Innovations Abstracts

//Innovations Abstracts

HM2017 Abstract Number: 157

MALNUTRITION CARE: “LOW HANGING FRUIT” FOR HOSPITALIST CLINICAL PERFORMANCE IMPROVEMENT

Background: As public and private stakeholders demand higher quality of care in the hospital setting, hospitalists play a critical role in leading performance improvement. As hospitalists seek ways to improve quality and lower costs, malnutrition [...]

By | 2018-03-15T20:51:00+00:00 May 10th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on MALNUTRITION CARE: “LOW HANGING FRUIT” FOR HOSPITALIST CLINICAL PERFORMANCE IMPROVEMENT

HM2017 Abstract Number: 312

AN ITIM OF NECESSITY FOR TEAMWORK – THE INTERPROFESSIONAL TEAMWORK INNOVATION MODEL (ITIM©)

Background: Interprofessional teamwork in healthcare organizations is crucial to the delivery of quality patient care. Efforts to improve teamwork on hospital medicine units commonly fail due to clinicians and other care team members (case managers [...]

By | 2018-03-15T20:51:00+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on AN ITIM OF NECESSITY FOR TEAMWORK – THE INTERPROFESSIONAL TEAMWORK INNOVATION MODEL (ITIM©)

HM2017 Abstract Number: 185

ELECTRONIC MEDICAL RECORD SIGN OUT TOOL IMPROVEMENT PROJECT: A NARRATIVE DESCRIPTION OF THE EFFECTIVENESS OF THE UNIVERSITY OF MICHIGAN’S HOUSE OFFICER QUALITY AND SAFETY COUNCIL.  

Background: The American College of Graduate Medical Education requires resident involvement in patient safety and quality improvement (PS/QI) but it remains difficult to engage house officers (HOs) in meaningful and sustainable projects. In 2011, the [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on ELECTRONIC MEDICAL RECORD SIGN OUT TOOL IMPROVEMENT PROJECT: A NARRATIVE DESCRIPTION OF THE EFFECTIVENESS OF THE UNIVERSITY OF MICHIGAN’S HOUSE OFFICER QUALITY AND SAFETY COUNCIL.  

HM2017 Abstract Number: 316

STANFORD CLINICAL EXCELLENCE RESEARCH CENTER: TRAINING LEADERS IN VALUE-BASED CARE THROUGH MENTORED HEALTH SYSTEMS DESIGN

Background: Rising healthcare costs have driven both the government and the private sector to seek cost-saving innovations in health care delivery. The Center for Medicare and Medicaid Innovation (CMMI) is leading this charge from a [...]

By | 2017-04-20T18:08:39+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on STANFORD CLINICAL EXCELLENCE RESEARCH CENTER: TRAINING LEADERS IN VALUE-BASED CARE THROUGH MENTORED HEALTH SYSTEMS DESIGN

HM2017 Abstract Number: 314

STATUS RECOVERY SERVICE (SRS): A NOVEL APPROACH TO HOSPITAL GROUP-PAYER INTERACTIONS

Background: Determination of patient stay status, e.g. inpatient vs. observation, is highly important to payers, physicians, and patients alike. Non-Medicare payers perform near concurrent review of admission notes and orders in order to approve the [...]

By | 2017-04-20T18:08:41+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on STATUS RECOVERY SERVICE (SRS): A NOVEL APPROACH TO HOSPITAL GROUP-PAYER INTERACTIONS

HM2017 Abstract Number: 309

DO PROVIDERS CHOOSE WISELY? PROVIDER KNOWLEDGE AND APPROPRIATE USE OF ACUTE CARE TELEMETRY MONITORING

Background: Telemetry is a useful tool to detect malignant cardiac arrhythmias but may be associated with increased cost and patient inconvenience. In 2004 the American Heart Association (AHA) established recommendations regarding appropriate telemetry use for [...]

By | 2017-04-20T18:08:43+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on DO PROVIDERS CHOOSE WISELY? PROVIDER KNOWLEDGE AND APPROPRIATE USE OF ACUTE CARE TELEMETRY MONITORING

HM2017 Abstract Number: 306

USING PEER COACHING TO REDUCE INAPPROPRIATE OR DUPLICATE LABORATORY TESTING

Background: The Choosing Wisely campaign was launched in 2012 with a goal of “advancing a national dialogue on avoiding wasteful or unnecessary medical tests, treatments, and procedures.[1] ”  The Society of Hospital Medicine published 5 [...]

By | 2017-04-20T18:08:44+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on USING PEER COACHING TO REDUCE INAPPROPRIATE OR DUPLICATE LABORATORY TESTING

HM2017 Abstract Number: 302

EXPENSIVE FREE HOSPITALIZATIONS — A NOVEL APPROACH TO REDUCING OUTPATIENT MEDICATION COST

Background: Up to forty-five percent of Americans do not fill prescriptions secondary to cost. Medication non-adherence leads to morbidity and mortality (~$100-300B annually). The majority of physicians cannot price medications within 25% of cost. Our [...]

By | 2017-04-20T18:08:47+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on EXPENSIVE FREE HOSPITALIZATIONS — A NOVEL APPROACH TO REDUCING OUTPATIENT MEDICATION COST

HM2017 Abstract Number: 299

INTRODUCING THE HOSPITAL MEDICINE MODEL TO THE MIDDLE EAST REGION

Background: Hospital medicine is the fastest growing specialty in the United States. An interesting aspect of the rapid expansion of hospital medicine is the current expansion of the field beyond North America. While the health [...]

By | 2017-04-20T18:08:49+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on INTRODUCING THE HOSPITAL MEDICINE MODEL TO THE MIDDLE EAST REGION

HM2017 Abstract Number: 293

A HOSPITALIST-RUN OBSERVATION UNIT: AN EVOLVING MODEL

Background: Observation units were initially intended to function as a short stay unit for lower acuity patients with specific diagnoses, however this traditional model is currently evolving.  Rising health care costs and changing health care [...]

By | 2017-04-25T23:15:44+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on A HOSPITALIST-RUN OBSERVATION UNIT: AN EVOLVING MODEL

HM2017 Abstract Number: 287

NOT TO BE DENIED: REDUCING DENIED DAYS THROUGH AUDIT AND FEEDBACK

Background: Reducing denied days, or days of hospitalization that aren’t reimbursed by payers, is critical for hospital financial stability, and to ensure efficient, patient-centered care. In 2015, payers denied payment on ~20% of all hospital [...]

By | 2017-04-20T18:08:54+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on NOT TO BE DENIED: REDUCING DENIED DAYS THROUGH AUDIT AND FEEDBACK

HM2017 Abstract Number: 286

STUDENT HIGH VALUE CARE COMMITTEE: A MODEL FOR STUDENT-LED IMPLMENTATION

Background: Formal curricula for teaching medical students high value care are lacking, and there is little evidence identifying strategies that can effectively impact students’ knowledge and skills. Research is needed to develop models for student-led [...]

By | 2017-04-20T18:08:56+00:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on STUDENT HIGH VALUE CARE COMMITTEE: A MODEL FOR STUDENT-LED IMPLMENTATION

HM2017 Abstract Number: 282

REDUCING CAUTI THROUGH CRUX: THE CATHETER REDUCTION AND URINE CULTURE STEWARDSHIP INITIATIVE

Background: Catheter-associated urinary tract infection (CAUTI) is the most common healthcare-acquired infection nationally, and in the era of publically reporting and reimbursement based on outcomes, represents a preventable hospital-acquired infection that harms patients and institutions. [...]

By | 2017-04-20T17:58:09+00:00 April 20th, 2017|Innovations Abstracts, Translating Research into Practice|Comments Off on REDUCING CAUTI THROUGH CRUX: THE CATHETER REDUCTION AND URINE CULTURE STEWARDSHIP INITIATIVE

HM2017 Abstract Number: 273

THE DISCHARGE HOTLINE INITIATIVE: IMPROVING TRANSITIONS OF CARE

Background: Patient safety can be jeopardized if there is inadequate transitional care planning as patients move from the hospital to the outpatient setting. A reliable means for patients and their caregivers to reach a physician [...]

By | 2017-04-20T17:50:39+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on THE DISCHARGE HOTLINE INITIATIVE: IMPROVING TRANSITIONS OF CARE

HM2017 Abstract Number: 271

THE BRIDGE PROJECT: AN INTERVENTION TO IMPROVE ATTENDANCE RATES AT POST-DISCHARGE FOLLOW-UP APPOINTMENTS

Background: Post-discharge follow-up appointments (PDFA) are an important component of care transitions. Many hospital medicine groups dedicate substantial time arranging these visits. In a one year retrospective analysis of patients discharged from our hospitalist service, [...]

By | 2017-04-20T17:50:41+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on THE BRIDGE PROJECT: AN INTERVENTION TO IMPROVE ATTENDANCE RATES AT POST-DISCHARGE FOLLOW-UP APPOINTMENTS

HM2017 Abstract Number: 270

EFFECT OF AN EMR HANDOFF TOOL ON MEDICINE RESIDENTS’ HANDOFF QUALITY

Background: Communication breakdown plays a part in the majority of adverse events in healthcare. Physician to physician handoffs are particularly prone to communication errors, yet have been shown to be more complete when systematized according [...]

By | 2017-04-20T17:50:42+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on EFFECT OF AN EMR HANDOFF TOOL ON MEDICINE RESIDENTS’ HANDOFF QUALITY

HM2017 Abstract Number: 268

HOSPITAL MEDICINE AND EMERGENCY MEDICINE COLLABORATIVE WORKGROUP: A UNIQUE EFFORT TO IMPROVE THROUGHPUT FROM EMERGENCY DEPARTMENT TO MEDICAL FLOORS AND ENHANCE INTER-DEPARTMENTAL COLLEGIALITY

Background: Emergency department (ED) overcrowding is a commonly encountered challenge and is associated with adverse events and poor patient satisfaction.  One of the factors that can contribute to ED overcrowding is the boarding of admitted [...]

By | 2017-04-20T17:50:45+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on HOSPITAL MEDICINE AND EMERGENCY MEDICINE COLLABORATIVE WORKGROUP: A UNIQUE EFFORT TO IMPROVE THROUGHPUT FROM EMERGENCY DEPARTMENT TO MEDICAL FLOORS AND ENHANCE INTER-DEPARTMENTAL COLLEGIALITY

HM2017 Abstract Number: 266

IMPROVING TRANSITIONS FOR ELDERS FROM THE HOSPITAL TO SKILLED NURSING FACILITIES THROUGH HOPE (HEALTH OPTIMIZATION PROGRAM FOR ELDERS)

Background: Transitioning patient care between hospitals and skilled nursing facilities (SNFS) brings many challenges.  Patient and family anxiety, unfamiliarity and even misinformation about SNFs increase the opportunity for unsatisfactory outcomes and readmissions to the hospital..  [...]

By | 2017-04-20T17:50:47+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on IMPROVING TRANSITIONS FOR ELDERS FROM THE HOSPITAL TO SKILLED NURSING FACILITIES THROUGH HOPE (HEALTH OPTIMIZATION PROGRAM FOR ELDERS)

HM2017 Abstract Number: 263

CARING FOR PATIENTS ACROSS TRANSITIONS FROM ACUTE TO SUB-ACUTE CARE: AN INNOVATIVE HOSPITALIST STAFFING MODEL

Background: Care transitions between hospitals, nursing homes, and home are a vulnerable time for patients.  Given the increasing elderly population and the shortage of primary care physicians with training in geriatrics or nursing home care, [...]

By | 2017-04-20T17:50:50+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on CARING FOR PATIENTS ACROSS TRANSITIONS FROM ACUTE TO SUB-ACUTE CARE: AN INNOVATIVE HOSPITALIST STAFFING MODEL

HM2017 Abstract Number: 254

A RESIDENT-DRIVEN INTERDISCIPLINARY PROCESS TO HELP PATIENTS SUCCESSFULLY OBTAIN PRESCRIPTIONS POST-DISCHARGE

Background: Patients are discharged home on medications different than those they were taking before admission.  New and discontinued medications as well as dosage changes contribute to medication-related adverse events.  Purpose: To help address this problem, [...]

By | 2017-04-20T17:50:52+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on A RESIDENT-DRIVEN INTERDISCIPLINARY PROCESS TO HELP PATIENTS SUCCESSFULLY OBTAIN PRESCRIPTIONS POST-DISCHARGE

HM2017 Abstract Number: 251

IMPROVING PATIENT OUTCOMES BY STANDARDIZING INTRAHOSPITAL TRANSFER PROCESS

Background: Transfers to academic tertiary care centers often involve complicated patients requiring subspecialty consultation and coordination of care.   Therefore appropriate handoff and communication from sending to receiving institution is needed to streamline care and minimize [...]

By | 2017-04-20T17:50:55+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on IMPROVING PATIENT OUTCOMES BY STANDARDIZING INTRAHOSPITAL TRANSFER PROCESS

HM2017 Abstract Number: 248

BUNDLING A SMARTPHONE APP AND PATIENT NAVIGATION TO IMPROVE COMMUNICATION AND REDUCE POST-DISCHARGE COMPLICATIONS FOR PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

Background: Patients diagnosed in-hospital with acute venous thromboembolism (VTE) are at high risk for post-discharge complications and readmission similar to patients with chronic conditions. Patient navigation reduces post-discharge complications and readmissions in patients with chronic [...]

By | 2017-04-20T17:50:58+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on BUNDLING A SMARTPHONE APP AND PATIENT NAVIGATION TO IMPROVE COMMUNICATION AND REDUCE POST-DISCHARGE COMPLICATIONS FOR PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

HM2017 Abstract Number: 247

LESSONS LEARNED BY MEDICAL STUDENTS IN SYSTEMS-BASED PRACTICE AS PATIENTS TRANSITION THEIR CARE

Background:  Patient care may be enhanced as they transition from one health care setting or provider to another.  However, studies have shown that as many as 1 in 5 patients suffer an adverse event within [...]

By | 2017-04-20T17:51:00+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on LESSONS LEARNED BY MEDICAL STUDENTS IN SYSTEMS-BASED PRACTICE AS PATIENTS TRANSITION THEIR CARE

HM2017 Abstract Number: 242

IMPROVING HANDOFFS FROM HOSPITALS TO SUB-ACUTE CARE: AN INTERDISCIPLINARY HFMEA QUALITY IMPROVEMENT PROJECT

Background: Communication has been cited as the most common root cause in sentinel events, with failed patient care handoffs contributing to an estimated 80% of serious preventable adverse events. Handoffs to sub-acute care such as [...]

By | 2017-04-20T17:51:41+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on IMPROVING HANDOFFS FROM HOSPITALS TO SUB-ACUTE CARE: AN INTERDISCIPLINARY HFMEA QUALITY IMPROVEMENT PROJECT

HM2017 Abstract Number: 240

ASSESSING THE IMPACT OF MYCHART BEDSIDE ON THE PATIENT ENCOUNTER

Background: It remains unclear how implementing new technology in the inpatient setting affects patients and providers. MyChart Bedside, a tool that allows patients open access to their health record, was implemented across several inpatient units [...]

By | 2017-04-20T17:42:23+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on ASSESSING THE IMPACT OF MYCHART BEDSIDE ON THE PATIENT ENCOUNTER

HM2017 Abstract Number: 238

UTILIZING PRECISE LOCATOR TECHNOLOGY TO MEASURE PHYSICIAN-NURSE ROUNDING HABITS

Background: The quality of communication between physicians and nurses plays an important role in patient safety and provider job satisfaction. Efforts to improve the effectiveness of MD-RN communication have traditionally disseminated new programs such as [...]

By | 2017-04-20T17:42:25+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on UTILIZING PRECISE LOCATOR TECHNOLOGY TO MEASURE PHYSICIAN-NURSE ROUNDING HABITS

HM2017 Abstract Number: 237

EXCEL AT TRIAGING: USING MICROSOFT’S WEB QUERY FUNCTIONALITY TO STREAMLINE THE TRIAGING PROCESS

Background: Triaging patients from the emergency room, an outside hospital or a service-line within your institution can be a challenging endeavor regardless of the size of your group. The Ohio State University Wexner Medical Center [...]

By | 2017-04-20T17:42:27+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on EXCEL AT TRIAGING: USING MICROSOFT’S WEB QUERY FUNCTIONALITY TO STREAMLINE THE TRIAGING PROCESS

HM2017 Abstract Number: 236

MAKING A BIG IMPACT IN HIV TESTING WITH A SMALL EHR MODIFICATION

Background: The Centers for Disease Control and Prevention (CDC) estimates over 1.2 million Americans are living with HIV (human immunodeficiency virus). Of those, approximately 14% are unaware of their HIV-positive status. In 2014, most hospitals [...]

By | 2017-04-20T17:42:29+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on MAKING A BIG IMPACT IN HIV TESTING WITH A SMALL EHR MODIFICATION

HM2017 Abstract Number: 235

ESTABLISHMENT OF AN INNOVATIVE CREDENTIALING POLICY AND PROCEDURE IN HOSPITAL MEDICINE POINT OF CARE ULTRASOUND

Background: Though the use of point of care ultrasound (POCUS) has increased over the last decade, hospitalists may still find it difficult to gain formal hospital credentialing for POCUS.  National organizations have not yet published [...]

By | 2017-04-20T17:42:32+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on ESTABLISHMENT OF AN INNOVATIVE CREDENTIALING POLICY AND PROCEDURE IN HOSPITAL MEDICINE POINT OF CARE ULTRASOUND

HM2017 Abstract Number: 233

UTILIZATION OF VIRTUAL HOSPITALISTS TO ADDRESS STAFFING NEEDS AT CRITICAL ACCESS HOSPITALS

Background: Current staffing models cannot deliver the benefits of hospital medicine to the 1300 critical access hospitals (CAHs) located throughout the rural United States.   Staffing each CAH with local hospitalists would require at least 5500 [...]

By | 2017-04-20T17:42:34+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on UTILIZATION OF VIRTUAL HOSPITALISTS TO ADDRESS STAFFING NEEDS AT CRITICAL ACCESS HOSPITALS

HM2017 Abstract Number: 230

ENGAGING PATIENTS IN DISCHARGE PREPARATION AND PATIENT-PROVIDER COMMUNICATION DURING TRANSITIONS: AN INTERACTIVE PATIENT-CENTERED DISCHARGE TOOLKIT

Background: The discharge process is often not initiated until late during hospitalization and typically perceived by patients as disorganized. Poor discharge planning is not only a source of dissatisfaction, but may adversely impact safety during [...]

By | 2017-04-20T17:42:37+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on ENGAGING PATIENTS IN DISCHARGE PREPARATION AND PATIENT-PROVIDER COMMUNICATION DURING TRANSITIONS: AN INTERACTIVE PATIENT-CENTERED DISCHARGE TOOLKIT

HM2017 Abstract Number: 229

PADUA TO IMPROVE: MATCHING VTE RISK STRATIFICAITON TOOL TO THE EHR

Background: Risk stratifying patients for potential development of hospital-related venous thromboembolism (VTE) is an important aspect of inpatient safety and is recommended by current guidelines.  Many risk stratification tools are cumbersome and require significant time [...]

By | 2017-04-20T17:42:38+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on PADUA TO IMPROVE: MATCHING VTE RISK STRATIFICAITON TOOL TO THE EHR

HM2017 Abstract Number: 228

IS THERE AN APP FOR THAT? DEPLOYMENT & EVALUATION OF AN APPLICATION PRESCRIBING PLATFORM IN HOSPITALIZED PATIENTS

Background: Patients, physicians and health technology developers are increasingly interested in mobile health applications. However, there are few examples of partnerships between hospitalists and the private companies to test novel health technologies in the inpatient [...]

By | 2017-04-20T17:42:41+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on IS THERE AN APP FOR THAT? DEPLOYMENT & EVALUATION OF AN APPLICATION PRESCRIBING PLATFORM IN HOSPITALIZED PATIENTS

HM2017 Abstract Number: 226

EDUCATION AS A QUALITY INTERVENTION IN THROMBOPHILIA TESTING

Background: As hospitals continue to see increasing costs, quality improvement interventions are essential to maintaining a high level of quality care in the inpatient setting. Multiple studies have shown that a systems based approach offers [...]

By | 2017-04-20T17:34:35+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on EDUCATION AS A QUALITY INTERVENTION IN THROMBOPHILIA TESTING

HM2017 Abstract Number: 222

BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

Background : As part of the Choosing Wisely campaign, the Society of Hospital Medicine recommends against performing "repetitive complete blood count [CBC] and chemistry testing in the face of clinical and lab stability.” This recommendation [...]

By | 2017-04-20T17:34:38+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

HM2017 Abstract Number: 218

ENGAGING RESIDENTS IN BLOOD TRANSFUSION PROTOCOLS THROUGH QI

Background: In the past 20 years, the "10/30" rule for blood transfusions has been replaced with conservative guidelines which have demonstrated improved patient outcomes and reduced overall healthcare costs. Hospitals across the country have enlisted [...]

By | 2017-04-20T17:34:40+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on ENGAGING RESIDENTS IN BLOOD TRANSFUSION PROTOCOLS THROUGH QI

HM2017 Abstract Number: 212

A FULL HOUSE: RE-SHUFFLING PATIENTS TO MANAGE CAPACITY ACROSS A HEALTH SYSTEM

Background: Capacity constraints are a common problem at many academic institutions.  At Duke University Hospital (DUH) , capacity constraints continue to result in critical bed shortages.  Our affiliated hospital, Duke Regional Hospital (DRH) which is [...]

By | 2017-04-25T23:01:13+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on A FULL HOUSE: RE-SHUFFLING PATIENTS TO MANAGE CAPACITY ACROSS A HEALTH SYSTEM

HM2017 Abstract Number: 210

RADY’S HOMECARE ORDER SET: NO MORE GUESSES, NO MORE ERRORS! LET EMR WORK FOR YOU!

Background:  Children and Young Adults with Special Healthcare Needs (CSCHN), especially those with multiple organ systems involvement, experience frequent and often lengthy hospitalizations. Hospital discharges for these children can be a complicated process that requires [...]

By | 2017-04-20T17:34:45+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on RADY’S HOMECARE ORDER SET: NO MORE GUESSES, NO MORE ERRORS! LET EMR WORK FOR YOU!

HM2017 Abstract Number: 208

UTILIZING UNIT SPECIFIC PATIENT COMPLAINT DATA TO IMPROVE PERFORMANCE AND INCREASE PATIENT SATISFACTION: THE EXPERIENCE ON AN INPATIENT MEDICINE UNIT AT A LARGE URBAN ACADEMIC CENTER

Background: Patient complaints reflect their unmet expectations and are a valuable resource to understand key drivers of patient experience. It is unclear, however, how patient complaints can be used to improve service quality and guide [...]

By | 2017-04-20T17:34:49+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on UTILIZING UNIT SPECIFIC PATIENT COMPLAINT DATA TO IMPROVE PERFORMANCE AND INCREASE PATIENT SATISFACTION: THE EXPERIENCE ON AN INPATIENT MEDICINE UNIT AT A LARGE URBAN ACADEMIC CENTER

HM2017 Abstract Number: 206

IMPROVING ACCURACY IN MEASURING FLUID BALANCE ON A GENERAL MEDICINE WARD

Background: The measurement of fluid balance (FB) for hospitalized patients has been a standard of nursing practice for many years, but its utility and accuracy is questioned in the literature. There is no gold standard [...]

By | 2017-04-20T17:34:51+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on IMPROVING ACCURACY IN MEASURING FLUID BALANCE ON A GENERAL MEDICINE WARD

HM2017 Abstract Number: 201

IMPROVING HOSPITALIST SATISFACTION THROUGH CLINICAL SCHEDULE REDESIGN

Background: Control over work hours and schedule flexibility are important predictors of clinicians’ career satisfaction, work-life balance, and burnout, which are in turn linked to quality of patient care, recruitment, and retention.  In our rapidly [...]

By | 2017-04-20T17:34:54+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on IMPROVING HOSPITALIST SATISFACTION THROUGH CLINICAL SCHEDULE REDESIGN

HM2017 Abstract Number: 200

TEAM-BASED STRUCTURE OF DISCHARGE MULTIDISCIPLINARY ROUNDS LEADS TO EARLIER DISCHARGE

Background: Collaboration between multidisciplinary teams during the discharge process can optimize the safety of discharge planning. At our tertiary academic medical center, case managers (CM) and pharmacists have historically been assigned to patients by unit [...]

By | 2017-04-20T17:34:55+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on TEAM-BASED STRUCTURE OF DISCHARGE MULTIDISCIPLINARY ROUNDS LEADS TO EARLIER DISCHARGE

HM2017 Abstract Number: 197

DEVELOPMENT AND IMPLEMENTATION OF AN ALCOHOL WITHDRAWAL PROTOCOL USING A 5-ITEM BRIEF ALCOHOL WITHDRAWAL SCALE (BAWS)

Background: The standard of care for the treatment of alcohol withdrawal is symptom triggered treatment using the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale. However, this 10-item scale is cumbersome to use.   Purpose: [...]

By | 2017-04-20T17:34:58+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on DEVELOPMENT AND IMPLEMENTATION OF AN ALCOHOL WITHDRAWAL PROTOCOL USING A 5-ITEM BRIEF ALCOHOL WITHDRAWAL SCALE (BAWS)

HM2017 Abstract Number: 191

DIAGNOSING OUR DOCUMENTATION: A NOVEL ELECTRONIC PEER-FEEDBACK PROGRAM TO IMPROVE THE QUALITY OF HOSPITALISTS’ NOTES AT A LARGE TERTIARY CARE MEDICAL CENTER

Background: The advent of the Electronic Health Record (EHR) has changed the face of medical documentation. Illegibility and absence of data have all but disappeared, and EHRs can foster thoughtful assessments by providing a platform [...]

By | 2017-04-20T17:35:42+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on DIAGNOSING OUR DOCUMENTATION: A NOVEL ELECTRONIC PEER-FEEDBACK PROGRAM TO IMPROVE THE QUALITY OF HOSPITALISTS’ NOTES AT A LARGE TERTIARY CARE MEDICAL CENTER

HM2017 Abstract Number: 190

CAN WE DO BETTER? IMPLEMENTATION OF A HOSPITALIST-PSYCHIATRY COLLABORATIVE FOR THE IMPROVEMENT OF CARE FOR BEHAVIORALLY AND MEDICALLY COMPLEX PATIENTS

Background: Medical patients with comorbid psychiatric illness comprise 20-40% of general medicine inpatient admissions. These patients often have multiple providers involved in their care which can lead to poor communication, longer lengths of stay, and [...]

By | 2017-04-20T17:35:44+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on CAN WE DO BETTER? IMPLEMENTATION OF A HOSPITALIST-PSYCHIATRY COLLABORATIVE FOR THE IMPROVEMENT OF CARE FOR BEHAVIORALLY AND MEDICALLY COMPLEX PATIENTS

HM2017 Abstract Number: 186

THE DOCTOR IS IN: OVERHAULING AN ED ADMISSION PROCESS TO EMPHASIZE THE INITIAL PHYSICIAN-PATIENT ENCOUNTER

Background: Patients often must wait several hours before being seen by an admitting attending physician. Protracted admit wait times are undeniably associated with delays in care, patient and family dissatisfaction, and very likely increased lengths of [...]

By | 2017-04-20T17:35:47+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on THE DOCTOR IS IN: OVERHAULING AN ED ADMISSION PROCESS TO EMPHASIZE THE INITIAL PHYSICIAN-PATIENT ENCOUNTER

HM2017 Abstract Number: 178

A SIMPLE TOOL TO INCREASE FREQUENCY OF CODE STATUS DISCUSSIONS UPON HOSPITAL ADMISSION

Background: Hospitalization of the patient with advanced cancer can be a pivotal moment and opportunity to explore patient goals of care in order to deliver high value, patient-centered care that emphasizes quality of life. Part [...]

By | 2017-04-20T17:35:49+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on A SIMPLE TOOL TO INCREASE FREQUENCY OF CODE STATUS DISCUSSIONS UPON HOSPITAL ADMISSION

HM2017 Abstract Number: 176

APPLYING A USER-CENTERED DESIGN PROCESS TO CO-CREATE INPATIENT EXPERIENCE IMPROVEMENT STRATEGIES

Background: Practical and financial pressures have placed a renewed focus on improving the human experience of healthcare from both the patient and provider perspective. Despite this, aligning patients and interdisciplinary providers around meaningful experience improvement [...]

By | 2017-04-20T17:35:52+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on APPLYING A USER-CENTERED DESIGN PROCESS TO CO-CREATE INPATIENT EXPERIENCE IMPROVEMENT STRATEGIES

HM2017 Abstract Number: 174

SLEEP IS VITAL: IMPROVING SLEEP BY REDUCING UNNECESSARY NOCTURNAL VITAL SIGNS

Background: Hospitalized patients get fewer than five hours of sleep a night. Poor sleep leads to increased rates of delirium, falls, and hypertension, and decreased patient satisfaction. Purpose: To improve sleep among hospitalized patients through [...]

By | 2017-04-20T17:35:55+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on SLEEP IS VITAL: IMPROVING SLEEP BY REDUCING UNNECESSARY NOCTURNAL VITAL SIGNS

HM2017 Abstract Number: 173

INCREASING MOBILITY AND REDUCING FALLS AND FALL-RELATED INJURIES IN HOSPITALIZED MEDICINE PATIENTS

Background: Hospitalized patients have significantly reduced ambulation, which leads to decreased muscle strength, coordination, and balance, all which increase the risk of falls. According to the Joint Commission, hundreds of thousands of patients fall in [...]

By | 2017-04-20T17:35:57+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on INCREASING MOBILITY AND REDUCING FALLS AND FALL-RELATED INJURIES IN HOSPITALIZED MEDICINE PATIENTS

HM2017 Abstract Number: 164

USE OF ELECTRONIC TOOL TO REDUCE ERRORS IN INPATIENT MEDICATION RECONCILIATION

Background: Inpatient medication reconciliation errors are common and can lead to serious adverse drug events. Most medication discrepancies are due to errors in taking an accurate medication history. Tools imbedded in the electronic medical record [...]

By | 2017-04-20T17:35:59+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on USE OF ELECTRONIC TOOL TO REDUCE ERRORS IN INPATIENT MEDICATION RECONCILIATION

HM2017 Abstract Number: 163

BUILDING A DASHBOARD TO IDENTIFY PATIENTS AT HIGH RISK FOR ADVERSE DRUG EVENTS RELATED TO OPIOIDS

Background: In the inpatient setting, opioids are the most commonly prescribed medication and the 2nd most frequent cause of adverse drug events (ADE).  Identifying patients at high risk for ADEs related to narcotics is essential. [...]

By | 2017-04-20T17:36:01+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on BUILDING A DASHBOARD TO IDENTIFY PATIENTS AT HIGH RISK FOR ADVERSE DRUG EVENTS RELATED TO OPIOIDS

HM2017 Abstract Number: 160

PATIENT REGIONALIZATION TO IMPROVE CARE EFFICIENCY (PRICE). IMPLEMENTATION OF A MODEL AT UIHC

Background: Unit-based medical teams improve cohesiveness and communication among team members and increase time spent with patients. At the University of Iowa Hospitals and Clinics, physician teams had patients in 5-6 different units on an [...]

By | 2017-04-20T17:36:04+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on PATIENT REGIONALIZATION TO IMPROVE CARE EFFICIENCY (PRICE). IMPLEMENTATION OF A MODEL AT UIHC

HM2017 Abstract Number: 158

SICKLE CELL CARE- CLINICAL REDESIGN PROJECT: A MULTIDISCIPLINARY AND STANDARDIZED APPROACH TO PAIN MANAGEMENT IMPROVES QUALITY OF CARE, DECREASES LENGTH OF STAY AND COST PER CASE

Background: Sickle cell disease (SCD) causes frequent painful episodes from vaso-occlusion. As hospitalists, we identified that SCD patients occupied a large number of hospital days. Undertreatment and lack of standardization of pain management was a [...]

By | 2017-04-20T17:36:51+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on SICKLE CELL CARE- CLINICAL REDESIGN PROJECT: A MULTIDISCIPLINARY AND STANDARDIZED APPROACH TO PAIN MANAGEMENT IMPROVES QUALITY OF CARE, DECREASES LENGTH OF STAY AND COST PER CASE

HM2017 Abstract Number: 151

THE IMPACT OF A TRANSITION OF CARE TEAM IN DECOMPENSATED HEART FAILURE READMISSION RATES

Background:   Congestive heart failure is a leading cause of hospitalization in adults greater than 65 years old. It is estimated that over 1 million people are hospitalized annually with a primary diagnosis of heart [...]

By | 2017-04-20T17:36:53+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on THE IMPACT OF A TRANSITION OF CARE TEAM IN DECOMPENSATED HEART FAILURE READMISSION RATES

HM2017 Abstract Number: 148

INCREASING DISCHARGE BEFORE NOON RATES THROUGH IMPROVED INTERDISCIPLINARY COMMUNICATION

Background: Late-day hospital discharges are associated with emergency room overcrowding, longer length of stay (LOS), worsened quality of care and lower patient satisfaction scores. Early discharge, or discharge before noon (DBN) is an achievable and [...]

By | 2017-04-20T17:36:55+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on INCREASING DISCHARGE BEFORE NOON RATES THROUGH IMPROVED INTERDISCIPLINARY COMMUNICATION

HM2017 Abstract Number: 147

HIGH-RELIABILITY ACADEMIC HOSPITALIST PROGRAMS: A LIFECYCLE OF ASSESSMENT AND FEEDBACK INTEGRATING NEW AND VETERAN FACULTY

Background: Hospital medicine programs have a responsibility to maintain high standards of clinical excellence, patient safety, and efficiency for all hospitalists within their program.  Organizational change, program growth, and faculty turnover make this endeavor challenging.  [...]

By | 2017-04-20T17:36:57+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on HIGH-RELIABILITY ACADEMIC HOSPITALIST PROGRAMS: A LIFECYCLE OF ASSESSMENT AND FEEDBACK INTEGRATING NEW AND VETERAN FACULTY

HM2017 Abstract Number: 146

SAVING MONEY – ONE STICK AT A TIME

Background: The American Board of Internal Medicine Choosing Wisely initiative advocates avoiding automatic daily labs as a way to lower hospital costs. The Legacy Health Inpatient Medicine Service (LIMS) aimed to reduce unnecessary and inappropriate [...]

By | 2017-04-20T17:36:59+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on SAVING MONEY – ONE STICK AT A TIME

HM2017 Abstract Number: 143

LESS LUMENS = LESS RISK

Background: Multi-lumen (ML) peripherally inserted central catheters (PICCs) are associated with increased risk of central line associated blood stream infection (CLABSI), venous thromboembolism (VTE) and increased cost compared to single lumen (SL) PICCs. Current guidelines [...]

By | 2017-04-20T17:37:01+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on LESS LUMENS = LESS RISK

HM2017 Abstract Number: 141

CELLULITIS: MEDICAL RESPONSIBILITY IN SELECTING ANTIBIOTICS

Background: Despite detailed Infectious Disease Society of America (IDSA) skin and soft tissue infection guidelines, patients with cellulitis at our institution consistently receive antibiotics with high local resistance or that are inappropriate based on IDSA [...]

By | 2017-04-20T17:37:04+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on CELLULITIS: MEDICAL RESPONSIBILITY IN SELECTING ANTIBIOTICS

HM2017 Abstract Number: 124

“RAISE YOUR RIGHT HAND:” IMPLEMENTING A HAND HYGIENE PLEDGE TO IMPACT SAFETY CULTURE

Background: Hospital-associated infections are a significant cause of morbidity and mortality, and are frequently preventable with careful attention to appropriate hand hygiene (HH).  Unfortunately, HH rates among healthcare providers are often unacceptably low. Driving complex [...]

By | 2017-04-25T17:17:53+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on “RAISE YOUR RIGHT HAND:” IMPLEMENTING A HAND HYGIENE PLEDGE TO IMPACT SAFETY CULTURE

HM2017 Abstract Number: 122

AN ELECTRONIC PILLBOX TO IMPROVE MEDICATION SAFETY DURING CARE TRANSITIONS

Background: Adverse drug events (ADEs) are common during transitions from the hospital to the ambulatory setting, with approximately 20% of patients experiencing an ADE within 30 days of discharge. ADEs are often due to patient [...]

By | 2017-04-20T17:23:36+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on AN ELECTRONIC PILLBOX TO IMPROVE MEDICATION SAFETY DURING CARE TRANSITIONS

HM2017 Abstract Number: 117

MED WRECK: IN SEARCH OF SIMPLER WAYS TO MEASURE HIGH QUALITY MEDICATION RECONCILIATION

Background: Determining the quality of medication reconciliation (MR) is a laborious and time-intensive process, often involving chart review and detailed patient interviews. Purpose: To identify meaningful, measurable process measures for high-quality MR obtainable from electronic [...]

By | 2017-04-20T17:23:39+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on MED WRECK: IN SEARCH OF SIMPLER WAYS TO MEASURE HIGH QUALITY MEDICATION RECONCILIATION

HM2017 Abstract Number: 116

DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

Background: Hospital associated injury is the third leading cause of death in the United States. Lack of communication about patient safety issues among care team members and with patients is a key source of hospital [...]

By | 2017-04-20T17:23:41+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

HM2017 Abstract Number: 112

UNEXPECTED OVERNIGHT ADVERSE EVENTS IN INPATIENTS: CROSS-SECTIONAL STUDY IN A SINGLE CENTER IN JAPAN

Background: Unexpected overnight adverse events are known to correlate with worse outcomes in inpatients.  Unfortunately, the exact occurrence and etiologies of such events have been less known.    Purpose: The aim of our study was [...]

By | 2017-04-20T17:23:43+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on UNEXPECTED OVERNIGHT ADVERSE EVENTS IN INPATIENTS: CROSS-SECTIONAL STUDY IN A SINGLE CENTER IN JAPAN

HM2017 Abstract Number: 110

HOSPITAL-WIDE INITIATIVE TO DECREASE OPIOID-RELATED MORBIDITY AND MORTALITY

Background: At its 2014 peak, the opioid overdose crisis claimed nearly 30,000 lives, but many hospitals and health systems have small opioid-related initiatives working in disjointed fashion rather than a cohesive response.  Purpose: We created [...]

By | 2017-04-20T17:23:45+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on HOSPITAL-WIDE INITIATIVE TO DECREASE OPIOID-RELATED MORBIDITY AND MORTALITY

HM2017 Abstract Number: 109

TIMELY EVALUATION OF EMERGENTLY ADMITTED PATIENTS (4-4-2 ADHERENCE)

Background: A midsize health system recognized a pattern in Serious Safety Events (SSE) occurring in its hospitals. Half of all SSE-1 (deaths) and SSE-2 (severe permanent harm) were attributed to delays in physician evaluation of [...]

By | 2017-04-20T17:23:47+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on TIMELY EVALUATION OF EMERGENTLY ADMITTED PATIENTS (4-4-2 ADHERENCE)

HM2017 Abstract Number: 106

PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION

Background: Sepsis is a common, costly, and mortal clinical syndrome. Many delays in sepsis recognition and intervention are due to “data latency,” the period of time between data suggestive of sepsis being entered in the [...]

By | 2017-04-20T17:23:49+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION

HM2017 Abstract Number: 105

SAFETY IN NUMBERS: RESULTS FROM THE RESIDENT-LED SAFETY PROGRAM AT DUKE CHILDREN’S HOSPITAL

Background: The ACGME Clinical Learning Environment Review (CLER) has focused on six areas of trainee working and learning environments, two of which are safety and quality improvement (QI).  Exposure to practical safety and QI training [...]

By | 2017-04-20T17:23:51+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on SAFETY IN NUMBERS: RESULTS FROM THE RESIDENT-LED SAFETY PROGRAM AT DUKE CHILDREN’S HOSPITAL

HM2017 Abstract Number: 63

FLEXIBLE SCHEDULING: A NEW LOOK WITHIN HOSPITAL MEDICINE

Background: One key factor cited in physician burnout discussion is the rigid block scheduling that has become ubiquitous for Hospital Medicine. For years, nursing has allowed self-scheduling to improve work life balance and abate burnout [...]

By | 2017-04-20T17:18:20+00:00 April 20th, 2017|Innovations Abstracts, Other|Comments Off on FLEXIBLE SCHEDULING: A NEW LOOK WITHIN HOSPITAL MEDICINE

HM2017 Abstract Number: 58

PRESERVING THE RIGHT TO VOTE IN SICKNESS AND IN HEALTH

Background: In the 2016 United States general election, only 58.6% of eligible voters cast ballots. Particularly among poor and elderly voters, poor health impedes electoral participation: nearly 42% of eligible voters over 65 years and [...]

By | 2017-04-20T17:18:22+00:00 April 20th, 2017|Innovations Abstracts, Other|Comments Off on PRESERVING THE RIGHT TO VOTE IN SICKNESS AND IN HEALTH

HM2017 Abstract Number: 53

THE HANGRY HANGRY HOSPITALIST: PROTOTYPING ACCESSIBLE NUTRITION AS A RESILIENCE STRATEGY

Background: Hospitalists experience high rates of burnout.  Little is understood about the best way to address hospitalist well-being and resilience in the workplace.  User-centered interviews at our institution identified inadequate access to nutritious food as [...]

By | 2017-04-20T17:18:23+00:00 April 20th, 2017|Innovations Abstracts, Other|Comments Off on THE HANGRY HANGRY HOSPITALIST: PROTOTYPING ACCESSIBLE NUTRITION AS A RESILIENCE STRATEGY

HM2017 Abstract Number: 99

RESULTS FROM CANADA’S FIRST ACCOUNTABLE CARE UNIT

Background: In Canada, as in the US, hospital medicine has become an increasingly important staffing model innovation. Canadian hospitalists are typically Family Physicians and General Internists. In an attempt to advance its hospitalist staffing model [...]

By | 2017-04-20T17:11:16+00:00 April 20th, 2017|Innovations Abstracts, Outcomes Research|Comments Off on RESULTS FROM CANADA’S FIRST ACCOUNTABLE CARE UNIT

HM2017 Abstract Number: 46

ACE-ERCISE: PATIENT AND CAREGIVER PERSPECTIVES ON GROUP PHYSICAL THERAPY FOR HOSPITALIZED ELDERS

Background: Many hospitals do not have the means to supervise daily physical therapy (PT) for elderly inpatients. PT delivered in a group setting has the potential to allow hospitals to consolidate resources and extend PT [...]

By | 2017-04-20T17:07:37+00:00 April 20th, 2017|Geriatrics, Innovations Abstracts|Comments Off on ACE-ERCISE: PATIENT AND CAREGIVER PERSPECTIVES ON GROUP PHYSICAL THERAPY FOR HOSPITALIZED ELDERS

HM2017 Abstract Number: 45

PATHWAY FOR EARLY SEPSIS IDENTIFICATION AND TREATMENT IN THE SKILLED NURSING FACILITY

Background: Following hospitalization, a reported 20% of all Medicare patients are discharged to skilled nursing facilities (SNFs).  Sepsis was the cause of 25-68% of readmissions from SNFs based on a review of Medicare readmissions from [...]

By | 2017-04-20T17:07:39+00:00 April 20th, 2017|Geriatrics, Innovations Abstracts|Comments Off on PATHWAY FOR EARLY SEPSIS IDENTIFICATION AND TREATMENT IN THE SKILLED NURSING FACILITY

HM2017 Abstract Number: 44

“GERIATRICIZING HOSPITALISTS”: AN INNOVATIVE APPROACH TO A GERIATRICS FELLOWSHIP

Background: There is a critical shortage of Geriatricians in the United States and we are reaching a crisis nationwide without enough trained physicians to care for our rising Geriatric population. We are experiencing a “Silver [...]

By | 2017-04-25T17:16:49+00:00 April 20th, 2017|Geriatrics, Innovations Abstracts|Comments Off on “GERIATRICIZING HOSPITALISTS”: AN INNOVATIVE APPROACH TO A GERIATRICS FELLOWSHIP

HM2017 Abstract Number: 43

A GERIATRIC- FOCUSED FACULTY DEVELOPMENT LECTURE SERIES IMPROVES HOSPITALIST’S COMFORT LEVEL IN CARING FOR OLDER ADULTS

Background: Today, Medicare patients account for approximately 50% of hospital days. Hospitalists are a key strategy for providing care to hospitalized older adults, however, most of these hospitalists have not received geriatric training. Faculty development [...]

By | 2017-04-25T23:13:07+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on A GERIATRIC- FOCUSED FACULTY DEVELOPMENT LECTURE SERIES IMPROVES HOSPITALIST’S COMFORT LEVEL IN CARING FOR OLDER ADULTS

HM2017 Abstract Number: 39

GENDER DISPARITIES IN SMALL GROUP VERBAL PARTICIPATION AMONG 1ST YEAR MEDICAL STUDENTS

Background: Despite the increase in female medical students and clinicians, gender disparities continue to exist for female clinicians today, from limits on upward mobility and leadership positions to unequal pay and more. Within medical education, [...]

By | 2017-04-20T17:02:58+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on GENDER DISPARITIES IN SMALL GROUP VERBAL PARTICIPATION AMONG 1ST YEAR MEDICAL STUDENTS

HM2017 Abstract Number: 37

EMBEDDING EVIDENCE-BASED PRACTICE SKILLS AMONG ADVANCED PRACTICE PROVIDERS: PARTNERING A HOSPITAL BASED EVIDENCE PRACTICE CENTER AND HOSPITALIST SERVICE

Background: Evidence-based practice (EBP) is associated with the delivery of high value care. The number of Advanced Practice Providers (APPs) at our institution is growing along with breadth of clinical responsibilities. Two existing organizational structures [...]

By | 2017-04-20T17:03:01+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on EMBEDDING EVIDENCE-BASED PRACTICE SKILLS AMONG ADVANCED PRACTICE PROVIDERS: PARTNERING A HOSPITAL BASED EVIDENCE PRACTICE CENTER AND HOSPITALIST SERVICE

HM2017 Abstract Number: 36

ON THE OTHER SIDE: AN EDUCATIONAL INNOVATION TO HELP LEARNERS UNDERSTAND COMMUNICATION BARRIERS

Background: Communicating with patients with limited English proficiency (LEP) can be a challenge. Despite laws and studies reinforcing the need to use appropriate interpretation services, many fail to do so. Impressing upon learners the importance [...]

By | 2017-04-20T17:03:03+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on ON THE OTHER SIDE: AN EDUCATIONAL INNOVATION TO HELP LEARNERS UNDERSTAND COMMUNICATION BARRIERS

HM2017 Abstract Number: 35

A NOVEL SYSTEMS-BASED PRACTICE CURRICULUM ENABLES PRE-CLINICAL STUDENTS TO LEARN AND CONTRIBUTE MEANINGFULLY TO HOSPITAL MEDICINE SYSTEMS IMPROVEMENT

Background: Systems-based practice (SBP) is critical to physicians’ work and is gaining emphasis in medical school curricula. Purpose: In this hospitalist-led pilot curriculum for first-year medical students, we developed a novel didactic and experiential approach to teaching SBP skills, [...]

By | 2017-04-25T23:19:28+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on A NOVEL SYSTEMS-BASED PRACTICE CURRICULUM ENABLES PRE-CLINICAL STUDENTS TO LEARN AND CONTRIBUTE MEANINGFULLY TO HOSPITAL MEDICINE SYSTEMS IMPROVEMENT

HM2017 Abstract Number: 34

THANK YOU FOR THIS INTERESTING CONSULT: TEACHING AND ASSESSING INCOMING INTERNS ON CONSULTATION COMMUNICATION VIA ONLINE MODULE AND CONSULTATION OSCE

Background: Communication is recognized by the LCME and ACGME as an essential competency with significant patient safety implications; the Joint Commission cites communication errors as a major cause of sentinel events. Consultation is a near-universal method [...]

By | 2017-04-20T17:03:07+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on THANK YOU FOR THIS INTERESTING CONSULT: TEACHING AND ASSESSING INCOMING INTERNS ON CONSULTATION COMMUNICATION VIA ONLINE MODULE AND CONSULTATION OSCE

HM2017 Abstract Number: 32

CONTENT, COLLABORATION, AND COMMUNITY: BUILDING SHARED FACULTY DEVELOPMENT ACROSS LOCAL HOSPITALIST GROUPS – A 3-SITE JUNIOR FACULTY BOOT CAMP

Background: Faculty development can help new hospitalists set professional goals, identify effective mentorship, and learn foundational skills. Most faculty development occurs within a single hospitalist group; however this may limit the scope and impact, when [...]

By | 2017-04-20T17:03:09+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on CONTENT, COLLABORATION, AND COMMUNITY: BUILDING SHARED FACULTY DEVELOPMENT ACROSS LOCAL HOSPITALIST GROUPS – A 3-SITE JUNIOR FACULTY BOOT CAMP

HM2017 Abstract Number: 30

CTRL-ALT-DELETE: RESETTING EHR TRAINING

Background: Despite widespread mandated use of Electronic Health Records (EHR), many residency programs struggle to find the best strategy to conduct EHR training. Traditional EHR training sessions are typically led by non-clinical IT staff and [...]

By | 2017-04-20T17:03:11+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on CTRL-ALT-DELETE: RESETTING EHR TRAINING

HM2017 Abstract Number: 28

DISCHARGE READINESS: AN EDUCATION INNOVATIVE TO EDUCATE RESIDENTS IN PATIENT DISCHARGE PREPARATION AND IMPROVE DISCHARGE EFFICIENCY

Background: Starting March 1, 2016 our academic hospital was part of a new “no diversion” policy in accordance with new county regulations of all hospitals.  The goal of the policy was to provide ready access [...]

By | 2017-04-20T17:03:13+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on DISCHARGE READINESS: AN EDUCATION INNOVATIVE TO EDUCATE RESIDENTS IN PATIENT DISCHARGE PREPARATION AND IMPROVE DISCHARGE EFFICIENCY

HM2017 Abstract Number: 26

RAPID RESPONSE ACUTE MEDICAL EMERGENCY MANAGEMENT TRAINING FOR RESIDENTS: MULTI-DISCIPLINARY APPROACH AND CURRICULUM DEVELOPMENT

Background: The substantial increase in medical knowledge along with the pursuit of enhanced outcomes and quality of care has led to significant subdivision of medical and surgical specialties. Physicians, regardless of level of training or [...]

By | 2017-04-20T17:03:49+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on RAPID RESPONSE ACUTE MEDICAL EMERGENCY MANAGEMENT TRAINING FOR RESIDENTS: MULTI-DISCIPLINARY APPROACH AND CURRICULUM DEVELOPMENT

HM2017 Abstract Number: 21

INTERPROFESSIONAL STROKE ALERT SIMULATIONS FOR HOSPITALIST TRAINEES

Background:  The Society of Hospital Medicine considers stroke care to be a core competency in hospital medicine.  Hospitalists must be prepared to lead inpatient stroke alerts, as neurologists may not be readily available outside of [...]

By | 2017-04-20T17:03:51+00:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on INTERPROFESSIONAL STROKE ALERT SIMULATIONS FOR HOSPITALIST TRAINEES

HM2017 Abstract Number: 20

IMPACT OF AN INNOVATIVE PSYCHIATRIC CONSULTATION LIAISON MODEL ON PROVIDER SATISFACTION WHEN CARING FOR BEHAVIORALLY COMPLEX PATIENTS

Background: Hospitalists nationwide are faced with complex patient and family behaviors that interfere with medical care. In the acute inpatient setting, few resources are available for physicians to address maladaptive behaviors and many physicians report [...]

By | 2017-04-20T16:57:03+00:00 April 20th, 2017|Consultative Medicine, Innovations Abstracts|Comments Off on IMPACT OF AN INNOVATIVE PSYCHIATRIC CONSULTATION LIAISON MODEL ON PROVIDER SATISFACTION WHEN CARING FOR BEHAVIORALLY COMPLEX PATIENTS

HM2017 Abstract Number: 18

COMANAGEMENT OF SURGICAL PATIENTS BY HOSPITALISTS IN A PUBLIC TERTIARY HOSPITAL IN BRAZIL

Background: Previous studies have shown reduced costs and length of hospital with surgical comanagement performed by hospitalists. In Latin America, however, this practice of comanagement is still not standard among surgeons. The Hospital Nossa Senhora [...]

By | 2017-04-20T16:57:06+00:00 April 20th, 2017|Consultative Medicine, Innovations Abstracts|Comments Off on COMANAGEMENT OF SURGICAL PATIENTS BY HOSPITALISTS IN A PUBLIC TERTIARY HOSPITAL IN BRAZIL

HM2017 Abstract Number: 17

THE SUCCESFUL DEVELOPMENT OF A HOSPITAL MEDICINE-TRAUMA SURGERY CO-MANAGEMENT PROGRAM

Background: Surgical co-management is an up-and-coming field within Hospital Medicine, with great successes documented in the improvement in quality metrics and patient satisfaction owing to the involvement of hospitalists in peri-operative inpatient care. Currently, orthopedic [...]

By | 2017-04-20T16:57:08+00:00 April 20th, 2017|Consultative Medicine, Innovations Abstracts|Comments Off on THE SUCCESFUL DEVELOPMENT OF A HOSPITAL MEDICINE-TRAUMA SURGERY CO-MANAGEMENT PROGRAM

HM2017 Abstract Number: 12

BRIDGING THE COMMUNICATION DIVIDE BETWEEN RESIDENTS AND HOSPITALISTS: THE CULTURE OF ESCALATING CARE AND STANDARDIZING PRACTICE

Background: Residents are frequently the first physicians notified when acute changes occur in patient conditions.   Delays in appropriate diagnostic testing or treatment can adversely affect patients if residents are unfamiliar with certain clinical situations and [...]

By | 2017-04-20T16:53:04+00:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on BRIDGING THE COMMUNICATION DIVIDE BETWEEN RESIDENTS AND HOSPITALISTS: THE CULTURE OF ESCALATING CARE AND STANDARDIZING PRACTICE

HM2017 Abstract Number: 10

HELP ME HELP YOU: A LOW-TECH, LOW-COST SOLUTION TO IMPROVING COMMUNICATION

Background: Due to low cost, dependability, and familiarity, one-way alphanumeric paging continues to be a commonly used method of in-hospital communication. However, lack of urgency indicators has been cited as a key limitation. To address [...]

By | 2017-04-20T16:53:06+00:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on HELP ME HELP YOU: A LOW-TECH, LOW-COST SOLUTION TO IMPROVING COMMUNICATION

HM2017 Abstract Number: 9

EMPLOYING EMPATHY: APPLYING USER-CENTERED DESIGN TO PROMOTE HOSPITALIST RESILIENCE

Background:  The rapidly changing and increasingly complex hospitalist work environment has placed new focus on provider burnout and resilience. As hospitalist leaders seek tools to address these issues, the design thinking process offers a novel user-centered approach. [...]

By | 2017-04-20T16:53:08+00:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on EMPLOYING EMPATHY: APPLYING USER-CENTERED DESIGN TO PROMOTE HOSPITALIST RESILIENCE

HM2017 Abstract Number: 8

A PLAN OF CARE COMMUNICATION INTERVENTION FOR HOSPITALIZED PATIENTS

Background: Substantial portions of hospitalized patients in the United States do not understand their plan of care. Hospitalized patients’ knowledge of their plan of care affects their ability to provide truly informed consent and assent [...]

By | 2017-04-20T16:53:10+00:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on A PLAN OF CARE COMMUNICATION INTERVENTION FOR HOSPITALIZED PATIENTS

HM2017 Abstract Number: 7

DISCHARGE BEFORE NOON OR WITH THE MOON? A PROTOCOL THAT MAKES EARLY DISCHARGES AN ATTAINABLE GOAL

Background: Improving hospital throughput is a barrier facing medical facilities.  Poor throughput leads to prolonged patient wait times for beds, a cause of patient complaints.  Often these wait times are the result of late discharge [...]

By | 2017-04-20T16:53:12+00:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on DISCHARGE BEFORE NOON OR WITH THE MOON? A PROTOCOL THAT MAKES EARLY DISCHARGES AN ATTAINABLE GOAL

HM2017 Abstract Number: 4

SERVICE 360: A NOVEL METHODOLOGY FOR DEVELOPING AN INTERDISCIPLINARY POLICY AROUND LIMITED ESCALATION

Background: There is variability in care expectations and perceptions of terminally ill patients who are expected not to benefit from intensive care unit (ICU) level care. This created significant angst amongst members of the health [...]

By | 2017-04-20T16:53:14+00:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on SERVICE 360: A NOVEL METHODOLOGY FOR DEVELOPING AN INTERDISCIPLINARY POLICY AROUND LIMITED ESCALATION

HM2017 Abstract Number: 3

PUTTING THE SHM KEY PRINCIPLES INTO PRACTICE: DIRECT OBJECTIVE CLINICAL EVALUATION OF NEW-HIRE HOSPITALISTS TO IMPROVE PHYSICIAN COMMUNICATION AND ENGAGEMENT WHILE FULFILLING FPPE

Background: SHM Key Characteristic 9.1 on patient centered care encourages using guidelines/checklists to reinforce effective communication. Focused practice performance evaluations (FPPE) are a required regulatory hospital process for new medical staff members. In cognitive specialties, [...]

By | 2017-04-20T16:53:16+00:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on PUTTING THE SHM KEY PRINCIPLES INTO PRACTICE: DIRECT OBJECTIVE CLINICAL EVALUATION OF NEW-HIRE HOSPITALISTS TO IMPROVE PHYSICIAN COMMUNICATION AND ENGAGEMENT WHILE FULFILLING FPPE

HM2017 Abstract Number: 2

COMMUNICATING SMARTLY: INTEGRATION OF SMARTPHONES AS PRIMARY TOOL FOR COMMUNICATION IN THE HOSPITAL: STRATEGIES, SATISFACTION AND LESSONS LEARNED

Background: Effective and timely communication among caregivers is one of the 2016 Hospital National Patient Safety Goals set forth by the Joint Commission. The pager messaging system remains predominant in the U.S health care system, [...]

By | 2017-04-20T16:53:18+00:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on COMMUNICATING SMARTLY: INTEGRATION OF SMARTPHONES AS PRIMARY TOOL FOR COMMUNICATION IN THE HOSPITAL: STRATEGIES, SATISFACTION AND LESSONS LEARNED

HM2017 Abstract Number:

“MURMUR” TO US: A SYSTEM FOR AUTOMATED DATA ACQUISITION AND ALERT GENERATION ON THE WARDS

Background: Rich sources of data are available in hospitals, but are often housed in different systems. These include electronic health records (EHRs), physician scheduling software, and existing tools that can be used to electronically contact [...]

By | 2017-04-20T14:30:41+00:00 April 20th, 2017|Innovations Abstracts, Plenary Presentations|Comments Off on “MURMUR” TO US: A SYSTEM FOR AUTOMATED DATA ACQUISITION AND ALERT GENERATION ON THE WARDS

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“CAP” IT AT 5 DAYS: IMPLEMENTATION OF A HOUSE STAFF-LED PNEUMONIA ANTIBIOTIC STEWARDSHIP PROGRAM

Background: Pneumonia is the fourth most common cause of hospital admissions in the United States and the eighth most expensive condition, accounting for over $9.5 billion annually in inpatient costs alone. Multiple clinical trials have [...]

By | 2017-05-05T19:01:50+00:00 April 20th, 2017|Innovations Abstracts, Oral Presentations|Comments Off on “CAP” IT AT 5 DAYS: IMPLEMENTATION OF A HOUSE STAFF-LED PNEUMONIA ANTIBIOTIC STEWARDSHIP PROGRAM

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EFFECTIVENESS OF A COMPREHENSIVE INTRODUCTORY BEDSIDE ULTRASOUND COURSE WITH PORTFOLIO DEVELOPMENT AT A LARGE TERTIARY CARE MEDICAL CENTER

Background: A growing body of evidence supports the use of point of care ultrasound increasingly as augmentation of the physical exam and clinical decision making. The literature also supports that trainees, both medical students and [...]

By | 2017-05-05T19:02:20+00:00 April 20th, 2017|Innovations Abstracts, Oral Presentations|Comments Off on EFFECTIVENESS OF A COMPREHENSIVE INTRODUCTORY BEDSIDE ULTRASOUND COURSE WITH PORTFOLIO DEVELOPMENT AT A LARGE TERTIARY CARE MEDICAL CENTER

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CAN INNOVATIVE CO-MANAGEMENT MODELS REDUCE BURNOUT?

Background: Co-management across service lines has become increasingly common in hospital medicine. While debate continues over clinical outcomes, some co-management arrangements have led to enhanced provider satisfaction, which may have implications for burnout. We have [...]

By | 2017-05-05T19:02:10+00:00 April 20th, 2017|Innovations Abstracts, Oral Presentations|Comments Off on CAN INNOVATIVE CO-MANAGEMENT MODELS REDUCE BURNOUT?

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WHAT MATTERS MOST: PROVIDERS LEARN FROM PATIENTS’ LETTER ADVANCE DIRECTIVES

Background: Advance care planning can be challenging for both patients and providers.  Barriers to understanding patients’ goals of care include patient and provider discomfort with the topic, as well as family and cultural dynamics.  The [...]

By | 2017-05-05T19:02:27+00:00 April 20th, 2017|Innovations Abstracts, Oral Presentations|Comments Off on WHAT MATTERS MOST: PROVIDERS LEARN FROM PATIENTS’ LETTER ADVANCE DIRECTIVES

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A HOSPITALIST CO-MANAGEMENT MODEL FOR AN ADDICTION RECOVERY UNIT

Background:  Opiate, alcohol and polysubstance abuse are increasingly recognized for their catastrophic consequences on the health of populations across demographic groups.  Inpatient management of polysubstance use or dependence is often a crucial aspect of appropriate [...]

By | 2017-05-05T19:02:00+00:00 April 20th, 2017|Innovations Abstracts, Oral Presentations|Comments Off on A HOSPITALIST CO-MANAGEMENT MODEL FOR AN ADDICTION RECOVERY UNIT