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Abstract Number: 414
SHM Converge 2023
Background: Upon hospitalization, patients are assigned to an inpatient or an outpatient status for the hospital stay. Failure of this status to match the requirements of the Centers for Medicare & Medicaid Services may lead to lost revenue or increased risk of audits and penalties. Timely ordering of observation services for patients with an outpatient […]
Abstract Number: 415
SHM Converge 2023
Background: Federally Qualified Health Centers (FQHCs) are community-based primary care centers serving those in medically underserved areas (MUAs) regardless of barriers. Academic Medical Centers (AMCs) are often similarly located and serve as the population health manager for their local communities. AMCs, however, often struggle to deliver care to these communities in a financially sustainable way. […]
Abstract Number: 416
SHM Converge 2023
Background: Family and patient-centered rounds (FPCR) are standard practice on inpatient pediatric care teams. FPCR involves the patient and an additional support person (e.g. family member) in the rounding process. FPCR benefits patient care through improved patient satisfaction; increased provider-patient communication; more frequent care-coordination and discharge planning; and decreased errors and episodes of low-value care. […]
Abstract Number: 417
SHM Converge 2023
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. More recently, HaH models have evolved to include transitional care solutions to improve patients’ post-acute outcomes. Meanwhile, services which were traditionally provided only in the inpatient setting, such as elective arthroplasty, have begun to shift to same-day and […]
Abstract Number: 418
SHM Converge 2023
Background: Nearly 80% of adults will experience non-specific low back pain at some point in their life.(1) In the absence of concerning features such as saddle anesthesia, imaging studies are not indicated and can lead to a downstream cascade of services which can result in undue physical, emotional, and financial harm to the patient.(2-6) As […]
Abstract Number: 419
SHM Converge 2023
Background: Reducing hospital length of stay (LOS) for patients who are medically ready for discharge is both an operational necessity and a shared patient goal given fixed hospital capacities and rising costs of care. Presently, there is no readily identifiable time-point in the electronic medical record (EMR) denoting when patients become medically ready for discharge. […]
Abstract Number: 420
SHM Converge 2023
Background: Electronic medical records (EMR) often allow automated recurring orders of different components of hospital care, including lab tests, vital signs, and telemetry monitoring. However, as patients clinically stabilize during a hospital admission the frequency and intensity of these recurring orders may be unwarranted (1). Well-designed EMR order sets have shown potential to decrease inappropriate […]
Abstract Number: 421
SHM Converge 2023
Background: Hospitals are facing increasing pressure to optimize throughput in order to reduce excess length of stay and improve emergency department (ED) boarding times. Improving coordination and throughput in complex organizations with multiple care sites can be particularly challenging. Health systems have implemented numerous initiatives to improve hospital throughput, but these efforts have mainly been […]
Abstract Number: 422
SHM Converge 2023
Background: Prior to the COVID Pandemic, the telemedicine market was expected to grow at a rate of 18.4 percent a year. With the Coronavirus Preparedness and Response Supplemental Appropriations Act signed into law in March 2020, Telehealth has experienced rapid expansion. Tele-hospital medicine is carving out several new niches. One is providing a virtual hospitalist […]
Abstract Number: 423
SHM Converge 2023
Background: In the inpatient setting, serum potassium (K) and magnesium (Mg) are frequently replaced for patients with values within the reference range (generally K 3.5-5.0 mEq/L, Mg 1.3-2.2 mEq/L) to target an arbitrary goal of 4 mEq/L for K and 2 mEq/L for Mg.(1,2) For certain high-risk non-pregnant adults, K and Mg replacement to these […]