of stay and mortality. The processes and communication between transferring and accepting facilities and providers are not standardized. Purpose: Hospitalist faculty education on triage processes is an area for potential intervention to improve interhospital transfer. New faculty hires are […]
Abstract Number: 424
Hospital Medicine 2020, Virtual Competition
Background: In tertiary care centers, transfers from outside hospitals are a common occurrence. Prior studies have shown that interhospital transfers (IHT) in certain populations are associated with an increased adjusted odds of ICU transfer (Mueller 2019). In the age of the electronic medical record(EMR), patient transfer has been improved by direct access to patient records. […]
Abstract Number: 425
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Racial/ethnocultural inequities have been demonstrated throughout our health care system, though their presence among patients who undergo interhospital transfer (IHT), commonly done to provide patients with more specialized care, is poorly understood. The goals of this study are to evaluate the association between patient race/ethnicity and IHT to identify potential racial disparities in this […]
Abstract Number: 437
SHM Converge 2024
Background: Inter-hospital transfer (IHT), defined as the transfer of patients between acute care facilities, is a common practice. Despite assumptions that IHT is done to provide patients with necessary specialized care, the factors which drive patient transfer are highly variable in ways that are not fully explained by differences in patients or hospitals. As such, […]
Abstract Number: 460
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: When patients are transferred between hospitals (interhospital transfer, IHT), incomplete information exchange between electronic health records (EHRs) poses a barrier to continuity of care. As a result, diagnostic tests may be repeated after transfer, exposing patients to additional risk and adding to costs of care. Shared clinical data between EHRs presents a possible solution. […]
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: A16
SHM Converge 2022
Background: Interhospital transfers are shown to be associated with increased length of stay (LOS), mortality, and discharge to facility.[1,2] Delirium has been associated with similar outcomes.[3] Our prior data showed that interhospital transfers had 1.91 times the risk of delirium when compared to ED admissions. We hypothesized that an interaction between admission source, namely interhospital […]
Abstract Number: E23
SHM Converge 2022
Background: The transfer of patients between hospitals (interhospital transfer, IHT), exposes patients to risks of discontinuity of care, such as errors in communication and gaps in information transfer. In our prior work evaluating IHT to general medical (GMS), cardiology, oncology and ICU services at an 800-bed tertiary care referral hospital, we found that in 37% […]
Abstract Number: I16
SHM Converge 2022
Background: Tertiary hospitals and academic medical centers often operate near full capacity while smaller community hospitals have difficulty filling open beds. At our institution, a program was set up to transfer lower acuity patients needing admission from the emergency department of an academic medical center to a community partner hospital for direct admission. This and […]