Innovations

HM2018 Abstract Number: 110

TWO HURRICANES IN ONE YEAR-LESSONS LEARNED FOR HOSPITALIST STAFFING AND DISASTER PLANNING

Background: Situated in coastal Florida, the four hospitals/1,000 beds in the Health First Integrated delivery network are located right in hurricane alley. Our hospitalist program had to plan for, communicate, and execute our hurricane staffing [...]

By | 2018-03-19T15:43:49+00:00 March 19th, 2018|Innovations, Other, Uncategorized|Comments Off on TWO HURRICANES IN ONE YEAR-LESSONS LEARNED FOR HOSPITALIST STAFFING AND DISASTER PLANNING

HM2018 Abstract Number: 334

OPTIMIZING COMPLEX PATIENT TRANSITIONS THROUGH COLLABORATIVE CARE

Background: Due to the complexity of patient discharge needs leading to increased length of stay within a large academic medical center, a specialized inpatient unit became a priority. Purpose: The University of Kentucky Healthcare created [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on OPTIMIZING COMPLEX PATIENT TRANSITIONS THROUGH COLLABORATIVE CARE

HM2018 Abstract Number: 126

STOPPING HCV IN ITS TRACKS – EXPANDING HCV TESTING CAN HALT THE EPIDEMIC

Background: There is an estimated 160,000 individuals that have been diagnosed with Hepatitis C Virus (HCV) in New Jersey. HCV is a well-known and widespread challenge to personal, societal, and governmental resources and ultimately, human [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Outcomes Research, Uncategorized|Comments Off on STOPPING HCV IN ITS TRACKS – EXPANDING HCV TESTING CAN HALT THE EPIDEMIC

HM2018 Abstract Number: 66

PREPARING FOR INDEPENDENT PRACTICE: AN EDUCATIONAL INTERVENTION PROMOTING STRUCTURED CHART REVIEW, REFLECTION, AND FEEDBACK ON NIGHT ADMITTING ROTATIONS

Background: Feedback on clinical management and diagnostic accuracy may enhance physicians’ learning and reduce diagnostic error. Residents on night admitting rotations rarely receive feedback on their clinical management and seldom have the opportunity to reflect [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Education, Innovations, Uncategorized|Comments Off on PREPARING FOR INDEPENDENT PRACTICE: AN EDUCATIONAL INTERVENTION PROMOTING STRUCTURED CHART REVIEW, REFLECTION, AND FEEDBACK ON NIGHT ADMITTING ROTATIONS

HM2018 Abstract Number: 278

TWICE DAILY INTERDISCIPLINARY ROUNDS AND ITS EFFECT ON TEAM SATISFACTION AND HOSPITAL LENGTH OF STAY

Background: Interdisciplinary rounds (IDR) have become widely implemented in hospital settings in recent years due to proposed positive impact on various outcome measures such as length of stay, frequency of adverse effects, patient and team [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on TWICE DAILY INTERDISCIPLINARY ROUNDS AND ITS EFFECT ON TEAM SATISFACTION AND HOSPITAL LENGTH OF STAY

HM2018 Abstract Number: 80

A NOVEL APPROACH TO IMPROVE FELLOWSHIP INTERVIEW SKILLS

Background: The process by which medical residents apply for subspecialty fellowship is a rigorous one that often involves multiple interviews per day. Data regarding the preparedness of residents who go through the interview process is [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Education, Innovations, Uncategorized|Comments Off on A NOVEL APPROACH TO IMPROVE FELLOWSHIP INTERVIEW SKILLS

HM2018 Abstract Number: 210

A QUALITY IMPROVEMENT PROJECT INVESTIGATING METHODS TO OPTIMIZE CODE STATUS DISCUSSIONS (CSD’s) DURING INPATIENT ADMISSIONS

Background: CSD’s are an integral component of the inpatient admission process. However, despite their importance, CSD’s are not performed during all admissions. Residents physicians, who are at the forefront of the admission process, are rarely [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on A QUALITY IMPROVEMENT PROJECT INVESTIGATING METHODS TO OPTIMIZE CODE STATUS DISCUSSIONS (CSD’s) DURING INPATIENT ADMISSIONS

HM2018 Abstract Number: 338

SLEEP FOR HOSPITALIZED PATIENTS – TRANSLATING RESEARCH INTO PRACTICE

Background: Evidence-based medicine and research are the backdrops to our everyday practice of medicine. Although there are defined steps in carrying research project to publication, there is paucity in the translation of research to practice.(1,2) [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Innovations, Translating Research into Practice, Uncategorized|Comments Off on SLEEP FOR HOSPITALIZED PATIENTS – TRANSLATING RESEARCH INTO PRACTICE

HM2018 Abstract Number: 187

DATABASE DEVELOPMENT FOR PEDIATRIC HOSPITAL MEDICINE AND ORTHOPEDIC COMANAGEMENT OF PATIENTS UNDERGOING POSTERIOR SPINAL FUSION

Background: The care of surgical patients is becoming more complex as patients with increasing comorbidities require surgical procedures. In adult hospital medicine, co-management of complex medical patients by hospital medicine and surgery has been shown [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Innovations, Pediatrics, Uncategorized|Comments Off on DATABASE DEVELOPMENT FOR PEDIATRIC HOSPITAL MEDICINE AND ORTHOPEDIC COMANAGEMENT OF PATIENTS UNDERGOING POSTERIOR SPINAL FUSION

HM2018 Abstract Number: 13

THE EFFECTIVENESS OF MEDICAL ASSISTANT SUPPORT ON RESIDENT INPATIENT TEAMS TO ADDRESS THE HIGH SERVICE VS. EDUCATION IMBALANCE

Background: On the 2016 ACGME survey, our Internal Medicine residents indicated that our service vs. education rating was at 47% compared to the national average of 69%.Purpose: To decrease resident physician workload to improve our [...]

By | 2018-03-22T15:12:50+00:00 March 19th, 2018|Finalist Posters, Innovations, Quality Improvement, Uncategorized|Comments Off on THE EFFECTIVENESS OF MEDICAL ASSISTANT SUPPORT ON RESIDENT INPATIENT TEAMS TO ADDRESS THE HIGH SERVICE VS. EDUCATION IMBALANCE

HM2018 Abstract Number: 61

HEALTH SYSTEMS, INFORMATICS AND QUALITY IMRPOVEMENT CURRICULUM PROVIDES FRESH IDEAS TO HOSPITAL MEDICINE QI PROJECTS

Background: Identifying system failures and contributing to a culture of safety and improvement has been recognized by the AAMC as a Core Entrustable Professional Activity (EPA) for entering residency. The AAMC has endorsed increased quality [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Education, Innovations, Uncategorized|Comments Off on HEALTH SYSTEMS, INFORMATICS AND QUALITY IMRPOVEMENT CURRICULUM PROVIDES FRESH IDEAS TO HOSPITAL MEDICINE QI PROJECTS

HM2018 Abstract Number: 312

Long Stay Committee finds Innovative Discharge Plans for Difficult Discharges

Background: Hospital length of stay has been an important measure of hospital efficiency and resource utilization. Increase length of stay results in higher cost and increased morbidity to patients. Length of stay outliers or “long [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on Long Stay Committee finds Innovative Discharge Plans for Difficult Discharges

HM2018 Abstract Number: 247

Being A Lean Mean Discharging Machine

Background: Long discharge times (DT), (the time from discharge order to patient leaving room), have detrimental impacts on any hospital. Apart from causing dissatisfaction among patients and their families who are waiting to go home, [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on Being A Lean Mean Discharging Machine

HM2018 Abstract Number: 250

APPLICATION OF DATA ANALYTICS AND BOWTIE RISK METHODOLOGY TO REDUCE RATES OF HOSPITAL-ASSOCIATED VENOUS THROMBOEMBOLISM

Background: Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, is a serious public health problem causing over 90,000 deaths each year. VTE rates at our institution have been high and costly, with insurer [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on APPLICATION OF DATA ANALYTICS AND BOWTIE RISK METHODOLOGY TO REDUCE RATES OF HOSPITAL-ASSOCIATED VENOUS THROMBOEMBOLISM

HM2018 Abstract Number: 314

EMR based sign-out: A tool that improves efficiency and satisfaction

Background: Transitions of care are critical to maintaining patient safety and decreasing adverse events, but they remain a complex process with many pitfalls. Electronic Medical Record (EMR) based handoffs can enhance communication by centralizing content [...]

By | 2018-03-19T15:44:20+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on EMR based sign-out: A tool that improves efficiency and satisfaction

HM2018 Abstract Number: 215

Development and Implementation of an Electronic Health Record based Medication Reconciliation Risk Stratification Tool to Optimally Deploy Limited Pharmacy Resources

Background: Medication errors occur frequently at transitions of care and lead to significant patient harm. Robust medication reconciliation practices can mitigate these errors, but this process is complex and time-consuming. One of the conclusions of [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on Development and Implementation of an Electronic Health Record based Medication Reconciliation Risk Stratification Tool to Optimally Deploy Limited Pharmacy Resources

HM2018 Abstract Number: 273

Effect of Unit-Level Cessation of Intravenous Push Opiate Use on Patients’ Pain Experience and Hospital Length of Stay

Background: Opiates, frequently used to provide analgesia, are associated with post-analgesia related tolerance effects such as hyperalgesia and hyperkatifeia, which lead to worsening of the pain experience. Patients can subsequently experience dissatisfaction with their care [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on Effect of Unit-Level Cessation of Intravenous Push Opiate Use on Patients’ Pain Experience and Hospital Length of Stay

HM2018 Abstract Number: 237

IMPROVING RESPIRATORY RATE MEASUREMENT ACCURACY IN THE HOSPITAL: A QUALITY IMPROVEMENT INITIATIVE

Background: Respiratory rate (RR) is a predictor of adverse outcomes and an integral component of many risk prediction scores for hospitalized adults. Despite its clinical value, RRs are often inaccurate and may lead to misclassification [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on IMPROVING RESPIRATORY RATE MEASUREMENT ACCURACY IN THE HOSPITAL: A QUALITY IMPROVEMENT INITIATIVE

HM2018 Abstract Number: 320

A MULTI-DISCIPLINARY, MULTI-PRONGED APPROACH TO IMPROVING HANDOFFS FOR MEDICINE PATIENTS ADMITTED FROM THE EMERGENCY DEPARTMENT

Background: The high volume of handoffs between the Emergency Department (ED) team and the inpatient team on a daily basis makes this a ripe area for care improvement. Effective, safe and organized transitions facilitate high [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on A MULTI-DISCIPLINARY, MULTI-PRONGED APPROACH TO IMPROVING HANDOFFS FOR MEDICINE PATIENTS ADMITTED FROM THE EMERGENCY DEPARTMENT

HM2018 Abstract Number: 240

THE CREATION OF A DEDICATED HOSPITAL MEDICINE TEAM TO CARE FOR MEDICAL PATIENTS BOARDING IN THE EMERGENCY DEPARTMENT

Background: Emergency Department (ED) boarding, which occurs when admitted patients do not have an available bed in the hospital, has been associated with adverse patient outcomes. In 2014, 13,109 patients waited greater than 2 hours [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on THE CREATION OF A DEDICATED HOSPITAL MEDICINE TEAM TO CARE FOR MEDICAL PATIENTS BOARDING IN THE EMERGENCY DEPARTMENT

HM2018 Abstract Number: 353

ATTENDING PHYSICIAN DELIVERED SEVEN-DAY CARE ON A GENERAL INTERNAL MEDICINE INPATIENT TEACHING SERVICE: RESULTS FROM A NEW MODEL OF CARE IN QATAR

Background: Inadequate access to seven-day inpatient medicine services, particularly at weekends, can lead to poor outcomes. Most evidence in this area is from North America and Europe but there is little or no evidence from [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Innovations, Uncategorized, Value in Hospital Medicine|Comments Off on ATTENDING PHYSICIAN DELIVERED SEVEN-DAY CARE ON A GENERAL INTERNAL MEDICINE INPATIENT TEACHING SERVICE: RESULTS FROM A NEW MODEL OF CARE IN QATAR

HM2018 Abstract Number: 102

CARING FOR REFUGEES AND OTHER MIGRANTS IN NEW MEXICO: A SIMPLE HANDOUT FOR HOSPITALISTS

Background: In 2016, the United States resettled 96,900 refugees. In addition to its share of US resettled refugees, New Mexico was among the 10 states with the largest share of undocumented migrants (85,000) in 2014. [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Innovations, Other, Uncategorized|Comments Off on CARING FOR REFUGEES AND OTHER MIGRANTS IN NEW MEXICO: A SIMPLE HANDOUT FOR HOSPITALISTS

HM2018 Abstract Number: 230

REDUCING DISCHARGE DELAYS AND ROOM TURNOVER TIME: DECREASING INEFFICIENCIES IN THE DISCHARGE PROCESS

Background: As a group of medical students in a five-week leadership program, we were charged with making a medicine inpatient unit at an urban quaternary care academic medical center the best unit in the hospital. [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on REDUCING DISCHARGE DELAYS AND ROOM TURNOVER TIME: DECREASING INEFFICIENCIES IN THE DISCHARGE PROCESS

HM2018 Abstract Number: 36

Unexpected Roadblocks with the Implementation of a Code Status Educational Video Tool for Hospitalized Patients

Background: Many patients and their surrogates have a poor understanding of the process of cardiopulmonary resuscitation (CPR), its limitations, and its complications. Lack of knowledge about CPR may lead patients to choose a code status [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Communication, Innovations, Uncategorized|Comments Off on Unexpected Roadblocks with the Implementation of a Code Status Educational Video Tool for Hospitalized Patients

HM2018 Abstract Number: 41

Aren’t Adults Just Big Kids?: Standardizing Care of Adults in Pediatric Hospitals

Background: Nationally, the number of adult patients (18+ years of age) with chronic congenital and childhood conditions being admitted to children’s hospitals has been increasing, and in some cases outpacing the rate of increase in [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Consultative Medicine, Innovations, Uncategorized|Comments Off on Aren’t Adults Just Big Kids?: Standardizing Care of Adults in Pediatric Hospitals

HM2018 Abstract Number: 97

THE HOSPITALIST FACULTY SCHOLARS PROGRAM: “TOPSOIL” TO NURTURE HOSPITALIST SCHOLARSHIP AND CAREER DEVELOPMENT

Background: Academic hospital medicine faculty often seek career paths in medical education, quality improvement, and/or research. However, few have formal training to develop scholarship in those domains. In recognition of the desire from faculty within [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Innovations, Other, Uncategorized|Comments Off on THE HOSPITALIST FACULTY SCHOLARS PROGRAM: “TOPSOIL” TO NURTURE HOSPITALIST SCHOLARSHIP AND CAREER DEVELOPMENT

HM2018 Abstract Number: 174

IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

Background: Advances in technology and life-sustaining interventions afford patients access to a wider network of subspecialized care through inter-facility transfers. Implicit in these transfers are multiple complex steps that leave patients vulnerable to adverse events. [...]

By | 2018-03-19T15:44:42+00:00 March 19th, 2018|Innovations, Patient Safety, Uncategorized|Comments Off on IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

HM2018 Abstract Number: 299

DIAGNOSING DISCHARGE BARRIERS WITH A VIRTUAL MULTIDISCIPLINARY ROUNDING TOOL

Background: Reducing length of stay to improve access, minimize hospital-associated morbidity, and reduce cost is a top priority at many hospitals. Information about barriers and delays impacting discharge (i.e., arranging subacute nursing facility placement, setting [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Innovations, Technology in Hospital Medicine, Uncategorized|Comments Off on DIAGNOSING DISCHARGE BARRIERS WITH A VIRTUAL MULTIDISCIPLINARY ROUNDING TOOL

HM2018 Abstract Number: 260

EMPOWERING MEDICINE RESIDENTS TO THINK BEFORE ORDERING DAILY LABS. A QUALITY IMPROVEMENT STUDY.

Background: Healthcare costs are a challenge; for the greatest impact, high-value care education should begin early in residency training. Routine lab ordering for hospitalized patients is a well-known cause of high costs. This study utilized [...]

By | 2018-03-19T13:24:52+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on EMPOWERING MEDICINE RESIDENTS TO THINK BEFORE ORDERING DAILY LABS. A QUALITY IMPROVEMENT STUDY.

HM2018 Abstract Number: 158

An Interdisciplinary Team to Support Implementation of a “System-of-Systems” to Identify, Assess, and Mitigate Threats to Patient Safety in Real-Time

Background: Implementing technology with the goal of eliminating preventable hospital-acquired conditions (e.g., CAUTI, CLABSI, etc.) in the acute care setting is an ongoing challenge, but it is crucial to creating a safer healthcare system. Increasingly, [...]

By | 2018-03-19T13:24:46+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on An Interdisciplinary Team to Support Implementation of a “System-of-Systems” to Identify, Assess, and Mitigate Threats to Patient Safety in Real-Time

HM2018 Abstract Number: 223

SCRIBES IN HOSPITAL MEDICINE- A POWERFUL VALUE-ADDED RESOURCE!

Background: Since the advent of Electronic Health Record(EHR) and subsequent workload of clinical documentation, Hospital Medicine physicians are finding themselves spending more time in front of the computer and less with their patients. The implementation [...]

By | 2018-03-19T13:24:45+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on SCRIBES IN HOSPITAL MEDICINE- A POWERFUL VALUE-ADDED RESOURCE!

HM2018 Abstract Number: 266

MEDICATION RECONCILIATION: REC IT RIGHT, SO IT’S NOT A WRECK

Background: The Joint Commission (TJC) included medication reconciliation (MedRec) as a 2005 National Patient Safety Goal to reduce errors related to medication omissions, duplications and interactions. Medication errors and harms continue to be one of [...]

By | 2018-03-19T13:24:33+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on MEDICATION RECONCILIATION: REC IT RIGHT, SO IT’S NOT A WRECK

HM2018 Abstract Number: 54

Integration of a Novel Quality Improvement Curriculum into an Internal Medicine Residency Program

Background: Quality improvement (QI) has been recognized as a core component of medical resident training and progressive engagement with QI is required by the American Council of Graduate Medical Education’s Clinical Learning Environment Review. Prior [...]

By | 2018-03-19T13:23:41+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on Integration of a Novel Quality Improvement Curriculum into an Internal Medicine Residency Program

HM2018 Abstract Number: 220

IMPROVING DISCHARGE COMMUNICATION: THE EXCELLENT COMMUNICATION LEADS TO IMPROVED PATIENT SATISFACTION AND EXPERIENCE (ECLIPSE) PROJECT

Background: The hospital discharge is one of the most important aspects of a patient’s hospitalization, yet in residency training, this process often goes overlooked. Most residents are never properly taught how to effectively discharge a [...]

By | 2018-03-19T13:23:18+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on IMPROVING DISCHARGE COMMUNICATION: THE EXCELLENT COMMUNICATION LEADS TO IMPROVED PATIENT SATISFACTION AND EXPERIENCE (ECLIPSE) PROJECT

HM2018 Abstract Number: 71

An Interdisciplinary Approach to Quality Improvement on the Inpatient Teaching Unit

Background: Interdisciplinary communication, quality improvment, and patient safety, are integral components to providing quality healthcare. Furthermore, the ACGME recognizes the importance of the learning and working environment, a culture of safety, and providing opportunities for [...]

By | 2018-03-19T13:23:02+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on An Interdisciplinary Approach to Quality Improvement on the Inpatient Teaching Unit

HM2018 Abstract Number: 100

THE HOSPITALIST AND THE NEUROSURGEON: THE ODD COUPLE OR A MATCH MADE IN HEAVEN?

Background: The aging population along with increasing multi-morbidity and stricter regulations on house staff duty hours have played an integral role in fueling the drive for medical co-management of surgical patients. Parallel to these trends [...]

By | 2018-03-19T13:22:55+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Other|Comments Off on THE HOSPITALIST AND THE NEUROSURGEON: THE ODD COUPLE OR A MATCH MADE IN HEAVEN?

HM2018 Abstract Number: 336

THE IMPACT OF A STANDARDIZED TOOL ON THE QUALITY OF END-OF-ROTATION HANDOFFS AMONG MEDICINE HOUSESTAFF.

Background: Medical housestaff must participate in a handoff process when transitioning between rotations on hospital services. During this time, a new team of residents assumes care for multiple patients. A prior study demonstrated that this [...]

By | 2018-03-19T13:18:33+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on THE IMPACT OF A STANDARDIZED TOOL ON THE QUALITY OF END-OF-ROTATION HANDOFFS AMONG MEDICINE HOUSESTAFF.

HM2018 Abstract Number: 104

PULMONARY DRAIN PLACEMENT BY PROCEDURE-FOCUSED HOSPITALISTS

Background: Small-bore pulmonary drains (PD) have been proven effective at replacing the previous large-bore chest tubes for resolution of pneumothorax (PTX), and management of complicated (CPEs) and recurrent pleural effusions (RPEs). The placement of these [...]

By | 2018-03-19T13:18:15+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Other|Comments Off on PULMONARY DRAIN PLACEMENT BY PROCEDURE-FOCUSED HOSPITALISTS

HM2018 Abstract Number: 295

DO THESE MINIATURIZE MONITORING ELEMENTS WORK? AN OBSERVATIONAL ANALYSIS OF THE EFFECTIVENESS OF REVEAL LINQ IMPLANTS IN DETECTING CARDIAC CAUSES OF SYNCOPE IN A COMMUNITY HOSPITAL.

Background: Implantable cardiac monitors (ICM) have continued to gain acceptance since its introduction into clinical practice to help physician accurately detect cardiac causes of syncope that may need further intervention. Their cost-effectiveness in the evaluation [...]

By | 2018-03-19T13:18:12+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on DO THESE MINIATURIZE MONITORING ELEMENTS WORK? AN OBSERVATIONAL ANALYSIS OF THE EFFECTIVENESS OF REVEAL LINQ IMPLANTS IN DETECTING CARDIAC CAUSES OF SYNCOPE IN A COMMUNITY HOSPITAL.

HM2018 Abstract Number: 354

LEAN in: Our Secrets to Decreasing Provider Stress, Maximizing Efficiency on a Pediatric Hospitalist Service

Background: Burnout is the syndrome of emotional exhaustion, depersonalization and reduced personal efficacy that occurs in individuals working in the human services field. Recent data suggests that 50% of physicians are experiencing at least one [...]

By | 2018-03-19T13:18:06+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on LEAN in: Our Secrets to Decreasing Provider Stress, Maximizing Efficiency on a Pediatric Hospitalist Service

HM2018 Abstract Number: 347

CO-CREATION OF SHM ADULT CHOOSING WISELY LIST: ENGAGING OUR PATIENTS AND PUBLIC FROM START TO FINISH

Background: The Choosing Wisely campaign aims to engage clinicians and public in addressing overuse in healthcare. Through adoption in 20 countries and 75 organizations, clinician engagement is largely successful. However, patient and public engagement remains [...]

By | 2018-03-19T13:17:44+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on CO-CREATION OF SHM ADULT CHOOSING WISELY LIST: ENGAGING OUR PATIENTS AND PUBLIC FROM START TO FINISH

HM2018 Abstract Number: 186

Pediatric Clinical Documentation Queries with Definitions: An Innovative Way to Promote Provider Engagement

Background: Clinical Documentation Improvement programs have been present in adult hospitals for many years. These programs strive to promote clinicians working together with nurse specialists to appropriately depict the care delivered and increase coding accuracy. [...]

By | 2018-03-19T13:17:10+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Pediatrics|Comments Off on Pediatric Clinical Documentation Queries with Definitions: An Innovative Way to Promote Provider Engagement

HM2018 Abstract Number: 17

360° EVALUATION OF FELLOW HOSPITALISTS VIA A REDCAP SURVEY

Background: The Hospitalist Division at Washington University in St. Louis provides coverage for multiple different services at Barnes-Jewish Hospital. At the present time, there are a total of 68 MDs and 6 NPs caring for [...]

By | 2018-03-22T15:14:46+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on 360° EVALUATION OF FELLOW HOSPITALISTS VIA A REDCAP SURVEY

HM2018 Abstract Number: 270

PAIN MANAGEMENT IN THE ERA OF OPIOID ADDICTION

Background: Hospitals are compelled by a variety of factors to optimize patient satisfaction. Pain management has been identified as an important determinant of overall inpatient satisfaction. However, effective pain management may be more challenging in [...]

By | 2018-03-19T13:16:21+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on PAIN MANAGEMENT IN THE ERA OF OPIOID ADDICTION

HM2018 Abstract Number: 59

Ultra-Brief Pre-Rounds Teaching

Background: Time with learners is a finite resource on the teaching wards. As patient care becomes progressively more complex and clinical demands increase, it can be easy for teaching to get deferred to the next [...]

By | 2018-03-19T13:14:46+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on Ultra-Brief Pre-Rounds Teaching

HM2018 Abstract Number: 20

NPPA Hospitalist Clinical Fellowship as a Pipeline to Staffing

Background: There are approximately 7,000 Physician Assistants (PAs) and 10,000 Nurse Practitioners (NPs) working as hospitalists nationally. About 63% of hospitalist groups utilize NPs/PAs. The demand for hospitalists continues to exceed the supply and has [...]

By | 2018-03-22T15:13:05+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on NPPA Hospitalist Clinical Fellowship as a Pipeline to Staffing

HM2018 Abstract Number: 211

Improving Adherence to Discharge Medications for Hospitalized Heart Failure Patients

Background: Heart failure is a deadly epidemic with over 37 million people affected worldwide with a multitude of physical, psychological and financial implications on patients and the healthcare system. The progression of heart failure can [...]

By | 2018-03-19T13:14:24+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on Improving Adherence to Discharge Medications for Hospitalized Heart Failure Patients

HM2018 Abstract Number: 306

Post-discharge phone call program initiated by hospitalists

Background: Centers for Medicare & Medicaid Services (CMS) reimbursement increasingly depends on patient satisfaction scores and readmission rates to incentivize high-quality inpatient hospital care. Providers are continuously implementing complementary interventions to improve patient satisfaction and [...]

By | 2018-03-19T13:12:38+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on Post-discharge phone call program initiated by hospitalists

HM2018 Abstract Number: 259

THE BARRIER TO MINDFUL LAB ORDERING: THE ATTENDING

Background: Repetitive morning laboratory orders are a well-known contributor to healthcare cost. Initial data collected in a related project on high-value care showed that 35% of our Internal Medicine residents identified “fear of attendings” as [...]

By | 2018-03-19T13:12:07+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on THE BARRIER TO MINDFUL LAB ORDERING: THE ATTENDING

HM2018 Abstract Number: 44

INTRODUCTION​ ​OF CONSULTATIVE MEDICINE IN THE INTERNAL MEDICINE RESIDENCY PROGRAM​ ​-​ ​A PILOT PROJECT FOR THE TRAINING OF SUCCESSFUL FUTURE CONSULTANTS

Background: Consultative Medicine is one of the fastest growing branches of Hospital Medicine. We believe that residents require adequate exposure and appropriate level of training to provide excellent care to patients.Purpose: The goal of the [...]

By | 2018-03-19T13:10:59+00:00 March 19th, 2018|Consultative Medicine, Hospital Medicine 2018, Innovations|Comments Off on INTRODUCTION​ ​OF CONSULTATIVE MEDICINE IN THE INTERNAL MEDICINE RESIDENCY PROGRAM​ ​-​ ​A PILOT PROJECT FOR THE TRAINING OF SUCCESSFUL FUTURE CONSULTANTS

HM2018 Abstract Number: 235

RETHINKING VASCULAR ACCESS: CREATING A COMPREHENSIVE VASCULAR ACCESS TEAM IN A TERTIARY CARE CENTER

Background: Vascular access is an integral part of inpatient care. Difficult access can result in delays and inappropriate access selection or technical placement can have quality and financial implications, particularly those associated with catheter-line associated [...]

By | 2018-03-19T13:10:32+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on RETHINKING VASCULAR ACCESS: CREATING A COMPREHENSIVE VASCULAR ACCESS TEAM IN A TERTIARY CARE CENTER

HM2018 Abstract Number: 322

3-IN-1: MEETING THE NEEDS OF PATIENTS, RESIDENTS, AND THE INSTITUTION DURING HOSPITAL DISCHARGE

Background: High quality discharges improve patients’ health outcomes and experience and are a vital component of resident education. Our internal medicine residency program has had challenges in sustaining our efforts to improve discharge planning and [...]

By | 2018-03-19T13:10:05+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on 3-IN-1: MEETING THE NEEDS OF PATIENTS, RESIDENTS, AND THE INSTITUTION DURING HOSPITAL DISCHARGE

HM2018 Abstract Number: 243

A LESS INVASIVE MODIFICATION TO THE BEDSIDE PARACENTESIS FOR HOSPITALIZED PATIENTS AT HIGH RISK FOR BLEEDING COMPLICATIONS

Background: Paracentesis is a commonly performed bedside procedure in hospitalized patients. It is often necessary for patients who are taking anticoagulant therapies and/or have disorders of hemostasis. Concerns about bleeding complications often lead to care [...]

By | 2018-03-19T13:09:49+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on A LESS INVASIVE MODIFICATION TO THE BEDSIDE PARACENTESIS FOR HOSPITALIZED PATIENTS AT HIGH RISK FOR BLEEDING COMPLICATIONS

HM2018 Abstract Number: 291

A NOVEL INPATIENT ROUNDING LIST: GIVE IT A WHIRL

Background: Inpatient physicians often spend 30-60 minutes daily creating a “rounding list,” a process that requires reviewing the electronic health record (EHR) and transcribing data to paper. Previous studies have described automated rounding-lists leveraging EHR [...]

By | 2018-03-19T13:09:43+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on A NOVEL INPATIENT ROUNDING LIST: GIVE IT A WHIRL

HM2018 Abstract Number: 75

THE ‘VALUE-ADDED’ CAREER PITCH: ELECTIVE IN ACADEMIC HOSPITAL MEDICINE FOR SENIOR INTERNAL MEDICINE RESIDENTS

Background: Residents in Internal Medicine have traditionally taken electives that prepare or position them well for fellowships. Another purpose of elective time during residency is to expose the learner to career opportunities. As Hospital Medicine [...]

By | 2018-03-19T13:09:35+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on THE ‘VALUE-ADDED’ CAREER PITCH: ELECTIVE IN ACADEMIC HOSPITAL MEDICINE FOR SENIOR INTERNAL MEDICINE RESIDENTS

HM2018 Abstract Number: 325

DEVELOPMENT OF A MODEL TO CONTEXTUALIZE AND MANAGE THE HOSPITAL ADMISSION PROCESS

Background: Both inappropriate hospital admissions and inappropriate discharges from the ED are associated with adverse patient outcomes. Little is known about the accuracy (sensitivity and specificity) of the hospital admission triage process. Purpose: We sought [...]

By | 2018-03-19T13:09:17+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on DEVELOPMENT OF A MODEL TO CONTEXTUALIZE AND MANAGE THE HOSPITAL ADMISSION PROCESS

HM2018 Abstract Number: 90

Identifying and Addressing a Gap in Service: Integration of Clinical Psychology Students into the Saturday Neighborhood Health Clinic

Background: The Saturday Neighborhood Health Clinic (SNHC) is a volunteer physician and medical student-staffed clinic that provides episodic care for uninsured St. Louis residents and connects them with long term primary care providers. An estimated [...]

By | 2018-03-19T13:09:07+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Other|Comments Off on Identifying and Addressing a Gap in Service: Integration of Clinical Psychology Students into the Saturday Neighborhood Health Clinic

HM2018 Abstract Number: 313

ACCURACY AND IMPLICATIONS OF A HOSPITAL MEDICINE , EMERGENCY MEDICINE AND CRITICAL CARE COLLABORATIVE PROCESS TO TRIAGE TO THE MEDICAL INTENSIVE CARE UNIT

Background: Intensive Care Unit (ICU) beds are limited, so effective triage is important for resource utilization. However, inappropriate triage of critically ill patients to non ICU settings can lead to poor patient outcomes, as early [...]

By | 2018-03-19T13:08:57+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on ACCURACY AND IMPLICATIONS OF A HOSPITAL MEDICINE , EMERGENCY MEDICINE AND CRITICAL CARE COLLABORATIVE PROCESS TO TRIAGE TO THE MEDICAL INTENSIVE CARE UNIT

HM2018 Abstract Number: 274

A MULTIDISCIPLINARY APPROACH TO REDUCTION IN EXCESS DAYS

Background: Hospitalists today are tasked with maintaining quality care while also lowering health care costs. Length of stay and excess day reduction are surrogate markers of the efficiency of a hospitalist group by measuring lower [...]

By | 2018-03-19T13:08:25+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on A MULTIDISCIPLINARY APPROACH TO REDUCTION IN EXCESS DAYS

HM2018 Abstract Number: 318

Written Signout Tool based on I-PASS: Does it PASS the Test?

Background: Transitions of care are known to be high-risk times in healthcare, largely due to communication errors between providers. Prior studies have shown a direct relationship between poor signout practices and adverse events. Verbal handoff [...]

By | 2018-03-19T13:08:11+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on Written Signout Tool based on I-PASS: Does it PASS the Test?

HM2018 Abstract Number: 308

GETTING DISCHARGES OFF THE BACK BURNER: THE ROLE OF THE ATTENDING NURSE

Background: Throughput is a challenge for many hospitals. Discharging patients impacts throughput, but is time-consuming and competes with other physician and nurse tasks, often being left on the “back burner” while attending to sicker patients. [...]

By | 2018-03-19T13:07:41+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on GETTING DISCHARGES OFF THE BACK BURNER: THE ROLE OF THE ATTENDING NURSE

HM2018 Abstract Number: 169

CARE PROVIDED BY PHYSICIAN ASSISTANT TEAM IS NOT INFERIOR TO INTERNAL MEDICINE RESIDENTS TEAMS AT TERTIARY CARE ACADEMIC MEDICAL CENTER

Background: Role of physician assistants (PA) is well established in United States healthcare system. Hospitalist teams are utilizing PA services in various roles and in many different capacities. Demand of hospitalists is constantly increasing and [...]

By | 2018-03-19T13:07:19+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on CARE PROVIDED BY PHYSICIAN ASSISTANT TEAM IS NOT INFERIOR TO INTERNAL MEDICINE RESIDENTS TEAMS AT TERTIARY CARE ACADEMIC MEDICAL CENTER

HM2018 Abstract Number: 49

DEVELOPMENT OF AN INTERPROFESSIONAL TEACHING UNIT AT DUKE REGIONAL HOSPITAL

Background: Research using the inpatient setting for interprofessional education (IPE) is sparse. At Duke Regional Hospital, the interprofessional team caring for general medicine teaching service patients includes residents, interns, medical students, physician assistant (PA) students, [...]

By | 2018-03-19T13:07:15+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on DEVELOPMENT OF AN INTERPROFESSIONAL TEACHING UNIT AT DUKE REGIONAL HOSPITAL

HM2018 Abstract Number: 229

GO HOME WITH NALOXONE: A RESIDENT-LED, MULTIDISCIPLINARY APPROACH TO INCREASE NALOXONE PRESCRIBING AT DISCHARGE FOR PATIENTS AT RISK OF OVERDOSE

Background: Driven by the current opioid epidemic, drug overdose has become the leading cause of unintentional death nationwide. Efforts are underway to decrease unnecessary opioid prescribing. Hospitalists care for many patients with preexisting opioid prescriptions [...]

By | 2018-03-19T13:07:10+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on GO HOME WITH NALOXONE: A RESIDENT-LED, MULTIDISCIPLINARY APPROACH TO INCREASE NALOXONE PRESCRIBING AT DISCHARGE FOR PATIENTS AT RISK OF OVERDOSE

HM2018 Abstract Number: 267

MEDS TO BEDS : ENHANCING EFFICIENCY OF DISCHARGE MEDICATIONS USING LEAN METHODOLOGY

Background: Unimpeded patient flow enhances quality, patient experience and access, while reducing costs. Our hospital has an in house discharge pharmacy, which allows us to send patients home with their imperative medications prior to discharge. [...]

By | 2018-03-19T13:06:54+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on MEDS TO BEDS : ENHANCING EFFICIENCY OF DISCHARGE MEDICATIONS USING LEAN METHODOLOGY

HM2018 Abstract Number: 305

Provider Notes Analysis – Constructing the Consultancy Curve

Background: Healthcare research has traditionally relied upon data collected from clinical trials and data generated from patient registries and insurance claims to drive analyses. As electronic health records (EHR) and computerized physician order entry have [...]

By | 2018-03-19T13:06:10+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on Provider Notes Analysis – Constructing the Consultancy Curve

HM2018 Abstract Number: 45

Development and Validation of Evidence-based Mobile Application for Cardiac Risk Stratification for Noncardiac Surgery

Background: Risk of having a major adverse cardiac event in the perioperative period is known to be raised among those with underlying cardiovascular disease undergoing noncardiac surgery. ACC/AHA 2014 guideline is an excellent tool for [...]

By | 2018-03-19T13:06:04+00:00 March 19th, 2018|Consultative Medicine, Hospital Medicine 2018, Innovations|Comments Off on Development and Validation of Evidence-based Mobile Application for Cardiac Risk Stratification for Noncardiac Surgery

HM2018 Abstract Number: 15

GOT DELIRIUM? IMPLEMENTATION OF A MULTI-DISCIPLINARY DELIRIUM REDUCTION PATHWAY

Background: Hospital-acquired delirium is serious, leading to increased falls, pressure ulcers, length of stay (LOS), cost, patient institutionalization, and patient and caregiver distress. In addition, it is associated with mortality rates as high as 35-40% [...]

By | 2018-03-22T15:13:36+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on GOT DELIRIUM? IMPLEMENTATION OF A MULTI-DISCIPLINARY DELIRIUM REDUCTION PATHWAY

HM2018 Abstract Number: 35

HOSPITALIST PERCEPTIONS OF AN ELECTRONIC HANDOFF TOOL

Background: Hospitalists increasingly rely upon electronic handoff tools to communicate important patient care information. Our institution transitioned from a paper/verbal handoff process to a completely electronic system in April 2017 for day-to-night patient care handoff. [...]

By | 2018-03-19T13:05:46+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on HOSPITALIST PERCEPTIONS OF AN ELECTRONIC HANDOFF TOOL

HM2018 Abstract Number: 178

IMPROVING INFANT SAFE SLEEP PRACTICES IN THE INPATIENT SETTING USING QI METHODOLOGY

Background: Baystate Children’s Hospital serves a population that is vulnerable to unsafe sleep practices. By July 2017, there were 6 cases of accidental infant deaths in Hampden County MA, attributed to unsafe sleeping practices, primarily [...]

By | 2018-03-19T13:05:10+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Pediatrics|Comments Off on IMPROVING INFANT SAFE SLEEP PRACTICES IN THE INPATIENT SETTING USING QI METHODOLOGY

HM2018 Abstract Number: 18

EXPANDING VIRTUAL HOSPITALISTS TO RURAL INPATIENTS: BENEFITS AND CHALLENGES

Background: Dedicated hospitalists are associated with improvements in healthcare quality and patient outcomes, but are not feasible for small-volume critical access hospitals (CAHs). A telemedicine “virtual hospitalist” model may expand the capabilities of a CAH [...]

By | 2018-03-22T15:14:17+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on EXPANDING VIRTUAL HOSPITALISTS TO RURAL INPATIENTS: BENEFITS AND CHALLENGES

HM2018 Abstract Number: 98

QUALITY AS WELL AS QUANTITY: PERFORMANCE INCENTIVE FOR ACADEMIC HOSPITALISTS

Background: The 2016 State of Hospital Medicine report showed that the average hospitalist compensation model is composed of 80% base pay, 15% productivity, and 5% performance. Much variation exists by region in the make-up of [...]

By | 2018-03-19T13:05:00+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Other|Comments Off on QUALITY AS WELL AS QUANTITY: PERFORMANCE INCENTIVE FOR ACADEMIC HOSPITALISTS

HM2018 Abstract Number: 326

The Healthcare Hug: Utilizing the Readmission Review Team While Expanding the Continuum of Care

Background: In 2014, the organization created the RRT, a multidisciplinary team that reviews care of frequently admitted patients, strategizes how to help these patients, and coordinates care to develop a treatment plan. Of the patients [...]

By | 2018-03-19T13:04:44+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on The Healthcare Hug: Utilizing the Readmission Review Team While Expanding the Continuum of Care

HM2018 Abstract Number: 317

TOC ROUNDS: THE RIGHT RECIPE FOR REDUCING LENGTH OF STAY

Background: The 2001 Institute of Medicine Report Crossing the Quality Chasm cited a lack of care coordination as a contributing factor to the “chasm” between evidence-based and delivered care and suggests team-based models of care [...]

By | 2018-03-19T13:04:42+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on TOC ROUNDS: THE RIGHT RECIPE FOR REDUCING LENGTH OF STAY

HM2018 Abstract Number: 301

A MULTIDISCIPLINARY APPROACH TO REDUCING MEDICATION ALERTS

Background: Medication alerts are one of the touted safety features with the electronic health record (EHR). With time, users tend to override the alerts, which leads to patient harm. The phenomenon of “alert fatigue” is [...]

By | 2018-03-19T13:04:36+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on A MULTIDISCIPLINARY APPROACH TO REDUCING MEDICATION ALERTS

HM2018 Abstract Number: 262

A SUSTAINED REDUCTION IN AMYLASE OVERUTILIZATION WITHIN THE EMERGENCY DEPARTMENT AT AN ACADEMIC MEDICAL CENTER: A QUALITY IMPROVEMENT PROJECT GUIDED BY LOCAL DRIVERS OF OVERUSE

Background: Choosing Wisely recommends against testing for amylase in the diagnosis and management of acute pancreatitis; however, national CMS data shows over $19 million in charges for amylase laboratory testing per year. Our hospital spent [...]

By | 2018-03-19T13:04:34+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on A SUSTAINED REDUCTION IN AMYLASE OVERUTILIZATION WITHIN THE EMERGENCY DEPARTMENT AT AN ACADEMIC MEDICAL CENTER: A QUALITY IMPROVEMENT PROJECT GUIDED BY LOCAL DRIVERS OF OVERUSE

HM2018 Abstract Number: 360

ASSESS BEFORE RX: ADDRESSING THE HARMFUL OVERTREATMENT OF ASYMPTOMATIC HYPERTENSION

Background: Hypertensive crisis is classified as either hypertensive emergency or hypertensive urgency, distinguished by presence or absence of end-organ damage, respectively. Guidelines recommend treating hypertensive emergency with intravenous (IV) antihypertensive medications for immediate blood pressure [...]

By | 2018-03-19T13:04:08+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on ASSESS BEFORE RX: ADDRESSING THE HARMFUL OVERTREATMENT OF ASYMPTOMATIC HYPERTENSION

HM2018 Abstract Number: 327

NURSING TELEPHONIC TRIAGE OF AFTER-HOUR PATIENT CALLS BY CLINICAL ADVICE SERVICE

Background: It is challenging for patients to navigate through complex healthcare systems after-hours. This leads to delays in patient care, patient/provider dissatisfaction, inappropriate resource utilization, readmissions, and higher healthcare costs. Prior to August 2015, non-medical [...]

By | 2018-03-19T13:04:06+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on NURSING TELEPHONIC TRIAGE OF AFTER-HOUR PATIENT CALLS BY CLINICAL ADVICE SERVICE

HM2018 Abstract Number: 68

CREATING PEER-PEER SPECIFIC CASE REPORT FOR ADVANCED PRACTICE FELLOWS

Background: The Advanced Practice Fellowship at the University of Colorado Hospital is a 13-month post-graduate program designed to provide Nurse Practitioners and Physician Assistants with the medical knowledge and clinical skills necessary to practice hospital [...]

By | 2018-03-19T13:03:51+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on CREATING PEER-PEER SPECIFIC CASE REPORT FOR ADVANCED PRACTICE FELLOWS

HM2018 Abstract Number: 231

PARTNERS IN QUALITY: ENHANCING RESIDENT EDUCATION AND INSTITUTIONAL INITIATIVES BY EMBEDDING PERFORMANCE IMPROVEMENT SPECIALISTS INTO A PATIENT SAFETY AND QUALITY IMPROVEMENT CURRICULUM

Background: An effective patient safety and quality improvement (QI) curriculum is imperative for graduate medical education (GME) training programs. Yet many health systems are lacking pedagogical training in these methods. Learning often takes the form [...]

By | 2018-03-19T13:03:48+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on PARTNERS IN QUALITY: ENHANCING RESIDENT EDUCATION AND INSTITUTIONAL INITIATIVES BY EMBEDDING PERFORMANCE IMPROVEMENT SPECIALISTS INTO A PATIENT SAFETY AND QUALITY IMPROVEMENT CURRICULUM

HM2018 Abstract Number: 285

DOCUMENTATION DOUBLE PLAY: USING CONTENT AND DATA TOOLS TO MEASURE PROVIDER EFFICIENCY

Background: Electronic health record (EHR) systems are used by a majority of US hospitals. EHR use has been associated with increased task complexity, clinical data volume and provider documentation demands. Studies of multiple specialties suggest [...]

By | 2018-03-19T13:03:22+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on DOCUMENTATION DOUBLE PLAY: USING CONTENT AND DATA TOOLS TO MEASURE PROVIDER EFFICIENCY

HM2018 Abstract Number: 217

THE “CLINICIAN VOICE”: UTILIZING A NOVEL DIGITAL PLATFORM FOR HOSPITALIST ENGAGEMENT AROUND THE EXPERIENCE OF CLINICAL WORK

Background: The rate of burnout among health care providers is unacceptably high and recent scholarship has advocated for organization-facing interventions to tackle this problem. To that end, our large academic hospital medicine group has developed [...]

By | 2018-03-19T13:03:12+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on THE “CLINICIAN VOICE”: UTILIZING A NOVEL DIGITAL PLATFORM FOR HOSPITALIST ENGAGEMENT AROUND THE EXPERIENCE OF CLINICAL WORK

HM2018 Abstract Number: 365

AN INNOVATIVE COST ANALYSIS METHOD FOR ROUTINE LABORATORY TESTS

Background: As hospitals are increasingly reimbursed for value-based care, quality improvement projects addressing overutilization of routine “daily labs” have become commonplace. Although there are many published studies of daily labs reduction initiatives, there is little [...]

By | 2018-03-19T13:03:06+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on AN INNOVATIVE COST ANALYSIS METHOD FOR ROUTINE LABORATORY TESTS

HM2018 Abstract Number: 161

SHINING LIGHT ON THE BLACK BOX OF ERROR REPORTING: DEVELOPMENT OF AN INTERPROFESSIONAL SAFETY HUDDLE

Background: New ACGME Core requirements require active resident engagement in patient safety. Our institution’s most recent AHRQ Culture of Safety survey revealed poor ratings from residents for closed-loop feedback on event reports they had submitted. [...]

By | 2018-03-19T13:03:02+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on SHINING LIGHT ON THE BLACK BOX OF ERROR REPORTING: DEVELOPMENT OF AN INTERPROFESSIONAL SAFETY HUDDLE

HM2018 Abstract Number: 58

HOW TO GET ON-BOARD: TEACHING COMMUNICATION SKILLS TO NEW HOSPITALIST HIRES IN AN ACADEDMIC MEDICAL CENTER

Background: Optimal patient care requires excellent patient communication skills. These skills are associated with improved patient satisfaction and adherence and may positively impact overall patient care and reduction in readmissions. Standardized patients (SPs) are commonly [...]

By | 2018-03-19T13:02:50+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on HOW TO GET ON-BOARD: TEACHING COMMUNICATION SKILLS TO NEW HOSPITALIST HIRES IN AN ACADEDMIC MEDICAL CENTER

HM2018 Abstract Number: 232

A HOSPITALIST-LED TEAM TO MANAGE ADMITTED PATIENTS BOARDING IN THE EMERGENCY DEPARTMENT – IMPACT ON DISCHARGES AND CHANGES IN THE LEVEL OF CARE

Background: As many other hospitals of its size, our tertiary academic care center frequently operates at greater than 100% capacity. Medical admissions boarding in the Emergency Department (ED) while awaiting inpatient beds represent a bottleneck [...]

By | 2018-03-19T13:02:38+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on A HOSPITALIST-LED TEAM TO MANAGE ADMITTED PATIENTS BOARDING IN THE EMERGENCY DEPARTMENT – IMPACT ON DISCHARGES AND CHANGES IN THE LEVEL OF CARE

HM2018 Abstract Number: 304

EPXHEARTFAILURE PROVIDES REMOTE MONITORING OF SYMPTOMS IN HEART FAILURE PATIENTS: A TELEMEDICINE TOOL

Background: Heart failure (HF) is a major public health concern that affects over 5 million adults in the US. HF is among the most common reasons for hospital admissions and presents a considerable cost burden [...]

By | 2018-03-19T13:00:08+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on EPXHEARTFAILURE PROVIDES REMOTE MONITORING OF SYMPTOMS IN HEART FAILURE PATIENTS: A TELEMEDICINE TOOL

HM2018 Abstract Number: 99

SOMETHING AWESOME: ELEVATING STORIES OF AWE AMONG COLLEAGUES IN THE EVERYDAY WORK OF ACADEMIC HOSPITAL MEDICINE

Background: The healthcare workforce suffers from high levels of burnout, disengagement, and perceived isolation due to constant and unpredictable stresses. While multifactorial, the extent to which clinicians’ experience wellness and maintain resilience in a complex [...]

By | 2018-03-19T12:59:54+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Other|Comments Off on SOMETHING AWESOME: ELEVATING STORIES OF AWE AMONG COLLEAGUES IN THE EVERYDAY WORK OF ACADEMIC HOSPITAL MEDICINE

HM2018 Abstract Number: 164

VASCULAR ACCESS STEWARDSHIP: ENHANCING PATIENT SAFETY ONE (LESS) LINE AT A TIME

Background: Peripherally inserted central catheters (PICCs) are routinely placed in hospitalized patients who are receiving long-term IV antibiotics or who have poor venous access. In our hospital, 1 in 12 patients on the Medicine service [...]

By | 2018-03-19T12:59:36+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on VASCULAR ACCESS STEWARDSHIP: ENHANCING PATIENT SAFETY ONE (LESS) LINE AT A TIME

HM2018 Abstract Number: 3

TRANSFORMING IDEAS INTO REALITY: A STRUCTURED PROJECT PATHWAY TO FACILITATE QUALITY IMPROVEMENT AND ACADEMIC RESEARCH PROJECTS IN A DIVISION OF HOSPITAL MEDICINE

Background: Hospital Medicine groups are often called upon to lead initiatives that require access to high-quality data from their local health system. These include quality and value improvement (QI) efforts as well as health services [...]

By | 2018-03-22T15:11:35+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Other|Comments Off on TRANSFORMING IDEAS INTO REALITY: A STRUCTURED PROJECT PATHWAY TO FACILITATE QUALITY IMPROVEMENT AND ACADEMIC RESEARCH PROJECTS IN A DIVISION OF HOSPITAL MEDICINE

HM2018 Abstract Number: 307

THE DEVELOPMENT OF AN INNOVATIVE PATIENT JOURNEY TIMELINE TO IDENTIFY TRANSITION GAPS FOR A MULTI-HEALTH SYSTEM COLLABORATIVE QUALITY INITIATIVE: INTEGRATED MICHIGAN PATIENT-CENTERED ALLIANCE IN CARE TRANSITIONS (I-MPACT)

Background: Transition home after hospitalization carries significant risk of adverse patient events, readmissions and increased costs. Despite significant organizational efforts to improve care transitions, there continue to be challenges in implementing consistent interventions that impact [...]

By | 2018-03-19T12:59:24+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on THE DEVELOPMENT OF AN INNOVATIVE PATIENT JOURNEY TIMELINE TO IDENTIFY TRANSITION GAPS FOR A MULTI-HEALTH SYSTEM COLLABORATIVE QUALITY INITIATIVE: INTEGRATED MICHIGAN PATIENT-CENTERED ALLIANCE IN CARE TRANSITIONS (I-MPACT)

HM2018 Abstract Number: 6

IS POSITIVITY CONTAGIOUS? A SHARED APPROACH TO RESILIENCE TO ABATE HOSPITALIST BURNOUT

Background: With over 50% of hospitalists affected by burnout cited in the literature, it is imperative to evaluate tools and techniques to abate the downstream consequences. Recent work on resiliency has focused on how to [...]

By | 2018-03-22T15:13:21+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Other|Comments Off on IS POSITIVITY CONTAGIOUS? A SHARED APPROACH TO RESILIENCE TO ABATE HOSPITALIST BURNOUT

HM2018 Abstract Number: 213

HOSPITAL MEDICINE TEAM GROWTH IN A TERTIARY ONCOLOGIC ACADEMIC CENTER IN BRAZIL: A CASE REPORT

Background: Hospital Medicine is a relatively new medical speciality that dedicates to the care of hospitalized patients and experienced an exponential growth in the United States (US) during the last years. Nowadays there are more [...]

By | 2018-03-19T12:58:48+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on HOSPITAL MEDICINE TEAM GROWTH IN A TERTIARY ONCOLOGIC ACADEMIC CENTER IN BRAZIL: A CASE REPORT

HM2018 Abstract Number: 57

TRANSITIONS OF CARE CURRICULUM FOR THIRD YEAR MEDICAL STUDENTS

Background: Medical errors commonly occur during transitions of care, but medical trainees receive little formal education in how to recognize and address those patients most at risk. Teaching third year medical students to identify risk [...]

By | 2018-03-19T12:58:42+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on TRANSITIONS OF CARE CURRICULUM FOR THIRD YEAR MEDICAL STUDENTS

HM2018 Abstract Number: 286

AN ELECTRIFYING EFFECT: TARGETED WORKFLOW REWIRING IMPROVED RATES OF ELECTRONIC PRESCRIBING AT DISCHARGE

Background: Electronic prescribing (eRx) at discharge enhances safety and quality of care transitions. It results in improved medication adherence and a decreased chance of readmission. Stage 3 Meaningful Use goals include discharge eRx rates of [...]

By | 2018-03-19T12:58:32+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on AN ELECTRIFYING EFFECT: TARGETED WORKFLOW REWIRING IMPROVED RATES OF ELECTRONIC PRESCRIBING AT DISCHARGE

HM2018 Abstract Number: 208

SAVE THEM THE POKE: REDUCING VENIPUNCTURES IN ADULT HOSPITALIZED PATIENTS

Background: Obtaining blood work through venipuncture is an important part of the diagnosis and management of hospitalized patients. Through formal and informal patient complaints, we found that patients admitted to the University of Colorado Hospital [...]

By | 2018-03-19T12:58:30+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on SAVE THEM THE POKE: REDUCING VENIPUNCTURES IN ADULT HOSPITALIZED PATIENTS

HM2018 Abstract Number: 73

Promoting Script-Based Problem Representation and Structured Oral Presentation to Teach Clinical Reasoning on A Hospitalist Service

Background: Early development of clinical reasoning and problem-solving competencies are essential in generating individualized, outcome-based, and cost-effective patient care plans (Nat Acad Press 2015). However, few medical schools and residency programs have an explicit curriculum [...]

By | 2018-03-19T12:58:26+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on Promoting Script-Based Problem Representation and Structured Oral Presentation to Teach Clinical Reasoning on A Hospitalist Service

HM2018 Abstract Number: 207

PICKING OF PICCS

Background: The University of Colorado Hospital (UCH) fails to meet the National Healthcare Safety Network (NHSN) benchmarks for central line utilization rates and central line-associated bloodstream infections (CLABSI). Peripherally inserted central catheters (PICCs) are central [...]

By | 2018-03-19T12:58:14+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on PICKING OF PICCS

HM2018 Abstract Number: 323

IMPROVING TRANSITIONS IN CARE SURROUNDING DOCUMENTATION OF TESTS PENDING AT DISCHARGE FROM THE HOSPITALIST SERVICE

Background: Effective communication and care coordination between inpatient and outpatient teams are essential for safe care transitions. Currently there is infrequent communication between PCPs and Hospitalists around the time of discharge. Often, the PCPs are [...]

By | 2018-03-19T12:58:00+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on IMPROVING TRANSITIONS IN CARE SURROUNDING DOCUMENTATION OF TESTS PENDING AT DISCHARGE FROM THE HOSPITALIST SERVICE

HM2018 Abstract Number: 224

MORTALITY REVIEW AND DIAGNOSTIC ERROR: CASE REVIEW AND AUTOPSY EVALUATION AS A MEANS TO ADDRESS DIAGNOSTIC ACCURACY

Background: Mortality review committees are charged with identifying areas of potential improvement, with the goal of decreasing preventable death. This laudable aim is accompanied by secondary goals of interest to the organization like improving diagnostic [...]

By | 2018-03-19T12:57:59+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on MORTALITY REVIEW AND DIAGNOSTIC ERROR: CASE REVIEW AND AUTOPSY EVALUATION AS A MEANS TO ADDRESS DIAGNOSTIC ACCURACY

HM2018 Abstract Number: 332

BARRIERS AND FACILITATORS TO IMPLEMENTING AN ELECTRONIC PILLBOX INTERVENTION DURING CARE TRANSITIONS

Background: Adverse drug events are common during transitions of care and often due to patient misunderstanding of the medication regimen or non-adherence. Challenges exist that may influence the ability of new interventions to address this [...]

By | 2018-03-19T12:57:56+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on BARRIERS AND FACILITATORS TO IMPLEMENTING AN ELECTRONIC PILLBOX INTERVENTION DURING CARE TRANSITIONS

HM2018 Abstract Number: 248

THE MULTI-CENTER MEDICATION RECONCILIATION QUALITY IMPROVEMENT STUDY 2 (MARQUIS2): METHODS AND IMPLEMENTATION

Background: The first Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased unintentional medication discrepancies with potential for harm in five hospitals. Purpose: For MARQUIS2 we [...]

By | 2018-03-19T12:57:38+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on THE MULTI-CENTER MEDICATION RECONCILIATION QUALITY IMPROVEMENT STUDY 2 (MARQUIS2): METHODS AND IMPLEMENTATION

HM2018 Abstract Number: 78

DEVELOPMENT AND IMPLEMENTATION OF A TWO-YEAR INTERNAL MEDICINE-PEDIATRICS HOSPITAL MEDICINE FELLOWSHIP PROGRAM

Background: In October 2016, the American Board of Medical Specialties (ABMS) officially recognized subspecialty certification for Pediatric Hospital Medicine (PHM). The American Board of Pediatrics (ABP), which sponsored the subspecialty application, has established Training and [...]

By | 2018-03-19T12:55:45+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on DEVELOPMENT AND IMPLEMENTATION OF A TWO-YEAR INTERNAL MEDICINE-PEDIATRICS HOSPITAL MEDICINE FELLOWSHIP PROGRAM

HM2018 Abstract Number: 1

VIRTUAL MULTIDISCIPLINARY ROUNDS: AN ELECTRONIC MEDICAL RECORD – BASED DISCHARGE COMMUNICATION TOOL

Background: Multidisciplinary rounds (MDRs) or discharge huddles in the hospital were developed to enhance safety and streamline discharge by improving communication between members of the patient care team. Despite efforts to coordinate care around a [...]

By | 2018-03-22T15:06:23+00:00 March 19th, 2018|Communication, Finalist Posters, Hospital Medicine 2018, Innovations|Comments Off on VIRTUAL MULTIDISCIPLINARY ROUNDS: AN ELECTRONIC MEDICAL RECORD – BASED DISCHARGE COMMUNICATION TOOL

HM2018 Abstract Number: 34

INTERACTIVE TOOLS FOR PATIENT’S COMPREHENSION: PATIENT EXPERIENCES REVIEWING DAILY BASIS RECORDS

Background: Electronic health applications that aim to share personalized medical information with patients are not frequently found in hospital settings. These inpatient applications can empower patients and caregivers to review and monitor their most updated [...]

By | 2018-03-19T12:54:28+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on INTERACTIVE TOOLS FOR PATIENT’S COMPREHENSION: PATIENT EXPERIENCES REVIEWING DAILY BASIS RECORDS

HM2018 Abstract Number: 52

‘REFLECTION ROUNDS:’ FOSTERING PROFESSIONAL DEVELOPMENT AND PHYSICIAN WELLNESS THROUGH SELF-REFLECTION

Background: Self-reflection is an essential tool to foster professional and personal development during medical training. The inpatient setting presents specific challenges to developing physicians, as housestaff grapple to negotiate death and dying, difficult patient interactions, [...]

By | 2018-03-19T12:54:05+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on ‘REFLECTION ROUNDS:’ FOSTERING PROFESSIONAL DEVELOPMENT AND PHYSICIAN WELLNESS THROUGH SELF-REFLECTION

HM2018 Abstract Number: 140

LEVERAGING LEAN TO INFORM APPLIED RESEARCH IN ACUTE CARE: A CASE STUDY TO IMPROVE COPD OUTCOMES

Background: The US healthcare system is under increasing pressure to improve value and affordability. Acute care is responsible for a large proportion of overall health costs, but the complexities and pace in this environment have [...]

By | 2018-03-19T12:54:03+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Outcomes Research|Comments Off on LEVERAGING LEAN TO INFORM APPLIED RESEARCH IN ACUTE CARE: A CASE STUDY TO IMPROVE COPD OUTCOMES

HM2018 Abstract Number: 254

Leads for needs: optimization of cardiac monitoring

Background: During 2016, the total billed cost of cardiac monitoring neared 4 million dollars at our institution and many patients were observed on the monitor without approved indication as published by the American Heart Association’s [...]

By | 2018-03-19T12:53:59+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on Leads for needs: optimization of cardiac monitoring

HM2018 Abstract Number: 42

QUANTIFYING THE OUTCOMES: A STRATEGY FOR MEASURING THE IMPACT OF YOUR SURGICAL CO-MANAGEMENT SERVICE

Background: Our institution is a Level 1 regional trauma center with a large inpatient volume. A large percentage of these patients are elderly, with the traumatic events occurring as sequelae of their age, debility or [...]

By | 2018-03-19T12:53:47+00:00 March 19th, 2018|Consultative Medicine, Hospital Medicine 2018, Innovations|Comments Off on QUANTIFYING THE OUTCOMES: A STRATEGY FOR MEASURING THE IMPACT OF YOUR SURGICAL CO-MANAGEMENT SERVICE

HM2018 Abstract Number: 27

A UNIT BASED LEADERSHIP TEAM INITIATIVE TO IMPROVE PROVIDER COMMUNICATION WITH HOSPITALIZED PATIENTS ABOUT NEW MEDICATION

Background: Many hospitalized patients have difficulty understanding what their care team tells them about medications and how to comply with medications. Communication failures about medications can have devastating consequences for hospitalized patients. Patients who report [...]

By | 2018-03-19T12:53:41+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on A UNIT BASED LEADERSHIP TEAM INITIATIVE TO IMPROVE PROVIDER COMMUNICATION WITH HOSPITALIZED PATIENTS ABOUT NEW MEDICATION

HM2018 Abstract Number: 297

Building a “Data Core” to Obtain and Analyze Electronic Health Data for Quality Improvement and Research

Background: Accurate, high-quality data is critical for work in quality improvement, research, and clinical operations. With an electronic health record (EHR), vast amounts of observational data are collected on patients every day. This data can [...]

By | 2018-03-19T12:53:39+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on Building a “Data Core” to Obtain and Analyze Electronic Health Data for Quality Improvement and Research

HM2018 Abstract Number: 236

THE IMPACT OF A HOSPITALISTS READMISSIONS REVIEW TOOL ON PERSPECTIVES CONCERNING READMISSION PREVENTABILITY AND READMISSION RATES

Background: Readmissions continue to be a significant burden on health systems and in 2017 nearly 80% of all hospitals face financial penalties for 30-day readmissions. There are limited examples of standardized processes for notifying discharging [...]

By | 2018-03-19T12:53:38+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on THE IMPACT OF A HOSPITALISTS READMISSIONS REVIEW TOOL ON PERSPECTIVES CONCERNING READMISSION PREVENTABILITY AND READMISSION RATES

HM2018 Abstract Number: 153

HELP ME, OBI-WAN KENOBI: IMPROVING PATIENT SAFETY REPORTING BY RESIDENTS WITH RESIDENT-LED PATIENT SAFETY ROUNDS AND PEER COACHING

Background: Residents, because they are on the frontlines of the provision of care, are integral to improving care. Yet the Accreditation Council for Graduate Medical Education (ACGME) has reported residents are not as engaged in [...]

By | 2018-03-19T12:53:32+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on HELP ME, OBI-WAN KENOBI: IMPROVING PATIENT SAFETY REPORTING BY RESIDENTS WITH RESIDENT-LED PATIENT SAFETY ROUNDS AND PEER COACHING

HM2018 Abstract Number: 82

“WHAT DO YOU NEED? : BUILDING A DEMAND- DRIVEN FACULTY DEVELOPMENT PROGRAM WHILE HIGHLIGHTING YOUR GROUP’S STRENGTHS

Background: We are a large academic Hospital Medicine Group comprised of over 100 hospitalists at two tertiary care hospitals in an urban-suburban setting. Our group serves as the inpatient attendings for a large internal medicine [...]

By | 2018-03-19T12:53:20+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on “WHAT DO YOU NEED? : BUILDING A DEMAND- DRIVEN FACULTY DEVELOPMENT PROGRAM WHILE HIGHLIGHTING YOUR GROUP’S STRENGTHS

HM2018 Abstract Number: 214

YOU ARE USING WHAT? A PHARMACIST-ASSISTED MEDICATION RECONCILLIATION QUALITY IMPROVEMENT PROJECT

Background: Medication reconciliation is a critical component of the hospital admission process, however data has shown that greater than 50% of patients have at least 1 unintended discrepancy at admission. Of these discrepancies, 6% had [...]

By | 2018-03-19T12:53:18+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on YOU ARE USING WHAT? A PHARMACIST-ASSISTED MEDICATION RECONCILLIATION QUALITY IMPROVEMENT PROJECT

HM2018 Abstract Number: 14

FAST TRACK DIALYSIS: IMPROVING EMERGENCY DEPARTMENT AND HOSPITAL THROUGHPUT FOR PATIENTS REQUIRING HEMODIALYSIS

Background: Many end stage renal disease (ESRD) patients present with complaints related to missed or incomplete hemodialysis (HD). Inpatient HD units often are not credentialed for outpatient use which results in extra cost and consumes [...]

By | 2018-03-22T15:13:54+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on FAST TRACK DIALYSIS: IMPROVING EMERGENCY DEPARTMENT AND HOSPITAL THROUGHPUT FOR PATIENTS REQUIRING HEMODIALYSIS

HM2018 Abstract Number: 227

BRINGING PHARMACISTS AND HOSPTIALISTS TOGETHER IN THE EMERGENCY DEPARTMENT TO IMPROVE ADMISSION MEDICATION RECONCILIATION

Background: Adverse drug events (ADEs) result in more than 770,000 injuries and deaths each year and cost up to $5.6 million per hospital, depending on size. The hospital admission is often where the patient is [...]

By | 2018-03-19T12:53:08+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on BRINGING PHARMACISTS AND HOSPTIALISTS TOGETHER IN THE EMERGENCY DEPARTMENT TO IMPROVE ADMISSION MEDICATION RECONCILIATION

HM2018 Abstract Number: 165

INTER-PROFESSIONAL QUALITY IMPROVEMENT PROJECT TO IMPROVE THE SAFETY OF DISCHARGE MEDICATION RECONCILIATION PROCESS FOR HOSPITALIZED PATIENTS

Background: Accurate medication reconciliation during transitions of care can decrease medication related adverse drug events. The Joint Commission has prioritized medication reconciliation as one of the national patient safety goals. Effective pharmacist-physician-patient collaboration can improve [...]

By | 2018-03-19T12:53:02+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on INTER-PROFESSIONAL QUALITY IMPROVEMENT PROJECT TO IMPROVE THE SAFETY OF DISCHARGE MEDICATION RECONCILIATION PROCESS FOR HOSPITALIZED PATIENTS

HM2018 Abstract Number: 25

“TALKING HOSPITALIST:” A LEARNER-CENTERED PROFESSIONAL DEVELOPMENT SERIES FOR EFFECTIVE COMMUNICATION

Background: Multiple recent studies have demonstrated a link between effective clinician communication and patient experience of care in the hospital. Additionally, at a time of unprecedented rates of clinician burnout, communication challenges can negatively impact [...]

By | 2018-03-19T12:53:00+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on “TALKING HOSPITALIST:” A LEARNER-CENTERED PROFESSIONAL DEVELOPMENT SERIES FOR EFFECTIVE COMMUNICATION

HM2018 Abstract Number: 238

An Innovative Approach to the Management of Sickle Cell Disease at Johns Hopkins Aramco Health in The Kingdom of Saudi Arabia.

Background: Patients with SCD have frequent hospitalizations due to repeated vascular occlusion resulting in multiple organ damage, acute on chronic pain, fatigue, and frequent infections2. Sickle cell pain crisis challenges patients and health professionals in [...]

By | 2018-03-19T12:52:58+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on An Innovative Approach to the Management of Sickle Cell Disease at Johns Hopkins Aramco Health in The Kingdom of Saudi Arabia.

HM2018 Abstract Number: 190

RAPIDLY BUILDING A PEDIATRIC HOSPITAL MEDICINE ADVANCED PRACTICE PROVIDER TEAM IN COLLABORATION WITH EXISTING PICU AND ED PRACTITIONERS

Background: The Pediatric Hospital Medicine (PHM) service at Medical College of Wisconsin/Children’s Hospital of Wisconsin has historically consisted of patient care teams with an attending pediatric hospitalist, pediatric residents, rotating family medicine residents and medical [...]

By | 2018-03-19T12:52:56+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Pediatrics|Comments Off on RAPIDLY BUILDING A PEDIATRIC HOSPITAL MEDICINE ADVANCED PRACTICE PROVIDER TEAM IN COLLABORATION WITH EXISTING PICU AND ED PRACTITIONERS

HM2018 Abstract Number: 91

UTILIZING PEER MENTORSHIP TO IMPROVE JOB SATISFACTION AND ENGAGEMENT IN AN ACADEMIC COMMUNITY HOSPITALIST GROUP

Background: Hospital Medicine continues to grow as a specialty and hospital medicine programs are rapidly expanding to meet this demand. One of the challenges of a rapidly growing program is how to onboard our new hires in a [...]

By | 2018-03-19T12:52:52+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Other|Comments Off on UTILIZING PEER MENTORSHIP TO IMPROVE JOB SATISFACTION AND ENGAGEMENT IN AN ACADEMIC COMMUNITY HOSPITALIST GROUP

HM2018 Abstract Number: 319

Breaking the Cycle: A Successful Inpatient Based Intervention for Hospital High Utilizers

Background: Patients recurrently admitted to the hospital frequently experience fragmentation of care and poor health outcomes, with discontinuity between hospital admissions resulting in unnecessary testing, ineffective or inconsistent treatment plans, patient/provider frustration, and inability to [...]

By | 2018-03-19T12:52:47+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on Breaking the Cycle: A Successful Inpatient Based Intervention for Hospital High Utilizers

HM2018 Abstract Number: 28

USING AN INTENSIVE FEEDBACK CURRICULUM TO IMPACT MEDICAL RESIDENT INTERPROFESSIONAL TEAMWORK BEHAVIORS AND ATTITUDES

Background: Medical errors in hospitals are a significant threat to patient safety and often result from poor communication or poorly-activated interprofessional teams. Despite a recent focus on interprofessional education (IPE) in pre-clinical years and simulation [...]

By | 2018-03-19T12:52:39+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on USING AN INTENSIVE FEEDBACK CURRICULUM TO IMPACT MEDICAL RESIDENT INTERPROFESSIONAL TEAMWORK BEHAVIORS AND ATTITUDES

HM2018 Abstract Number: 168

A NOVEL ALGORITHM FOR THE MANAGEMENT OF INPATIENT ASYMPTOMATIC HYPERTENSION

Background: There is no consensus on the management of asymptomatic inpatient hypertension. This is alarming as the prevalence of inpatient hypertension may be as high as 72%. Hypertension treatment guidelines focus on chronic hypertension in [...]

By | 2018-03-19T12:52:27+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on A NOVEL ALGORITHM FOR THE MANAGEMENT OF INPATIENT ASYMPTOMATIC HYPERTENSION