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Oral Presentations
Abstract Number: 8
SHM Converge 2023
Background: Since 2010, 130 rural hospitals have closed, leaving only 2,250 rural hospitals remaining in the United States. Of the remaining facilities, outmigration and/or the bypassing of the local hospitals to a larger facility remains problematic and impacts a community’s access to healthcare while affecting the long-term business viability of the city. In December of […]
Oral Presentations
Abstract Number: 8
SHM Converge 2023
Background: Since 2010, 130 rural hospitals have closed, leaving only 2,250 rural hospitals remaining in the United States. Of the remaining facilities, outmigration and/or the bypassing of the local hospitals to a larger facility remains problematic and impacts a community’s access to healthcare while affecting the long-term business viability of the city. In December of […]
Abstract Number: 40
SHM Converge 2023
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Demand for healthcare value, advances in relevant technologies, and the ongoing global pandemic have driven renewed attention to HaH models, by way of policy-based and academic pilot programs – and even commercialization attempts. Where studied, these models have […]
Abstract Number: 48
SHM Converge 2023
Background: Medicare Advantage (MA) plans have strong incentives to reduce potentially wasteful healthcare, including costly acute care visits for ambulatory care-sensitive conditions (ACSC) [1-4]. It is unknown, however, whether MA plans lower acute care use relative to Traditional Medicare (TM) or instead shift patients from hospitalizations towards observation stays and emergency department (ED) direct discharges. […]
Abstract Number: 49
SHM Converge 2023
Background: Accurate coding is paramount to hospital revenue generation and is often supported by a clinical documentation integrity (CDI) team made up of registered nurses and non-clinical coding personnel. Physician-led coding initiatives have demonstrated improvement in case-mix index and clinical documentation. We hypothesized that physician integration into CDI would result in a more robust improvement […]
Abstract Number: 50
SHM Converge 2023
Background: Equity is an essential domain of healthcare quality [1] but is rarely addressed within quality measurement programs. Quality initiatives, without explicit equity focus, may exacerbate underlying disparities.[2]To address this historic lack of focus on equity, the Centers for Medicare & Medicaid (CMS) now provides confidential reports to hospitals on two disparity metrics for Medicare […]
Abstract Number: 283
SHM Converge 2023
Background: Over-testing leads to inflated direct and indirect costs of care. Re-ordering tests prior to a given recommended interval, whether secondary to a lack of awareness of information in the patient’s chart or a lack of knowledge of the given recommended interval, most often increases costs without benefiting patients. Best Practice Advisory (BPA) pop-ups and […]
Abstract Number: 284
SHM Converge 2023
Background: Length of stay (LOS) is an important metric to monitor the efficiency of a hospital and is the focus of many operational and quality projects. Decreasing LOS is often made the responsibility of hospitalists and in order to identify improvement opportunities, LOS at the individual is examined. There are multiple strategies to attribute LOS […]
Abstract Number: 285
SHM Converge 2023
Background: Asymptomatic bacteriuria (ASB), the presence of bacteria in urine without signs or symptoms of a urinary tract infection, is a common finding. The current recommendation by the Infectious Diseases Society of America is against screening for and treating ASB in patients undergoing non-urologic surgeries, due to the lack of demonstrable benefit in reducing the […]
Abstract Number: 286
SHM Converge 2023
Background: In November 2020, CMS issued the Acute Hospital Care in the Home waiver which allows hospitals to care for appropriate Medicare inpatients in a patient’s home. UNC Health launched its home hospital program Advanced Care at Home in August 2021. Hospitals issued the CMS waiver are required to subject patients to both clinical and […]