Transitions of Care

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

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

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

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

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

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

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

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)

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

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