Transitions of Care

HM2017 Abstract Number: 246

IMPACT OF ‘TRANSITION OF CARE MODEL’ ON HOSPITAL DIABETIC KETOACIDOSIS READMISSION RATES

Background: Hospital admissions are the majority contributor to the cost in caring for diabetes, accounting for about 40% of the costs. As most hospital reimbursements are based upon diagnosis-related groups, hospitals have strong financial incentives [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPACT OF ‘TRANSITION OF CARE MODEL’ ON HOSPITAL DIABETIC KETOACIDOSIS READMISSION RATES

HM2017 Abstract Number: 241

“BECAUSE THEY SAID SO I GUESS”: EVALUATING THE QUALITY OF OLDER ADULTS’ DECISION-MAKING REGARDING POST-ACUTE CARE OPTIONS

Background: Hospitalized older adults are increasingly referred to skilled nursing facilities (SNFs) for post-acute care following hospitalization. However, whether hospitalized older adults are enabled to make high-quality decisions about different post-acute care options is unclear. [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on “BECAUSE THEY SAID SO I GUESS”: EVALUATING THE QUALITY OF OLDER ADULTS’ DECISION-MAKING REGARDING POST-ACUTE CARE OPTIONS

HM2017 Abstract Number: 272

FACTORS ASSOCIATED WITH THE ABILITY OF INPATIENTS TO RECALL THEIR OUTPATIENT PRESCRIPTION MEDICATION LIST

Background: Patient understanding of prescription medication regimens is an important aspect of health literacy and inpatient medication reconciliation. There is a lack of data regarding patient knowledge of their own outpatient prescription medications. This study [...]

By | 2017-04-26T02:32:32+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on FACTORS ASSOCIATED WITH THE ABILITY OF INPATIENTS TO RECALL THEIR OUTPATIENT PRESCRIPTION MEDICATION LIST

HM2017 Abstract Number: 269

IMPROVEMENT IN 24-HOUR DISCHARGE SUMMARY COMPLETION RATE DOES NOT CORRELATE WITH REDUCED READMISSIONS

Background: Multiple studies have established that delays in discharge summary transmission were associated with higher rates of all-cause hospital readmissions.    It has been recently shown that delaying the completion of discharge summaries beyond 72 hours [...]

By | 2017-04-26T02:33:32+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPROVEMENT IN 24-HOUR DISCHARGE SUMMARY COMPLETION RATE DOES NOT CORRELATE WITH REDUCED READMISSIONS

HM2017 Abstract Number: 267

IMPROVING TRANSITIONS OF CARE: IMPLEMENTING A TRAINING PROGRAM FOR INCOMING RESIDENTS

Background: Transition of care between physicians remains a vulnerability in providing optimal patient care. The Clinical Learning Environment Review (CLER) program identifies Care Transitions as a core pathway for evaluation. Specifically, they assess a program’s [...]

By | 2017-04-26T02:34:10+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPROVING TRANSITIONS OF CARE: IMPLEMENTING A TRAINING PROGRAM FOR INCOMING RESIDENTS

HM2017 Abstract Number: 265

BARRIERS TO IMPLEMENTATION OF A TRANSTIONAL CARE INTERVENTION: A QUALITATIVE ANALYSIS

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. Many interventions have been tried, with varying degrees of success, and often the problem has been with implementation rather than theoretical [...]

By | 2017-04-26T02:34:47+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on BARRIERS TO IMPLEMENTATION OF A TRANSTIONAL CARE INTERVENTION: A QUALITATIVE ANALYSIS

HM2017 Abstract Number: 264

WARM HANDOFFS: A STRATEGY TO IMPROVE END-OF-ROTATION CARE TRANSITIONS AMONG HOUSESTAFF

Background: Hospitalized medical patients transitioning to new house staff at the end of an inpatient resident rotation are associated with an increased risk of mortality as compared with patients not exposed to such handoffs, yet [...]

By | 2017-04-26T02:35:19+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on WARM HANDOFFS: A STRATEGY TO IMPROVE END-OF-ROTATION CARE TRANSITIONS AMONG HOUSESTAFF

HM2017 Abstract Number: 261

PHARMACY-DRIVEN CONTINUUM OF CARE PROGRAM: REDUCING RELATED READMISSIONS IN PATIENTS WITH HIGH-VOLUME HOME MEDICATIONS ON THE GENERAL MEDICINE SERVICE

Background: U.S. healthcare costs are rising due to the increase in polypharmacy, which is a potential risk factor for hospital readmission.1 In a cohort study of 5,507 patients with ≥10 discharge medications, more than 25% of [...]

By | 2017-04-26T02:36:27+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PHARMACY-DRIVEN CONTINUUM OF CARE PROGRAM: REDUCING RELATED READMISSIONS IN PATIENTS WITH HIGH-VOLUME HOME MEDICATIONS ON THE GENERAL MEDICINE SERVICE

HM2017 Abstract Number: 260

EDUCATION OF RESIDENTS TO IMPROVE DISCHARGE SUMMARY VARIABILITY AND OUTPATIENT PRIMARY CARE PROVIDER SATISFACTION

Background: Discharge summaries (DS) play a large role in transition of care from the inpatient to outpatient setting. At academic centers DS are largely completed by house staff, though few residency programs and medical schools [...]

By | 2017-04-20T20:30:55+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on EDUCATION OF RESIDENTS TO IMPROVE DISCHARGE SUMMARY VARIABILITY AND OUTPATIENT PRIMARY CARE PROVIDER SATISFACTION

HM2017 Abstract Number: 259

ARE PATIENTS TRANSFERRED TO HOSPITALS THAT CAN APPROPRIATELY TREAT THEM?

Background: Patients are often transferred between hospitals to provide access to required specialty services. However, prior research suggests that transfer destinations are often chosen based on institutional relationships rather than solely on patient need. In [...]

By | 2017-04-26T02:37:02+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ARE PATIENTS TRANSFERRED TO HOSPITALS THAT CAN APPROPRIATELY TREAT THEM?

HM2017 Abstract Number: 258

PATIENT EXPERIENCE WITH INTER-HOSPITAL TRANSFER: A QUALITATIVE STUDY

Background: Inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) exposes patients to risks of discontinuity of care and remains a largely unstudied process of care. In this study, we aimed to investigate [...]

By | 2017-04-26T02:37:34+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PATIENT EXPERIENCE WITH INTER-HOSPITAL TRANSFER: A QUALITATIVE STUDY

HM2017 Abstract Number: 257

IMPACT OF POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

Background: According to Medicare Payment Advisory Commission, about 75% of hospital readmissions are potentially preventable, representing an estimated $12 billion in Medicare spending. Prompt follow-up of hospital patients before primary care and subspecialist appointment may decrease [...]

By | 2017-04-26T02:38:02+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPACT OF POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

HM2017 Abstract Number: 256

AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): INTERIM RESULTS FROM A RANDOMIZED CONTROLLED QUALITY IMPROVEMENT TRIAL

Background: Hospital readmissions remain highly prevalent despite being the target of policies and financial penalties.  Evidence comparing effectiveness and costs of interventions to reduce readmissions is lacking, leaving healthcare systems with little guidance on how [...]

By | 2017-04-26T02:38:33+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): INTERIM RESULTS FROM A RANDOMIZED CONTROLLED QUALITY IMPROVEMENT TRIAL

HM2017 Abstract Number: 255

TRANSITIONS OF CARE: ASSESSING SATISFACTION OF DISCHARGE COMMUNICATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS

Background: Poor communication between healthcare providers has been identified as an important contributor to poor patient outcomes and adverse events. The transition period from inpatient to outpatient care is a particularly high risk time for [...]

By | 2017-04-26T02:39:02+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on TRANSITIONS OF CARE: ASSESSING SATISFACTION OF DISCHARGE COMMUNICATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS

HM2017 Abstract Number: 253

COGNITIVE IMPAIRMENT AMONG HOSPITALIZED HOMELESS PATIENTS

Background: Homeless patients have a higher incidence of medical and psychiatric diagnoses, which often necessitate hospitalization. Studies show that homeless persons have increased lengths of stay with an average excess of 4.1 days, accounting for [...]

By | 2017-04-26T02:39:34+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on COGNITIVE IMPAIRMENT AMONG HOSPITALIZED HOMELESS PATIENTS

HM2017 Abstract Number: 252

A PILOT STUDY OF READMISSIONS WITHIN 28 DAYS TO AN AMAU (ACUTE MEDICAL ASSESSMENT UNIT) IN THE MIDDLE EAST REGION

Background: Readmissions after hospitalisation are a healthcare quality indicator and carry considerable financial penalties in some healthcare systems. Internationally, readmission rates at 28 – 30 days for medical inpatients range between 10 - 22%. However [...]

By | 2017-04-25T23:21:38+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on A PILOT STUDY OF READMISSIONS WITHIN 28 DAYS TO AN AMAU (ACUTE MEDICAL ASSESSMENT UNIT) IN THE MIDDLE EAST REGION

HM2017 Abstract Number: 250

ARE YOUR PATIENTS BEING READMITTED ELSEWHERE? INSIGHTS FROM THE NATIONAL READMISSIONS DATABASE

Background: Financial readmission penalties hold hospitals responsible for 30-day readmissions regardless of whether the patient was readmitted to another hospital.  Emerging evidence suggests patients readmitted to non-index hospitals may experience higher mortality rates.  Hospitals with [...]

By | 2017-04-26T02:40:24+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ARE YOUR PATIENTS BEING READMITTED ELSEWHERE? INSIGHTS FROM THE NATIONAL READMISSIONS DATABASE

HM2017 Abstract Number: 249

IMPLEMENTING A HOSPITAL BASED TRANSITIONAL CARE MANAGEMENT INITIATIVE REDUCES READMISSION RATES

Background: National readmission rates for all-cause hospitalizations are as high as 14 readmits per 100 index admissions and have been relatively unchanged for at least the last 5 years (Fingar K, et al. Agency for [...]

By | 2017-04-26T02:40:55+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPLEMENTING A HOSPITAL BASED TRANSITIONAL CARE MANAGEMENT INITIATIVE REDUCES READMISSION RATES

HM2017 Abstract Number: 245

WHEN ARE WE TOO BUSY TO SUMMARIZE? ASSOCIATION OF PRACTICE CHARACTERISTICS WITH HOSPITALISTS’ PERCEIVED BURDEN OF PREPARING HOSPITAL DISCHARGE SUMMARIES

Background: Patients admitted to inpatient hospital services are increasingly cared for by hospitalists rather than their primary care providers. When transitioning from hospital-based to ambulatory care, suboptimal information transfer can lead to serious adverse events [...]

By | 2017-04-26T02:41:30+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on WHEN ARE WE TOO BUSY TO SUMMARIZE? ASSOCIATION OF PRACTICE CHARACTERISTICS WITH HOSPITALISTS’ PERCEIVED BURDEN OF PREPARING HOSPITAL DISCHARGE SUMMARIES

HM2017 Abstract Number: 244

PROTECTING THE VULNERABLE: PRACTICE PATTERNS OF PROVIDERS WHO DISCHARGE PATIENTS AGAINST MEDICAL ADVICE

Background: Patients discharged against medical advice (AMA) have disproportionately high healthcare costs and increased morbidity, mortality, and hospital readmissions. While patient risk factors for discharge AMA are known, there is little data regarding providers’ practice [...]

By | 2017-04-26T02:42:02+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PROTECTING THE VULNERABLE: PRACTICE PATTERNS OF PROVIDERS WHO DISCHARGE PATIENTS AGAINST MEDICAL ADVICE

HM2017 Abstract Number: 243

ASSESSING PERCEPTIONS AND EXPERIENCES OF ADULT-CARE PROVIDERS WITH TRANSITION FROM PEDIATRIC TO ADULT MEDICAL CARE

Background: With advances in medical care, there is a growing population with childhood-onset chronic health conditions reaching adulthood. A 2011 consensus statement by the AAP, AAFP and ACP identified an algorithm for transition from pediatric [...]

By | 2017-04-26T02:42:32+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ASSESSING PERCEPTIONS AND EXPERIENCES OF ADULT-CARE PROVIDERS WITH TRANSITION FROM PEDIATRIC TO ADULT MEDICAL CARE