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Abstract Number: 287
SHM Converge 2023
Background: Hospitalization at Home (HaH) has demonstrated clinical quality and patient experience superiority in general inpatient medical patients. Expansion of this service to sub-specialized inpatient populations would be highly beneficial to patients and health systems. Mount Sinai Health System (MSHS) HaH enrolls oncology patients with active disease admitted for acute general medical conditions and for […]
Abstract Number: 289
SHM Converge 2023
Background: Lack of mobilization of hospitalized non-ICU medical patients has known negative consequences, including worse health and psychological outcomes, functional decline and increased hospital length of stay (1). Known challenges to increasing mobilization amongst inpatients include patient- and institutional-related limitations such as patient symptoms and lack of available assistance (2). At our urban, quaternary care, […]
Abstract Number: 290
SHM Converge 2023
Background: Guidelines by the Society of Critical Care Medicine and the Infectious Disease Society of America recommend empiric antibiotics active against Methicillin-resistant Staphylococcus aureus (MRSA) for certain patient groups but do not base their recommendations on systematic review or attempt to quantify the benefit on mortality. Methods: A systematic literature search was conducted using Embase, […]
Abstract Number: 291
SHM Converge 2023
Background: Clostridioides difficile infection (CDI) is the most common health care–associated infection in the United States and has serious clinical consequences with limited data on economic impact on US hospitals. The objective of this study was to quantify the cost of hospitalizations, readmissions, and expected reimbursement for each all-cause and CDI-related hospitalization during 12 months […]
Abstract Number: 292
SHM Converge 2023
Background: As members of the patient experience committee, we aimed to identify areas of opportunity to improve the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores. By analyzing the data through the utilization of our analytics tool provided by the patient and customer experience department, we noticed trends in the regional demographics in […]
Abstract Number: 293
SHM Converge 2023
Background: Prolonged length of stay (LOS) is associated with worse quality outcomes, poor patient satisfaction, and negative financial performance for hospitals. Geographic cohorting of provider teams and their patients could improve LOS, readmissions, and other quality metrics. Many prior studies of geographic cohorting have shown no beneficial effect on these metrics. In 2021, we implemented […]
Abstract Number: 294
SHM Converge 2023
Background: Cross-covering patients overnight is part of standard Hospitalist practice, however there is little understanding of the workload contribution. Much of the current literature for hospitalist productivity focuses on wRVU, day census, or number of admits per shift. These metrics are not applicable to cross cover since it is largely non-billable work. A cross sectional, […]
Abstract Number: 295
SHM Converge 2023
Background: Health-related social needs (HRSN) exacerbate poor health in patients with chronic medical conditions. The population of frequently hospitalized patients is heterogeneous, but many have unmet health related social needs. Multidisciplinary programs for this population emphasize longitudinal patient-provider relationships and intensive case management. Studies of these interventions have failed to demonstrate improved readmissions outcomes but […]
Abstract Number: 296
SHM Converge 2023
Background: Academic health systems must balance caring for patients in their community with their role as referral centers for more profitable tertiary quaternary (T/Q) care. Hospital Medicine services, which admit patients largely from the emergency department, often have the lowest proportion of T/Q care and may thus be under pressure to demonstrate their value to […]
Abstract Number: 297
SHM Converge 2023
Background: Social determinants of health (SDoH) are the conditions in which people are born, work, and live that affect about 80% of their health outcomes (1,2). Gaps in addressing SDoH contribute to health disparities and inequities which disproportionately harm racial and ethnic minorities (3). Addressing SDoH needs with interventions such as housing, nutritional, or income […]