Innovations

Abstract Number: 385

THE GLYCEMIC CONTROL CLINICAL ANDON BOARD – A PUBLICLY DISPLAYED, REAL-TIME, ALGORITHM DRIVEN SIGNAL TO PROMOTE EVIDENCE BASED INSULIN PRESCRIBING PRACTICES

Background: Diabetes is common, present in up to one third of hospitalized patients and up to 50% of critically ill patients. Studies have shown that hyperglycemia among hospitalized patients leads to worse clinical outcomes and [...]

By | 2019-03-18T17:59:15+00:00 March 18th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on THE GLYCEMIC CONTROL CLINICAL ANDON BOARD – A PUBLICLY DISPLAYED, REAL-TIME, ALGORITHM DRIVEN SIGNAL TO PROMOTE EVIDENCE BASED INSULIN PRESCRIBING PRACTICES

Abstract Number: 112

K.I.S.S. (KEEP IT SIMPLE … SCHEDULES): HOW STANDARDIZATION AND SIMPLIFICATION CAN IMPROVE SCHEDULING AND PHYSICIAN SATISFACTION

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

By | 2019-03-18T18:56:04+00:00 March 18th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on K.I.S.S. (KEEP IT SIMPLE … SCHEDULES): HOW STANDARDIZATION AND SIMPLIFICATION CAN IMPROVE SCHEDULING AND PHYSICIAN SATISFACTION

Abstract Number: 102

CO-MANAGEMENT IMPLEMENTATION WITH AGS COCARE: ORTHO™ IMPROVES HIP FRACTURE OUTCOMES

Background: More than 300,000 older adults are hospitalized in the US annually for hip fracture. While operative repair is recommended in most individuals, perioperative complications account for significant morbidity and mortality. Co-management programs for hip [...]

By | 2019-03-18T17:53:41+00:00 March 18th, 2019|Geriatrics, Hospital Medicine 2019, Innovations|Comments Off on CO-MANAGEMENT IMPLEMENTATION WITH AGS COCARE: ORTHO™ IMPROVES HIP FRACTURE OUTCOMES

Abstract Number: 50

INNOVATION IN COMMUNICATION: WRITING NOTES TO PATIENTS – NOT ABOUT THEM

Background: 1 in 4 patients on the Acute Care of the Elder (ACE) unit at a tertiary care center state that their physicians do not communicate well “all of the time.” Purpose: To enhance physician-patient [...]

By | 2019-03-18T17:56:57+00:00 March 18th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on INNOVATION IN COMMUNICATION: WRITING NOTES TO PATIENTS – NOT ABOUT THEM

Abstract Number: Oral

ANALYZE THIS: A CLINICAL PATHWAY FOR SOMATIC SYMPTOM AND RELATED DISORDERS

Background: Somatic Symptom and Related Disorders (SSRD) is an umbrella term for a wide variety of disorders commonly encountered in the inpatient pediatric setting, including conversion disorder, amplified pain syndrome, and psychogenic non-epileptiform seizures. These [...]

By | 2019-03-12T15:46:37+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Oral Presentations, Pediatrics|Comments Off on ANALYZE THIS: A CLINICAL PATHWAY FOR SOMATIC SYMPTOM AND RELATED DISORDERS

Abstract Number: Plenary

DECREASING ADMISSIONS, READMISSIONS AND LENGTH OF STAY WHILE IMPROVING PATIENT SAFETY FOR ALCOHOL WITHDRAWAL SYNDROME

Background: There were nearly 33,000 admissions to Department of Veterans Affairs hospitals for alcohol withdrawal syndrome (AWS) in fiscal year 2017. Symptom-triggered management is the standard of care and, when employed effectively, the number of [...]

By | 2019-03-12T15:33:25+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Plenary Presentations, Quality Improvement|Comments Off on DECREASING ADMISSIONS, READMISSIONS AND LENGTH OF STAY WHILE IMPROVING PATIENT SAFETY FOR ALCOHOL WITHDRAWAL SYNDROME

Abstract Number: Oral

IMPLEMENTING STRUCTURED RADIOLOGY REPORTING TO CREATE CLINICAL DECISION SUPPORT TOOLS

Background: Deep vein thrombosis (DVT) is typically diagnosed from ultrasound (US) Doppler evaluation and anticoagulation therapy is the standard treatment to prevent life threatening pulmonary embolism (PE). In our hospital, the treating provider is alerted [...]

By | 2019-04-17T09:42:46+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Oral Presentations, Technology in Hospital Medicine, Winner, Innovations|Comments Off on IMPLEMENTING STRUCTURED RADIOLOGY REPORTING TO CREATE CLINICAL DECISION SUPPORT TOOLS

Abstract Number: Oral

THE B-TEAM (BUPRENORPHINE): MEDICATION-ASSISTED TREATMENT FOR PATIENTS WITH OPIOID USE DISORDER IN THE HOSPITAL

Background: Despite a public health crisis - over 500,000 individuals have died from opioid overdoses since 2000 – and the availability of effective therapies, most patients with Opioid Use Disorder (OUD) are not offered treatment. [...]

By | 2019-03-12T15:49:45+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Oral Presentations, Quality Improvement|Comments Off on THE B-TEAM (BUPRENORPHINE): MEDICATION-ASSISTED TREATMENT FOR PATIENTS WITH OPIOID USE DISORDER IN THE HOSPITAL

Abstract Number: Oral

REACHING ACROSS TOWN TO ENHANCE REGIONAL INPATIENT ACCESS

Background: Like all large academic medical centers (AMCs), we face capacity challenges. On most days, bed occupancy is often greater than 90% and long boarding times in the Emergency Department (ED) leads to poor patient [...]

By | 2019-03-12T15:49:09+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Oral Presentations, Value in Hospital Medicine|Comments Off on REACHING ACROSS TOWN TO ENHANCE REGIONAL INPATIENT ACCESS

Abstract Number: Oral

USING PREDICTIVE MODELING TO IDENTIFY EXCESS VITAL SIGN ASSESSMENT IN HOSPITALIZED PATIENTS

Background: Clinically stable inpatients may receive potentially unnecessary care, such as overnight vital sign assessment. Nighttime vital signs can disrupt sleep and adversely affect patient satisfaction and contribute to delirium. However, it may be difficult [...]

By | 2019-03-12T15:48:40+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Oral Presentations, Technology in Hospital Medicine|Comments Off on USING PREDICTIVE MODELING TO IDENTIFY EXCESS VITAL SIGN ASSESSMENT IN HOSPITALIZED PATIENTS

Abstract Number: 459

VALUE IN TRAINING: AN INTERPROFESSIONAL TRAIN THE TRAINER CURRICULUM ON HIGH VALUE CARE IN EDUCATION AND CLINICAL PRACTICE

Background: Regardless of specialty or discipline, healthcare professionals are tasked with addressing high value care (HVC). It is therefore crucial that hospitalists and other members of the interprofessional team have training in addressing HVC, specifically [...]

By | 2019-03-11T14:26:57+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on VALUE IN TRAINING: AN INTERPROFESSIONAL TRAIN THE TRAINER CURRICULUM ON HIGH VALUE CARE IN EDUCATION AND CLINICAL PRACTICE

Abstract Number: 456

CODE DEFLECTION – CREATING TRANSPARANCY OF HOSPITALIST TEAM CAPACITY

Background: Partnership with Regional Medical Centers is a growth strategy for Virginia Mason as well as a service to our patients in the community. It is important to maintain our capacity to provide care to [...]

By | 2019-03-11T14:26:52+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on CODE DEFLECTION – CREATING TRANSPARANCY OF HOSPITALIST TEAM CAPACITY

Abstract Number: 453

IMPROVING HOSPITAL DISASTER RESPONSE BY AUGMENTING HOSPITAL SURGE CAPACITY: A ROLE FOR HOSPITALISTS

Background: Hospital disaster response has historically been the purview of emergency medicine and surgery, without significant involvement of hospitalists themselves or consideration of how mass casualty incidents impact the hospital as a whole. However, many [...]

By | 2019-03-11T14:26:48+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on IMPROVING HOSPITAL DISASTER RESPONSE BY AUGMENTING HOSPITAL SURGE CAPACITY: A ROLE FOR HOSPITALISTS

Abstract Number: 452

REDUCING UNNECESSARY CHEST X-RAYS IN THE MEDICAL INTENSIVE CARE UNIT

Background: Chest radiographs (CXRs) aid in the evaluation of clinical status and assess the placement of new lines and tubes in patients in the Medical Intensive Care Unit (MICU). Despite studies documenting the safety of [...]

By | 2019-03-11T14:26:47+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on REDUCING UNNECESSARY CHEST X-RAYS IN THE MEDICAL INTENSIVE CARE UNIT

Abstract Number: 449

STOP THE FLOW IF YOUR PATIENTS PO! A MULTI-FACETED INTERVENTION TO DECREASE OVERUSE OF CONTINUOUS INTRAVENOUS INFUSIONS

Background: The use of maintenance fluids (MF, continuous intravenous fluid (IVF)) to prevent dehydration is common, yet highly variable in practice. Unnecessary MF can cause patient harm including fluid overload, sleep disruption (associated alarms), and [...]

By | 2019-03-11T14:26:41+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on STOP THE FLOW IF YOUR PATIENTS PO! A MULTI-FACETED INTERVENTION TO DECREASE OVERUSE OF CONTINUOUS INTRAVENOUS INFUSIONS

Abstract Number: 447

DEVELOPING HOSPITALIST LEADERS TO STANDARDIZE CARE AND IMPROVE PATIENT OUTCOMES

Background: As hospital reimbursement models and publicly available CMS ratings place a stronger emphasis on improved patient throughput, safety, and satisfaction, it has become increasingly important for hospitals to develop cohesive care teams aligned with [...]

By | 2019-03-11T14:26:39+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on DEVELOPING HOSPITALIST LEADERS TO STANDARDIZE CARE AND IMPROVE PATIENT OUTCOMES

Abstract Number: 444

THE SMILOW CANCER HOSPITAL ONCOLOGY EXTENDED CARE CLINIC: A FACILITY DEDICATED TO MANAGING ONCOLOGIC URGENCIES AND EMERGENCIES

Background: The burden of acute care among cancer patients, estimated to exceed $70B by 2020, represents ~50% of all costs of advanced cancer care and accounts for 70% of nationwide regional variation in these costs. [...]

By | 2019-03-11T14:26:34+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on THE SMILOW CANCER HOSPITAL ONCOLOGY EXTENDED CARE CLINIC: A FACILITY DEDICATED TO MANAGING ONCOLOGIC URGENCIES AND EMERGENCIES

Abstract Number: 438

DESIGN AND IMPLEMENTATION OF A HOUSESTAFF COUNCIL ON VALUE AND INNOVATION

Background: Delivering HVC is a core component of hospitalist practice, and equipping residents with skills and experience to lead HVC initiatives is a priority for training institutions and for society. We describe the design, founding [...]

By | 2019-03-11T14:26:25+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on DESIGN AND IMPLEMENTATION OF A HOUSESTAFF COUNCIL ON VALUE AND INNOVATION

Abstract Number: 437

UNC MEDICAL CENTER OBSERVATION UNIT: AN INTERDEPARTMENTAL COLLABORATION TO IMPROVE CARE AND TRAIN RESIDENTS

Background: Over the past 50 years, observation status patients have been cared for in a variety of settings: in the emergency department, on inpatient floors, and in dedicated observation units. At our medical center, inpatient [...]

By | 2019-03-11T14:26:24+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on UNC MEDICAL CENTER OBSERVATION UNIT: AN INTERDEPARTMENTAL COLLABORATION TO IMPROVE CARE AND TRAIN RESIDENTS

Abstract Number: 436

CREATION OF APP-PHYSICIAN BEST PRACTICES: A NECESSARY TOOL FOR THE GROWING APP WORKFORCE

Background: Background: Advanced Practice Providers (APPs) are being increasingly utilized in hospital medicine groups. However, there is significant variation in how APPs are trained and utilized, resulting in high turnover rates, decreased provider satisfaction, and [...]

By | 2019-03-11T14:26:22+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on CREATION OF APP-PHYSICIAN BEST PRACTICES: A NECESSARY TOOL FOR THE GROWING APP WORKFORCE

Abstract Number: 431

USING EVIDENCE-BASED PROCESSES TO IMPROVE DELIVERY OF CARE FOR PATIENTS WITH SICKLE CELL DISEASE PRESENTING WITH VASO-OCCLUSIVE EPISODES

Background: A vaso-occlusive episode (VOE) is a common complication of sickle cell disease (SCD). The most common presentation of VOE is pain that, if undertreated, can lead to life-threatening complications. Nearly all persons with SCD [...]

By | 2019-03-11T14:26:15+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Translating Research into Practice|Comments Off on USING EVIDENCE-BASED PROCESSES TO IMPROVE DELIVERY OF CARE FOR PATIENTS WITH SICKLE CELL DISEASE PRESENTING WITH VASO-OCCLUSIVE EPISODES

Abstract Number: 429

DEDICATED TRIAGE PHYSICIAN ASSISTANT IMPROVES EMERGENCY-INPATIENT ADMISSION THROUGHPUT

Background: The most acute patients presenting to the Emergency Department (ED) requirean admission to the inpatient setting. A timely triage and admission process can improve the outcomes of these critically ill patients. Forty-six percent of [...]

By | 2019-03-11T14:26:12+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on DEDICATED TRIAGE PHYSICIAN ASSISTANT IMPROVES EMERGENCY-INPATIENT ADMISSION THROUGHPUT

Abstract Number: 428

IMPROVING SIGN OUT AMONG HOSPITALISTS FOR IN-PATIENT CARE (I-SHINE)

Background: End of shift sign out is a major part of inpatient care and occurs multiple times for each patient on a Hospital Medicine service. Sign out guidelines recommend specific elements of the written sign [...]

By | 2019-03-11T14:26:11+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on IMPROVING SIGN OUT AMONG HOSPITALISTS FOR IN-PATIENT CARE (I-SHINE)

Abstract Number: 426

OPTIMIZING DISCHARGE SUMMARIES: A MULTI-SPECIALTY, MULTI-CENTER SURVEY OF OUTPATIENT PROVIDERS

Background: Hospital discharge is a complex and dangerous process. The emergence and rapid growth of the Hospitalist specialty with the simultaneous decline of traditional practice models complicates discharges. In light of the discontinuity, it is [...]

By | 2019-03-11T14:26:08+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on OPTIMIZING DISCHARGE SUMMARIES: A MULTI-SPECIALTY, MULTI-CENTER SURVEY OF OUTPATIENT PROVIDERS

Abstract Number: 421

IMPROVING INTERHOSPITAL TRANSFER TRIAGE SKILLS THROUGH FACULTY ON-BOARDING

Background: Interhospital transfer is a poorly understood transition of care that is associated with increased length of stay and mortality. The processes and communication between transferring and accepting facilities and providers are not standardized.Purpose: Hospitalist [...]

By | 2019-03-11T14:26:00+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on IMPROVING INTERHOSPITAL TRANSFER TRIAGE SKILLS THROUGH FACULTY ON-BOARDING

Abstract Number: 418

FROM HOSPITAL TO HOME: CREATING CARE TRANSITIONS STANDARDS FROM CONSENSUS USING NOMINAL GROUP TECHNIQUE

Background: The ACGME identifies care transitions as both a core competency and focus area for the Clinical Learning Environment Review, but there is a scarcity of literature on standardized curricula designed to teach residents how [...]

By | 2019-03-11T14:25:56+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on FROM HOSPITAL TO HOME: CREATING CARE TRANSITIONS STANDARDS FROM CONSENSUS USING NOMINAL GROUP TECHNIQUE

Abstract Number: 417

UNDERSTANDING AND IMPROVING THE INTERHOSPITAL TRANSFER TRIAGE PROCESS

Background: Interhospital transfer is a necessary part of patient care in an increasingly complex healthcare environment. However, it is an ill-defined process that has been associated with increased mortality, cost, and length of stay, even [...]

By | 2019-03-11T14:25:55+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on UNDERSTANDING AND IMPROVING THE INTERHOSPITAL TRANSFER TRIAGE PROCESS

Abstract Number: 416

IMPROVING SUBSPECIALTY COMMUNICATION AND FOLLOW-UP CARE FOR HOSPITALIZED PATIENTS

Background: Communication between a patient’s primary medical team and subspecialty consultants at the time of hospital discharge is important for ensuring an optimal transition to outpatient care. Of the 5200 patients admitted every year to [...]

By | 2019-03-11T14:25:54+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on IMPROVING SUBSPECIALTY COMMUNICATION AND FOLLOW-UP CARE FOR HOSPITALIZED PATIENTS

Abstract Number: 414

A HOSPITALIST-RUN PROCEDURE SERVICE AS A TOOL FOR TRANSISTIONS OF CARE

Background: Procedures are often an integral component of a patient’s care plan. Delays in procedures may lead to increased length of stay and decreased quality of care. For instance, prompt paracenteses in hospitalized patients with [...]

By | 2019-03-11T14:25:51+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on A HOSPITALIST-RUN PROCEDURE SERVICE AS A TOOL FOR TRANSISTIONS OF CARE

Abstract Number: 410

RIDING ON THE TIGER: A HOSPITAL AND COMMUNITY CO-MANAGEMENT MODEL TO PREVENT RE-ADMISSIONS

Background: Following discharge from hospital, Community Care Teams (CCT) continue the care of patients with chronic medical problems. Handover is by means of discharge summary with no further communication between Inpatient Teams (IPT) and CCT. [...]

By | 2019-03-11T14:25:45+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on RIDING ON THE TIGER: A HOSPITAL AND COMMUNITY CO-MANAGEMENT MODEL TO PREVENT RE-ADMISSIONS

Abstract Number: 398

THE MORE THE MERRIER: DEVELOPMENT OF A MULTIDISCIPLINARY HEMATOLOGY-ONCOLOGY CARE MODEL

Background: Admitted Hematologic and Oncologic patients are often complex and have a unique set of challenges. Balancing outpatient care plans with inpatient medical and psychosocial issues can lead to long lengths of stay, patient dissatisfaction, [...]

By | 2019-03-11T14:25:25+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on THE MORE THE MERRIER: DEVELOPMENT OF A MULTIDISCIPLINARY HEMATOLOGY-ONCOLOGY CARE MODEL

Abstract Number: 393

DEPLOYMENT OF SEPSIS WATCH, A DEEP LEARNING SEPSIS DETECTION AND TREATMENT PLATFORM

Background: Sepsis is one of the top causes of inpatient mortality and rapid detection presents numerous challenges. In March, 2016, an interdisciplinary team consisting of top clinicians, data scientists and machine learning experts at a [...]

By | 2019-03-11T14:25:18+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on DEPLOYMENT OF SEPSIS WATCH, A DEEP LEARNING SEPSIS DETECTION AND TREATMENT PLATFORM

Abstract Number: 391

GETTING HOSPITALISTS UP TO SPEED: A NOVEL HANDS-ON POCUS TRAINING PROGRAM

Background: Point-of-care ultrasound (POCUS) is nothing less than a paradigm shift in patient care. The technology has advanced rapidly and the competence in performing, interpreting and utilizing POCUS is extremely variable. There is often an [...]

By | 2019-03-27T09:27:38+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on GETTING HOSPITALISTS UP TO SPEED: A NOVEL HANDS-ON POCUS TRAINING PROGRAM

Abstract Number: 389

E-CONSULTS: EFFECTIVENESS AND TIMELINESS OF INPATIENT CONSULT SERVICES

Background: Inpatient subspecialty consultation is one of the most common physician practices in the care of hospitalized patients. As per a CMS report, approximately 33,000 inpatient consultation occurred per day in 2008 costing Medicare approximately [...]

By | 2019-03-11T14:25:13+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on E-CONSULTS: EFFECTIVENESS AND TIMELINESS OF INPATIENT CONSULT SERVICES

Abstract Number: 388

AUGMENTED INTELLIGENCE: AUTOMATION OF VANCOMYCIN MONITORING TO IMPROVE PATIENT SAFETY

Background: Medical error is now the third leading cause of death in the United States. Approximately 4% of hospitalized patients experience an adverse event with 20% of these adverse events being medication-related, three-fourths of which [...]

By | 2019-03-11T14:25:11+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on AUGMENTED INTELLIGENCE: AUTOMATION OF VANCOMYCIN MONITORING TO IMPROVE PATIENT SAFETY

Abstract Number: 387

DEVELOPMENT OF AN EHR DISCHARGE READINESS TOOL USING STAKEHOLDER ENGAGEMENT TACTICS

Background: Typical solutions to incorporating provider input into discharge planning often rely on one-way communication mechanisms and data entry that is not dynamic (i.e. providers estimate day of discharge in advance). We are designing a [...]

By | 2019-03-11T14:25:10+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on DEVELOPMENT OF AN EHR DISCHARGE READINESS TOOL USING STAKEHOLDER ENGAGEMENT TACTICS

Abstract Number: 384

IMPLEMENTATION OF A TELEHOSPITALIST PROGRAM AT TERTIARY CARE CENTER: UTILIZATION AND PATIENT EXPERIENCE

Background: Telemedicine allows for remote patient evaluation and treatment. Traditionally this model has been applied to rural medical centers with physician shortages. Implementation of a telehospitalist program at well-staffed tertiary care centers may streamline services [...]

By | 2019-03-18T11:08:23+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on IMPLEMENTATION OF A TELEHOSPITALIST PROGRAM AT TERTIARY CARE CENTER: UTILIZATION AND PATIENT EXPERIENCE

Abstract Number: 381

REACHING THE QUADRUPLE AIM THROUGH USER-CENTERED TECHNOLOGY DESIGNED TO OPTIMIZE CARE DELIVERY AND CLINICIAN WORKFLOW

Background: In recent years, in large part due to reimbursement incentives, the healthcare industry has shifted focus from volume to quality of care, with patient satisfaction being a crucial part of the evaluation. There is [...]

By | 2019-03-11T14:25:01+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on REACHING THE QUADRUPLE AIM THROUGH USER-CENTERED TECHNOLOGY DESIGNED TO OPTIMIZE CARE DELIVERY AND CLINICIAN WORKFLOW

Abstract Number: 380

MIND THE GAP: REVOLUTIONIZING THE EHR DOWNTIME EXPERIENCE WITH AN INTEROPERABLE WORKFLOW TOOL

Background: A somewhat under-discussed topic in EHR implementation is the safety and efficiency consequences of their lengthy build and implementation. After multiple years of stalled clinical innovation while IT staff dedicate their focus to EHR [...]

By | 2019-03-11T14:25:00+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on MIND THE GAP: REVOLUTIONIZING THE EHR DOWNTIME EXPERIENCE WITH AN INTEROPERABLE WORKFLOW TOOL

Abstract Number: 379

USING INPATIENT TELEHEALTH TO PROVIDE CONTINUITY OF CARE FOR THE HOSPITALIZED PATIENT: THE REMOTE ONCOLOGY/PALLIATIVE CARE VIDEO ENCOUNTER PROGRAM

Background: When a patient with cancer or terminal illness is hospitalized, they may benefit from the input of their outpatient, primary oncologist or palliative care provider to inform key decisions. As most oncologists’ and ambulatory [...]

By | 2019-03-11T14:24:59+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on USING INPATIENT TELEHEALTH TO PROVIDE CONTINUITY OF CARE FOR THE HOSPITALIZED PATIENT: THE REMOTE ONCOLOGY/PALLIATIVE CARE VIDEO ENCOUNTER PROGRAM

Abstract Number: 378

HOSPITALISTS IMPROVING PEDIATRIC SEPSIS THROUGH EDUCATION AND RECOGNITION

Background: The Children’s Hospital Association (CHA) Sepsis Collaborative recognizes pediatric sepsis as a significant cause of mortality and nationwide efforts are being developed to improve sepsis recognition. A critical component to decreasing sepsis mortality is [...]

By | 2019-03-11T14:24:57+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on HOSPITALISTS IMPROVING PEDIATRIC SEPSIS THROUGH EDUCATION AND RECOGNITION

Abstract Number: 377

GEOGRAPHIC ROUNDING: A MODEL TO IMPROVE HOSPITALIST- NURSE COMMUNICATION AND UNIT THROUGHPUT

Background: Geographic hospitalist staffing and interdisciplinary rounding has been shown to improve staff communication, patient communication, and reduce length of stay. Communication between hospitalist and nurses also play a crucial role in patient safety and [...]

By | 2019-03-11T14:24:56+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on GEOGRAPHIC ROUNDING: A MODEL TO IMPROVE HOSPITALIST- NURSE COMMUNICATION AND UNIT THROUGHPUT

Abstract Number: 375

BACK TO THE BEDSIDE: UNITING MEDICAL EDUCATION AND INTERPROFESSIONAL ROUNDS

Background: Interprofessional rounding has improved patient safety and provider engagement (1). Our institution implemented interdisciplinary patient rounds (IPR) similarly described in the literature (2). Despite praise for our nursing safety checklist, declining emphasis on bedside [...]

By | 2019-03-11T14:24:53+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on BACK TO THE BEDSIDE: UNITING MEDICAL EDUCATION AND INTERPROFESSIONAL ROUNDS

Abstract Number: 373

PERFORMING SAFE PARACENTESES: VALIDATING THE TWO-PROBE TECHNIQUE

Background: Paracenteses are performed frequently at bedside by hospitalists, intensivists, gastroenterologists and emergency medicine providers. They are considered a core procedure that historically have been performed “blind” with only the use of percussion to determine [...]

By | 2019-03-11T14:24:50+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on PERFORMING SAFE PARACENTESES: VALIDATING THE TWO-PROBE TECHNIQUE

Abstract Number: 371

THE RIGHT RX: A MULTIFACETED APPROACH TO IMPROVING OPIOID PRESCRIBING PRACTICES ON DISCHARGE

Background: Clinician prescribing practices are a contributing factor to and potential mitigator of the opioid epidemic in the United States. Several studies have identified the hospital setting as an important entry point into chronic opioid [...]

By | 2019-03-11T14:24:47+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on THE RIGHT RX: A MULTIFACETED APPROACH TO IMPROVING OPIOID PRESCRIBING PRACTICES ON DISCHARGE

Abstract Number: 370

UNIT BASED INTERDISCIPLINARY TEAM APPROACH TO IMPLEMENTING A NALOXONE PRESCRIPTION UPON HOSPITAL DISCHARGE

Background: An estimated 68,000 Americans died of opioid-related overdoses between March 2017-2018. In Monroe County NY heroin/fentanyl deaths are up 200% from 2015- 2017. Guidelines recommending naloxone co-prescription for high-risk patients on opioid pain medications [...]

By | 2019-03-11T14:24:46+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on UNIT BASED INTERDISCIPLINARY TEAM APPROACH TO IMPLEMENTING A NALOXONE PRESCRIPTION UPON HOSPITAL DISCHARGE

Abstract Number: 368

STREAMLINING THE IDENTIFICATION OF HIGH RISK PATIENTS IN NEED OF GOALS OF CARE DISCUSSIONS- A PILOT STUDY

Background: Multiple studies show that patients with serious illness often do not discuss their goals and preferences with their clinicians leading to low patient and family satisfaction, and costly care that is often unwanted and [...]

By | 2019-03-11T14:24:43+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on STREAMLINING THE IDENTIFICATION OF HIGH RISK PATIENTS IN NEED OF GOALS OF CARE DISCUSSIONS- A PILOT STUDY

Abstract Number: 367

DISCHARGES BEFORE NOON – A COLLABORATIVE APPROACH TO BUILD A SUSTAINABLE GOAL

Background: Patient flow and throughput are challenges that hospitals throughout the country face daily. Delays in throughput lead to prolonged ER times, delays in patient care, increased length of stay, patient dissatisfaction and frustrations for [...]

By | 2019-03-11T14:24:42+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on DISCHARGES BEFORE NOON – A COLLABORATIVE APPROACH TO BUILD A SUSTAINABLE GOAL

Abstract Number: 357

ZERO IS NO LONGER AN UNREASONABLE TARGET IN CAUTI

Background: Catheter Associated Urinary Tract Infection (CAUTI) is the most common hospital acquired infection and constitutes upto 40% of all Healthcare Associated infections. Urinary catheter is used in 15% to 25% of hospitalized patients and [...]

By | 2019-03-11T14:24:28+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ZERO IS NO LONGER AN UNREASONABLE TARGET IN CAUTI

Abstract Number: 355

IMPROVING DISCHARGE TIME AND DECREASING LENGTHS OF STAY: PILOT STUDY OF AN EMR-EMBEDDED, PHYSICIAN-DESIGNED SOLUTION FOR CROSS-DISCIPLINARY CLINICAL COMMUNICATION

Background: The EMR does not provide readily available information that conveys an at-a-glance understanding of discharge progress for a given patient. Healthcare workers have different workflows and need to manage the information in different ways, [...]

By | 2019-03-11T14:24:25+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on IMPROVING DISCHARGE TIME AND DECREASING LENGTHS OF STAY: PILOT STUDY OF AN EMR-EMBEDDED, PHYSICIAN-DESIGNED SOLUTION FOR CROSS-DISCIPLINARY CLINICAL COMMUNICATION

Abstract Number: 350

AN INTERDISCIPLINARY APPROACH TO IMPROVING ADVANCE CARE PLANNING IN INTERNAL MEDICINE

Background: While Medicare data demonstrates that healthcare spending is up to four times higher in yearly decedents than survivors, studies demonstrate that early advance care planning (ACP) leads to improved clinical outcomes and reduces cost [...]

By | 2019-03-11T14:24:18+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on AN INTERDISCIPLINARY APPROACH TO IMPROVING ADVANCE CARE PLANNING IN INTERNAL MEDICINE

Abstract Number: 349

CHANGING HOSPITALISTS’ PRACTICE HABITS; THE EFFECT OF REAL-TIME INDIVIDUALIZED FEEDBACK ON OPIOID PRESCRIBING

Background: Prescribing of opioid medications has been a hot button issue for at least a decade now. Hospitalists play a unique role as we are on the front lines of patient care and have to [...]

By | 2019-03-11T14:24:17+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on CHANGING HOSPITALISTS’ PRACTICE HABITS; THE EFFECT OF REAL-TIME INDIVIDUALIZED FEEDBACK ON OPIOID PRESCRIBING

Abstract Number: 348

WHERE’S MY DATA? USING APP-SPECIFIC DATA TO DRIVE HIGH IMPACT RESULTS

Background: Prior to this project, inpatient Advanced Practice Providers (APPs) at UW Health lacked organizational data including volumes, patient experience, hospital acquired conditions, and operational efficiency metrics. In 2016, inpatient APPs collaborated with UW Health’s [...]

By | 2019-03-11T14:24:15+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on WHERE’S MY DATA? USING APP-SPECIFIC DATA TO DRIVE HIGH IMPACT RESULTS

Abstract Number: 347

THE TRICKLE DOWN EFFECT: NON-COVERED HOSPITALIST TEAMS LAB ORDERING CULTURAL SHIFT

Background: A previous project targeting Medicine residents’ high-value care practices prompted evaluation of the non-resident hospitalist teams ordering practices. Would exposure to residents (receiving education on high-value care) translate to changes in attending physician ordering [...]

By | 2019-03-11T14:24:14+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on THE TRICKLE DOWN EFFECT: NON-COVERED HOSPITALIST TEAMS LAB ORDERING CULTURAL SHIFT

Abstract Number: 346

SUSTAINING MINDFUL LABORATORY ORDERING PRACTICES: A CULTURE CHANGE

Background: The United States is in the midst of a health quality crisis; for this to resolve, we must transform to a high-value, low-cost healthcare culture. To achieve such a culture, trainees must learn high-value [...]

By | 2019-03-11T14:24:12+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on SUSTAINING MINDFUL LABORATORY ORDERING PRACTICES: A CULTURE CHANGE

Abstract Number: 345

DISMANTLING A BARRIER TO MINDFUL LAB ORDERING: THE ATTENDING PHYSICIAN

Background: Unnecessary laboratory orders are a well-known contributor to healthcare cost. Our residents identified “fear of attending” as a barrier to more mindful lab ordering. This project focused on educating attending physicians on high-value care [...]

By | 2019-03-11T14:24:11+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on DISMANTLING A BARRIER TO MINDFUL LAB ORDERING: THE ATTENDING PHYSICIAN

Abstract Number: 339

RESTRUCTURING A HOSPITAL MEDICINE ONBOARDING PROGRAM TO PRIORITIZE PATIENT SAFETY AND PHYSICIAN WELLNESS

Background: First year hospitalists have higher inpatient and 30 day post discharge mortality than hospitalists with at least a year of experience. The Joint Commission found that improper orientation and training is the second leading [...]

By | 2019-03-11T14:24:02+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on RESTRUCTURING A HOSPITAL MEDICINE ONBOARDING PROGRAM TO PRIORITIZE PATIENT SAFETY AND PHYSICIAN WELLNESS

Abstract Number: 337

ENGAGING HOSPITALISTS IN QUALITY IMPROVEMENT STRATEGIES FOR PRESSURE INJURY PREVENTION TO AVOID PATIENT HARM AND COSTLY PENALTIES

Background: Pressure injuries are tissue damage caused by pressure and shear. Susceptible patients are the elderly, acute, critically ill and malnourished. Pressure injuries severely deplete hospital performance measures in the U.S. Currently, over 2.5 million [...]

By | 2019-03-11T14:23:58+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ENGAGING HOSPITALISTS IN QUALITY IMPROVEMENT STRATEGIES FOR PRESSURE INJURY PREVENTION TO AVOID PATIENT HARM AND COSTLY PENALTIES

Abstract Number: 335

STILL EFFECTIVE WELL AFTER KINDERGARTEN: HOW A LOW TECH (STICKER CHART!) INTERVENTION HELPED DOUBLE RATES OF HOSPITAL DISCHARGE BEFORE NOON

Background: Hospital discharges before noon have become a common institutional goal in order to improve hospital throughput, reduce emergency department boarding time, and enhance patient satisfaction. Evaluation of baseline rates at Brigham and Women's Faulkner [...]

By | 2019-03-11T14:23:55+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on STILL EFFECTIVE WELL AFTER KINDERGARTEN: HOW A LOW TECH (STICKER CHART!) INTERVENTION HELPED DOUBLE RATES OF HOSPITAL DISCHARGE BEFORE NOON

Abstract Number: 334

REDUCING INAPPROPRIATE TELEMETRY UTILIZATION

Background: Telemetry utilization for a long time has been dependent on individual physician experiences, preference as there were no good randomized controlled trails or guidelines from any scientific organization. American Heart Association has released the [...]

By | 2019-03-11T14:23:54+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on REDUCING INAPPROPRIATE TELEMETRY UTILIZATION

Abstract Number: 332

A SEPSIS ALERT SYSTEM WITH EARLY INTERVENTION BY A HOSPITALIST RAPID RESPONSE PROVIDER REDUCES MORTALITY AND LENGTH OF STAY IN THE SEPSIS POPULATION

Background: Sepsis is a leading cause of death in US hospitals, and is a major contributor to hospital mortality and length of stay. Much has been done in hospitals nationwide to identify and treat sepsis [...]

By | 2019-03-11T14:23:51+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A SEPSIS ALERT SYSTEM WITH EARLY INTERVENTION BY A HOSPITALIST RAPID RESPONSE PROVIDER REDUCES MORTALITY AND LENGTH OF STAY IN THE SEPSIS POPULATION

Abstract Number: 330

ACTIVE LEARNING QUALITY IMPROVEMENT TRAINING CURRICULUM FOR FACULTY IN HOSPITAL MEDICINE

Background: There is a growing emphasis on teaching Quality Improvement (QI) to resident physicians and medical students. Successful QI training for residents and students requires faculty role models, teachers and mentors. However, faculty with QI [...]

By | 2019-03-11T14:23:48+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ACTIVE LEARNING QUALITY IMPROVEMENT TRAINING CURRICULUM FOR FACULTY IN HOSPITAL MEDICINE

Abstract Number: 329

COMBINING LEAN SIX-SIGMA QUALITY IMPROVEMENT METHODS WITH SAFETY BARRIER ANALYSIS TO DEVELOP INTERVENTIONS THAT REDUCE HOSPITAL-ACQUIRED VENOUS THROMBOEMBOLISM (HA-VTE)

Background: The U.S. healthcare system has a poor safety record when compared to other major industries. For example, at 250,000 per year, medical errors are the 3rd leading cause of death according to the CDC. [...]

By | 2019-03-11T14:23:46+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on COMBINING LEAN SIX-SIGMA QUALITY IMPROVEMENT METHODS WITH SAFETY BARRIER ANALYSIS TO DEVELOP INTERVENTIONS THAT REDUCE HOSPITAL-ACQUIRED VENOUS THROMBOEMBOLISM (HA-VTE)

Abstract Number: 325

INPATIENT DIABETES MANAGEMENT SERVICE, LENGTH OF STAY AND 30-DAY READMISSION RATE OF PATIENTS WITH DIABETES AT A COMMUNITY HOSPITAL.

Background: Diabetes mellitus is common among hospitalized patients. An inpatient diabetes management service (IDMS) was implemented at a community hospital in suburban Maryland to provide better glycemic control for inpatients.Purpose: To analyze the length of [...]

By | 2019-03-11T14:23:40+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on INPATIENT DIABETES MANAGEMENT SERVICE, LENGTH OF STAY AND 30-DAY READMISSION RATE OF PATIENTS WITH DIABETES AT A COMMUNITY HOSPITAL.

Abstract Number: 324

‘TAKE 5’ TO IMPROVE RESIDENT SATISFACTION WITH CDI

Background: The Accreditation Council for Graduate Medical Education (ACGME) includes “Systems Based Practice” as part of its six core competencies for resident education. Clinical documentation is a primary resource of patient safety and quality metrics [...]

By | 2019-03-11T14:23:39+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ‘TAKE 5’ TO IMPROVE RESIDENT SATISFACTION WITH CDI

Abstract Number: 321

ORAL NUTRITIONAL SUPPLEMENTATION REDUCES READMISSION OF MALNOURISHED PATIENTS

Background: According to a report of the Healthcare Cost and Utilization Project (HCUP) that looked at hospital admissions in 2013, the care of hospitalized malnourished patients costs twice as much as those without malnourishment due [...]

By | 2019-03-11T14:23:35+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ORAL NUTRITIONAL SUPPLEMENTATION REDUCES READMISSION OF MALNOURISHED PATIENTS

Abstract Number: 319

TREATING THE HARDEST TO TREAT: THE INPATIENT ADMISSION AS AN OPPORTUNITY TO INITIATE HEPATITIS C TREATMENT

Background: Veterans in care at Veterans Affairs (VA) medical centers have a higher prevalence of Hepatitis C (HCV) antibody positivity than the general population1,2. Despite high tolerability and cure rates approaching 95% with new direct-acting [...]

By | 2019-03-11T14:23:32+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on TREATING THE HARDEST TO TREAT: THE INPATIENT ADMISSION AS AN OPPORTUNITY TO INITIATE HEPATITIS C TREATMENT

Abstract Number: 318

REDESIGNING YOUR INTERDISCIPLINARY ROUNDS TO GET YOUR ACCOUNTABLE CARE UNIT BACK ON TRACK

Background: Geographic Accountable Care Units (ACUs) have been in existence for years at our institution. The ACUs have demonstrated improved throughput, quality and patient experience metrics. Our hospitalists have embraced the ACU philosophy due to [...]

By | 2019-03-11T14:23:30+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on REDESIGNING YOUR INTERDISCIPLINARY ROUNDS TO GET YOUR ACCOUNTABLE CARE UNIT BACK ON TRACK

Abstract Number: 317

IMPLEMENTATION OF A HOSPITALIST LED MULTIDISCIPLINARY SWAT TEAM TO PREVENT AVOIDABLE READMISSIONS ON REPEAT PRESENTATION TO THE EMERGENCY DEPARTMENT

Background: Avoidable readmissions result in unnecessary hospital stays for patients, over utilization of beds, and increased waiting time for other patients. Multiple interventions have examined reducing readmissions, mostly focusing on pre-discharge and out of hospital [...]

By | 2019-03-11T14:23:29+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on IMPLEMENTATION OF A HOSPITALIST LED MULTIDISCIPLINARY SWAT TEAM TO PREVENT AVOIDABLE READMISSIONS ON REPEAT PRESENTATION TO THE EMERGENCY DEPARTMENT

Abstract Number: 316

HEALING HANDS: PILOTING THE USE OF MASSAGE FOR SYMPTOM MANAGEMENT IN PATIENTS HOSPITALIZED FOR HEMATOLOGIC MALIGNANCIES

Background: Despite advances in pharmacologic care for side effects of Hematopoietic stem cell transplant, patients often suffer from long hospitalizations, multiple side effects including fatigue, insomnia, nausea, anxiety, and poor sleep. Non-pharmacologic treatments for side [...]

By | 2019-03-11T14:23:28+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on HEALING HANDS: PILOTING THE USE OF MASSAGE FOR SYMPTOM MANAGEMENT IN PATIENTS HOSPITALIZED FOR HEMATOLOGIC MALIGNANCIES

Abstract Number: 315

PROJECT TOPS: TOTAL OVERSIGHT OF PATIENT SATISFACTION

Background: Patient experience is one of the key foundations of quality care. The Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) is the standard measurement of patient experience, and higher scores have been [...]

By | 2019-03-11T14:23:26+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on PROJECT TOPS: TOTAL OVERSIGHT OF PATIENT SATISFACTION

Abstract Number: 313

A MULTIFACETED HOSPITALIST LED QUALITY ASSURANCE COMMITTEE TO CREATE A CULTURE OF CONTINOUS IMPROVEMENT

Background: In an attempt to enhance the quality of the care we deliver as a Group in the hospital, we undertook the formation of a Quality Assurance Committee. It is composed of 3 MD’s, one [...]

By | 2019-03-11T14:23:23+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A MULTIFACETED HOSPITALIST LED QUALITY ASSURANCE COMMITTEE TO CREATE A CULTURE OF CONTINOUS IMPROVEMENT

Abstract Number: 310

A STANDARDIZED HOSPITALIST APPROACH TO ACUTE PAIN CRISES IN SICKLE CELL DISEASE PATIENTS

Background: Vaso-occlusive acute pain crises are the leading cause for hospitalization in adult sickle cell patients. For our academic hospitalist group at a quaternary care center in New York, acute pain crises in 2017 accounted [...]

By | 2019-03-11T14:23:19+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A STANDARDIZED HOSPITALIST APPROACH TO ACUTE PAIN CRISES IN SICKLE CELL DISEASE PATIENTS

Abstract Number: 309

A BUNDLED INTERVENTION TO REDUCE INAPPROPRIATE PRESCRIBING OF PROTON PUMP INHIBITORS IN AN ACADEMIC URBAN HOSPITAL MEDICINE GROUP

Background: Proton pump inhibitors (PPIs) are one of the most prescribed medications in the United States. Long-term PPI use is increasingly being associated with many adverse health consequences such as Clostridium difficile infections, osteoporosis, impaired [...]

By | 2019-03-11T14:23:17+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A BUNDLED INTERVENTION TO REDUCE INAPPROPRIATE PRESCRIBING OF PROTON PUMP INHIBITORS IN AN ACADEMIC URBAN HOSPITAL MEDICINE GROUP

Abstract Number: 308

UTILIZING IDEA BOARD WEEKLY MEETINGS TO REDUCE READMISSIONS

Background: Readmission rate at UMASS Memorial Hospital medicine division is high at 15.5%. Majority of patients are admitted to Hospitalist service. Given the challenges in obtaining real time readmission data, physician engagement is poor. Etiology [...]

By | 2019-03-11T14:23:16+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on UTILIZING IDEA BOARD WEEKLY MEETINGS TO REDUCE READMISSIONS

Abstract Number: 306

PRECISION ‘MEDICINE’: AN INDIVIDUALIZED APPROACH TO THE HIGHEST UTILIZERS OF HOSPITAL-BASED CARE

Background: Nationally, a minority of patients with complex medical and psychosocial needs consume a disproportionate amount of healthcare. In the U.S. in 2015, the top 1% of the population accounted for 23% of all healthcare [...]

By | 2019-03-11T14:23:13+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on PRECISION ‘MEDICINE’: AN INDIVIDUALIZED APPROACH TO THE HIGHEST UTILIZERS OF HOSPITAL-BASED CARE

Abstract Number: 304

DEVELOPMENT OF A HEALTHCARE IMPROVEMENT PORTFOLIO FOR PROMOTION ACROSS HEALTH PROFESSIONS

Background: Healthcare systems need formal processes for recognizing achievements in healthcare improvement to support promotion. To aid in the recognition of faculty members’ contributions to healthcare improvement, institutions have begun to use portfolios to document [...]

By | 2019-03-11T14:23:10+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on DEVELOPMENT OF A HEALTHCARE IMPROVEMENT PORTFOLIO FOR PROMOTION ACROSS HEALTH PROFESSIONS

Abstract Number: 303

SLEEP OPPORTUNITY: A NEW MEASURE OF INPATIENT SLEEP

Background: Hospitalized patients are often disrupted at night for routine medical care, some of which is unnecessary. These sleep disruptions have implications for patient satisfaction, delirium, mobility, immune status, as well as hospital outcomes such [...]

By | 2019-03-11T14:23:08+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on SLEEP OPPORTUNITY: A NEW MEASURE OF INPATIENT SLEEP

Abstract Number: 302

ONE STEP AT A TIME: IMPROVING MOBILITY THROUGH ENHANCED PATIENT-PROVIDER COMMUNICATION AND GOAL-SETTING

Background: Immobility in the hospital setting is associated with persistent inability to perform activities of daily living, increased length of stay, and decreased return to independent living; this loss of function is identified by patients [...]

By | 2019-03-11T14:23:07+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ONE STEP AT A TIME: IMPROVING MOBILITY THROUGH ENHANCED PATIENT-PROVIDER COMMUNICATION AND GOAL-SETTING

Abstract Number: 301

‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

Background: Persons with opioid use disorder (OUD) represent an estimated 4-11% of hospitalized patients and are increasingly admitted for opioid-related complications. In response to the opioid epidemic, national organizations have recommended hospitals develop protocols to [...]

By | 2019-03-11T14:23:05+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

Abstract Number: 297

RAPIDLY ENGAGING THE FRONTLINE: IMPLEMENTING A HOSPITALIST-LED, REAL-TIME, ELECTRONIC MORTALITY REVIEW PROCESS

Background: Traditional review approaches to inpatient mortality remain flawed. M&M conferences, administrative data analysis, and chart review do not effectively leverage the frontline perspective, are frequently delayed, and may be perceived as punitive if not [...]

By | 2019-03-11T14:23:00+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on RAPIDLY ENGAGING THE FRONTLINE: IMPLEMENTING A HOSPITALIST-LED, REAL-TIME, ELECTRONIC MORTALITY REVIEW PROCESS

Abstract Number: 295

UTILIZING CUSP TO DRIVE QUALITY ON A MEDICAL OBSERVATION UNIT

Background: The Comprehensive Unit-based Safety Program (CUSP) promoted by AHRQ is typically a staff nurse led quality improvement team focused on improving elements of unit-level patient safety. Physician engagement in projects is encouraged, but at [...]

By | 2019-03-11T14:22:57+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on UTILIZING CUSP TO DRIVE QUALITY ON A MEDICAL OBSERVATION UNIT

Abstract Number: 292

REDESIGNING THE RAPID RESPONSE TEAM: ADDITION OF A HOSPITALIST PROVIDER AND THE USE OF SURVEILLANCE TOOLS SIGNIFICANTLY DECREASES RAPID RESPONSE DURATION AND NUMBER OF CALLS.

Background: As the concept of a rapid response team continues to evolve nationwide, it is becoming increasingly apparent that the proactive monitoring of patients through surveillance tools is important to prevent adverse events. However, it [...]

By | 2019-03-11T14:22:53+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on REDESIGNING THE RAPID RESPONSE TEAM: ADDITION OF A HOSPITALIST PROVIDER AND THE USE OF SURVEILLANCE TOOLS SIGNIFICANTLY DECREASES RAPID RESPONSE DURATION AND NUMBER OF CALLS.

Abstract Number: 289

EFFECTIVENESS OF AN INTERDISCIPLINARY, NURSE DRIVEN IN-HOSPITAL CODE STROKE PROTOCOL ON RECOGNITION AND DIAGNOSIS OF IN-HOSPITAL STROKE

Background: Up to 17% of all strokes occur in patients hospitalized for another diagnosis or procedure, and in-hospital strokes complicate up to 0.06% of all admissions. In-hospital strokes carry higher mortality, longer length of stay [...]

By | 2019-03-11T14:22:48+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on EFFECTIVENESS OF AN INTERDISCIPLINARY, NURSE DRIVEN IN-HOSPITAL CODE STROKE PROTOCOL ON RECOGNITION AND DIAGNOSIS OF IN-HOSPITAL STROKE

Abstract Number: 287

COLLABORATIVE APPROACH TO IMPROVING MEDICATION RECONCILIATION

Background: Medication errors harm 1.5 million patients yearly, designating medication reconciliation a National Patient Safety Goal. The average hospitalized patient is subject to at least 1 medication error per day (IOM,2007), with 70% of patients [...]

By | 2019-03-11T14:22:46+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on COLLABORATIVE APPROACH TO IMPROVING MEDICATION RECONCILIATION

Abstract Number: 285

REDUCING ANTIBIOTIC USE IN PATIENTS WITH CONTAMINATED BLOOD CULTURES THROUGH A CLINICAL PATHWAY

Background: Using evidence-based clinical pathways has been shown to improve mortality in patients with staphylococcus aureus bacteremia. However, little is known if these pathways can decrease antibiotic use as a means of antibiotic stewardship in [...]

By | 2019-03-11T14:22:43+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on REDUCING ANTIBIOTIC USE IN PATIENTS WITH CONTAMINATED BLOOD CULTURES THROUGH A CLINICAL PATHWAY

Abstract Number: 284

EFFECTS OF IMPLEMENTATION OF ACCOUNTABLE CARE UNIT WITH EMPHASIS ON STRUCTURED INTERDISCIPLINARY BEDSIDE ROUNDING: OUR EXPERIENCES IN AN ACADEMIC STEP DOWN, NON-DISCHARGING INTERMEDIATE CARE UNIT

Background: Traditionally, models of healthcare delivery to hospitalized patients have been indirect and inefficient. The typical hospital system has providers spread between multiple units and nurses interacting with multiple provider teams. Several studies focusing on [...]

By | 2019-03-11T14:22:41+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on EFFECTS OF IMPLEMENTATION OF ACCOUNTABLE CARE UNIT WITH EMPHASIS ON STRUCTURED INTERDISCIPLINARY BEDSIDE ROUNDING: OUR EXPERIENCES IN AN ACADEMIC STEP DOWN, NON-DISCHARGING INTERMEDIATE CARE UNIT

Abstract Number: 282

ACCOUNTABLE CARE UNIT: AN INPATIENT STRUCTURE FOR SUSTAINED IMPROVEMENT

Background: Financial incentives motivate hospitals to focus on improving patient experience, quality indicators, and efficiency metrics. Efforts to geographically staff hospitalists have renewed the focus on quality improvement efforts at the inpatient unit level. However, [...]

By | 2019-03-11T14:22:37+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ACCOUNTABLE CARE UNIT: AN INPATIENT STRUCTURE FOR SUSTAINED IMPROVEMENT

Abstract Number: 280

STUCK IN TRAFFIC: USING A QUEUING THEORY MODEL TO PREDICT PATIENT DELAYS TO A UNIT

Background: Delays in care can lead to patient harm. At our large urban academic medical center, we have been struggling with increasing inpatient volumes and delays, particularly to enter our medicine, observation, and cardiology units. [...]

By | 2019-03-11T14:22:35+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on STUCK IN TRAFFIC: USING A QUEUING THEORY MODEL TO PREDICT PATIENT DELAYS TO A UNIT

Abstract Number: 274

UTILIZING A KEY PERFORMANCE INDICATOR BOARD FOR TRACKING HOSPTIALIST QUALITY IMPROVEMENT INITIATIVES

Background: Understanding current practice patterns is essential to identifying opportunities for improvement and acknowledging good practice behaviors. However, often this information is not easily accessible or provided in a timely fashion, especially to front line [...]

By | 2019-03-11T14:22:26+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on UTILIZING A KEY PERFORMANCE INDICATOR BOARD FOR TRACKING HOSPTIALIST QUALITY IMPROVEMENT INITIATIVES

Abstract Number: 271

GMS ESCALATE: THE “EASY” BUTTON FOR TEAMS ENCOUNTERING BARRIERS TO PATIENT CARE PROGRESSION

Background: Many efforts to improve bed availability in hospitals with high occupancy focus on encouraging providers to discharge patients earlier in the day without making substantial changes to workflows or to address barriers to patient [...]

By | 2019-03-11T14:22:22+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on GMS ESCALATE: THE “EASY” BUTTON FOR TEAMS ENCOUNTERING BARRIERS TO PATIENT CARE PROGRESSION

Abstract Number: 270

IMPROVEMENT IN DISCHARGE DELAYS THROUGH PHARMACIST COLLABORATION AND RESIDENT EDUCATION

Background: Discharging patients in an efficient manner improves patient satisfaction and hospital throughput. In this project, we sought to improve patient throughput as well as benefit resident education. Prior to our project, 75% of patient [...]

By | 2019-03-11T14:22:21+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on IMPROVEMENT IN DISCHARGE DELAYS THROUGH PHARMACIST COLLABORATION AND RESIDENT EDUCATION

Abstract Number: 268

A PATIENT-CENTRIC APPROACH TO IMPROVING COMMUNICATION ABOUT MEDICATIONS IN THE IN-PATIENT ENVIRONMENT

Background: Discharge from an in-patient hospital stay is a critical opportunity to teach patients about their medications. Communication about medications and appropriate transition of care are two domains of the Hospital Consumer Assessment of Healthcare [...]

By | 2019-03-11T14:22:18+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A PATIENT-CENTRIC APPROACH TO IMPROVING COMMUNICATION ABOUT MEDICATIONS IN THE IN-PATIENT ENVIRONMENT

Abstract Number: 261

CRUSH THE RESISTANCE: A MULTIDISCIPLINARY PILOT PROJECT TO IMPROVE ANTIBIOTIC UTILIZATION

Background: Growing antimicrobial resistance, C. difficile infection and cost have triggered a greater reliance on antimicrobial stewardship. Most stewardship models rely upon a central team, often led by ID specialists, to oversee prescribing in an [...]

By | 2019-03-11T14:22:09+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on CRUSH THE RESISTANCE: A MULTIDISCIPLINARY PILOT PROJECT TO IMPROVE ANTIBIOTIC UTILIZATION

Abstract Number: 260

BEE QUIET: AN INNOVATIVE STRATEGY TO IMPROVE SLEEP QUALITY AND REDUCE FALLS

Background: Sleep disturbance has negative impact on physical coordination, metabolism, cognitive performance, immune function, coagulation cascade, cardiac risk and is associated with an increased risk of falls in hospitalized patients. The number of adverse events [...]

By | 2019-03-11T14:22:08+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on BEE QUIET: AN INNOVATIVE STRATEGY TO IMPROVE SLEEP QUALITY AND REDUCE FALLS

Abstract Number: 249

PARENTS SUPPORTING PARENTS OF HOSPITALIZED CHILDREN WITH MEDICAL COMPLEXITY: A PILOT STUDY

Background: Family Partners (FP) are peer mentors trained to support parents facing clinical situations similar to what FPs previously experienced with their own children. FPs offer a family-centered, cost-effective intervention that can improve outcomes, particularly [...]

By | 2019-03-11T14:21:48+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Pediatrics|Comments Off on PARENTS SUPPORTING PARENTS OF HOSPITALIZED CHILDREN WITH MEDICAL COMPLEXITY: A PILOT STUDY

Abstract Number: 241

A MULTIDISCIPLINARY APPROACH TO MANAGING PEDIATRIC PATIENTS WITH BEHAVIORAL HEALTH PROBLEMS

Background: Over the course of several months, five adolescent patients were admitted to the hospital after intentional self-injurious behaviors involving foreign body ingestion. These patients were previously living in residential treatment centers, and via social [...]

By | 2019-03-11T14:21:37+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Pediatrics|Comments Off on A MULTIDISCIPLINARY APPROACH TO MANAGING PEDIATRIC PATIENTS WITH BEHAVIORAL HEALTH PROBLEMS

Abstract Number: 237

IMPROVING PEDATRIC INPATIENT SLEEP BY REDUCING EXCESSIVE OVERNIGHT VITAL SIGN MONITORING IN HOSPITALIZED CHILDREN

Background: Hospitalized children are interrupted at night for many reasons, and these disruptions may inhibit healing and contribute to illness. Through the Choosing Wisely initiative, The American Academy of Nursing advises to only wake patients [...]

By | 2019-03-11T14:21:31+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Pediatrics|Comments Off on IMPROVING PEDATRIC INPATIENT SLEEP BY REDUCING EXCESSIVE OVERNIGHT VITAL SIGN MONITORING IN HOSPITALIZED CHILDREN

Abstract Number: 234

STANDARDIZATION OF BEDSIDE PARACENTESIS

Background: In caring for hospitalized patients, hospitalists frequently perform bedside procedures. Shared decision-making, fluency in the procedure being performed, and consistent use of best practices are imperative for high quality, safe patient care. In review [...]

By | 2019-03-11T14:21:26+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on STANDARDIZATION OF BEDSIDE PARACENTESIS

Abstract Number: 229

TESTS PENDING AT TRANSITION FROM EMERGENCY DEPARTMENT TO INPATIENT ADMISSION: A SYSTEMS SOLUTION TO INCONSISTENT COMMUNICATION

Background: Tests Pending at Discharge (TPAD) is a common patient safety concern at transitions of care due to provider discontinuity, suboptimal communication, and lack of ownership. A significant proportion of inpatients, up to 70%, are [...]

By | 2019-03-11T14:21:18+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on TESTS PENDING AT TRANSITION FROM EMERGENCY DEPARTMENT TO INPATIENT ADMISSION: A SYSTEMS SOLUTION TO INCONSISTENT COMMUNICATION

Abstract Number: 222

STRUCTURED CASE REVIEWS FOR ORGANIZATIONAL LEARNING ABOUT DIAGNOSTIC SAFETY VULNERABILITIES: INITIAL EXPERIENCES FROM TWO MEDICAL CENTERS

Background: Increasing attention has been paid to diagnostic patient safety vulnerabilities, which account for 6 to 17% of hospital adverse events. In 2015, the National Academies of Medicine published a report on diagnostic safety errors, [...]

By | 2019-03-11T14:21:09+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on STRUCTURED CASE REVIEWS FOR ORGANIZATIONAL LEARNING ABOUT DIAGNOSTIC SAFETY VULNERABILITIES: INITIAL EXPERIENCES FROM TWO MEDICAL CENTERS

Abstract Number: 216

EMPHASIZING THE INITIAL PHYSICIAN ENCOUNTER ON ADMISSION RESULTS IN IMPROVED PATIENT SAFETY

Background: The first 24 hours of a patient’s hospitalization is a vulnerable time period, with many aspects of care occurring at a time when patients are at their highest levels of medical acuity. Compounding this, [...]

By | 2019-03-11T14:21:01+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on EMPHASIZING THE INITIAL PHYSICIAN ENCOUNTER ON ADMISSION RESULTS IN IMPROVED PATIENT SAFETY

Abstract Number: 215

NOVEL APPLICATION OF STRUCTURED CASE REVIEW TO IDENTIFY DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days). A single prior study of early readmissions applied a binary (yes/no) metric to assess for [...]

By | 2019-03-11T14:20:59+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on NOVEL APPLICATION OF STRUCTURED CASE REVIEW TO IDENTIFY DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

Abstract Number: 213

USE OF A WEB DASHBOARD TO IDENTIFY INR OVERSHOOTS IN HIGH-RISK INPATIENTS : A WARFARIN DOSING SAFETY INITIATIVE

Background: Anticoagulants are among the highest-risk medications in hospitalized patients. Studies have demonstrated that a majority of in-hospital anticoagulant adverse drug events are not only preventable, but are the result of excessive dosing. This is [...]

By | 2019-03-11T14:20:57+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on USE OF A WEB DASHBOARD TO IDENTIFY INR OVERSHOOTS IN HIGH-RISK INPATIENTS : A WARFARIN DOSING SAFETY INITIATIVE

Abstract Number: 211

HEPARIN INFUSION AFTER DIRECT ORAL ANTICOAGULANTS: STRATEGIES FOR IMPROVING QUALITY AND SAFETY OF ELECTRONIC ORDER SETS

Background: Hospitalized patients receiving direct oral anticoagulants (DOACs) sometimes require bridging with unfractionated heparin (UFH). Monitoring UFH with anti-Xa assays has been shown to correlate with better outcomes. However, DOACs interfere with anti-Xa assays resulting [...]

By | 2019-03-11T14:20:54+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on HEPARIN INFUSION AFTER DIRECT ORAL ANTICOAGULANTS: STRATEGIES FOR IMPROVING QUALITY AND SAFETY OF ELECTRONIC ORDER SETS

Abstract Number: 210

ADDRESSING DIAGNOSTIC ERRORS PROACTIVELY USING E-TRIGGERS TO MITIGATE HARM DURING INPATIENT EPISODES OF CARE

Background: Diagnostic error in acute care represents an unresolved safety issue: error rates range from 4.8 to 49.8%. If the diagnosis is delayed or incorrect, the patient may not get correct treatment in a timely [...]

By | 2019-03-11T14:20:52+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on ADDRESSING DIAGNOSTIC ERRORS PROACTIVELY USING E-TRIGGERS TO MITIGATE HARM DURING INPATIENT EPISODES OF CARE

Abstract Number: 207

SYSTEMATIC APPROACH TO HIGH YIELD MORTALITY CASE REVIEW

Background: Mortality review, well-documented in the medical literature, is a standardized process used to identify patient safety improvement opportunities and also to evaluate providers. As patient safety experts, hospitalists often review mortality cases for their [...]

By | 2019-03-11T14:20:48+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on SYSTEMATIC APPROACH TO HIGH YIELD MORTALITY CASE REVIEW

Abstract Number: 143

DEVELOPING AND OPERATIONALIZING A HOSPITAL MEDICINE SPECIFIC PATIENT & FAMILY ADVISORY COUNCIL (PFAC)

Background: Patient & Family Advisory Councils (PFACs) are groups of patients and caregivers who share their overall experiences of care and perspectives on specific topics with hospital leaders at regular meetings. PFACs provide a crucial [...]

By | 2019-03-11T14:19:10+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on DEVELOPING AND OPERATIONALIZING A HOSPITAL MEDICINE SPECIFIC PATIENT & FAMILY ADVISORY COUNCIL (PFAC)

Abstract Number: 140

A JUST IN TIME PROGRAM TO CATALYZE THE PERFORMANCE OF NEW HOSPITAL MEDICINE WARD ATTENDINGS

Background: Academic hospitalists aspire to be highly effective teachers and must demonstrate excellence in teaching to be promoted. Internal Medicine (IM) residency programs increasingly rely on such hospitalists to supervise residents when they are on [...]

By | 2019-03-11T14:19:06+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on A JUST IN TIME PROGRAM TO CATALYZE THE PERFORMANCE OF NEW HOSPITAL MEDICINE WARD ATTENDINGS

Abstract Number: 139

LEADERSHIP TRAINING AS A UNIQUE TOOL TO PREVENT BURNOUT AMONG WOMEN PHYSICIANS

Background: Women represent half of our new physicians being added to practice, however the growth of women in leadership positions has lagged. Women physicians have higher burnout scores and higher suicide rates than male physicians. [...]

By | 2019-03-11T14:19:05+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on LEADERSHIP TRAINING AS A UNIQUE TOOL TO PREVENT BURNOUT AMONG WOMEN PHYSICIANS

Abstract Number: 134

STRATEGIC GOAL SETTING THROUGH LEVERAGING INTERNAL COMMITTEES AND AN ALL HOSPITALIST RETREAT

Background: Hospital medicine groups are often quickly expanding, which causes strategic planning to focus primarily on clinical needs and staffing. It can be difficult to find opportunities for goal setting where consensus within the group [...]

By | 2019-03-11T14:18:57+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on STRATEGIC GOAL SETTING THROUGH LEVERAGING INTERNAL COMMITTEES AND AN ALL HOSPITALIST RETREAT

Abstract Number: 133

DEVELOPMENT AND IMPLEMENTATION OF A HOSPITAL MEDICINE UNIT MENTORING PROGRAM

Background: The field of hospital medicine has grown rapidly since its inception over 20 years ago. In addition to providing vital clinical care, many hospitalists are also engaged in (or interested in pursuing) academic activities [...]

By | 2019-03-11T14:18:55+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on DEVELOPMENT AND IMPLEMENTATION OF A HOSPITAL MEDICINE UNIT MENTORING PROGRAM

Abstract Number: 126

FUELING LEADERSHIP IN YOURSELF (FLY): A NOVEL FACULTY AND STAFF DEVELOPMENT PROGRAM

Background: Healthcare has become exponentially more complex with intricate systems of care delivery and large, diverse, subspecialized provider teams. Because of the multi-faceted nature and promise of effective leadership, many healthcare systems have turned to [...]

By | 2019-03-11T14:18:43+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on FUELING LEADERSHIP IN YOURSELF (FLY): A NOVEL FACULTY AND STAFF DEVELOPMENT PROGRAM

Abstract Number: 116

IMPROVING DIVERSITY, EQUITY, AND INCLUSION: A DIVISION WIDE PROGRAM TO IMPROVE DIVERSITY, EQUITY, AND INCLUSION IN HOSPITAL MEDICINE

Background: Disparities in compensation and leadership still exist for women and underrepresented minorities in medicine. While studies have identified factors that lead to and perpetuate these inequities, institutions still struggle with how to implement long [...]

By | 2019-03-11T14:18:30+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on IMPROVING DIVERSITY, EQUITY, AND INCLUSION: A DIVISION WIDE PROGRAM TO IMPROVE DIVERSITY, EQUITY, AND INCLUSION IN HOSPITAL MEDICINE

Abstract Number: 115

REDUCING BURNOUT IN THE PHYSICIAN AND ADVANCE PRACTICE PROVIDER (APP) HOSPITAL MEDICINE MODEL THRU INCREASED APP AUTONOMY

Background: Burnout among hospital medicine providers is well known. Advanced practice providers (APPs) are well-established in hospital medicine but there is a lack of data on burnout specific to the physician-APP model. As more hospitalist [...]

By | 2019-03-11T14:18:29+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on REDUCING BURNOUT IN THE PHYSICIAN AND ADVANCE PRACTICE PROVIDER (APP) HOSPITAL MEDICINE MODEL THRU INCREASED APP AUTONOMY

Abstract Number: 101

SMARTPHONE-BASED TEACHING APP INCREASES FREQUENCY OF RESIDENTS TEACHING MEDICAL STUDENTS

Background: Third year medical students (MS3s) have not regarded the Pediatrics Clerkship at our institution with as high praise as other clerkships. Students cite a relative lack of teaching on the floors from pediatric residents [...]

By | 2019-03-11T14:18:12+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on SMARTPHONE-BASED TEACHING APP INCREASES FREQUENCY OF RESIDENTS TEACHING MEDICAL STUDENTS

Abstract Number: 100

FOCUSED POCUS: HOW CAN WE TEACH ULTRASOUND IN INTERNAL MEDICINE RESIDENCY?

Background: Diagnostic point-of-care ultrasound (POCUS) is an ACGME requirement in emergency medicine and critical care training programs. Though many POCUS applications are equally relevant to internal medicine (IM), there are no formal guidelines for IM [...]

By | 2019-03-11T14:18:10+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on FOCUSED POCUS: HOW CAN WE TEACH ULTRASOUND IN INTERNAL MEDICINE RESIDENCY?

Abstract Number: 98

THINGS THAT GO BUMP IN THE NIGHT – CREATING A NOVEL AND SUSTAINABLE NIGHTFLOAT CURRICULUM FOR RESIDENCY PROGRAMS

Background: With the advent of resident duty hour restrictions, many programs now utilize nightfloat rotations in place of resident overnight call, with emphasis on admissions and crosscover of medical patients. While these rotations foster resident [...]

By | 2019-03-11T14:18:08+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on THINGS THAT GO BUMP IN THE NIGHT – CREATING A NOVEL AND SUSTAINABLE NIGHTFLOAT CURRICULUM FOR RESIDENCY PROGRAMS

Abstract Number: 97

IMPLEMENTATION OF A SIMULATION CURRICULUM INTO AN INTERNAL MEDICINE RESIDENCY PROGRAM

Background: Graduate Medical Education (GME) aims to provide quality education and patient care while adapting to changing healthcare systems, learner needs, and national policies. The traditional model of experiential learning is challenged by an increasing [...]

By | 2019-03-11T14:18:07+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on IMPLEMENTATION OF A SIMULATION CURRICULUM INTO AN INTERNAL MEDICINE RESIDENCY PROGRAM

Abstract Number: 96

UTILIZATION OF A STANDARDIZED CHECKLIST AND SIMULATION TO IMPROVE MEDICAL STUDENT LEARNING AND FACULTY EVALUATION OF ENTRUSTABLE PROFESSIONAL ACTIVITIES

Background: Entrustable Professional Activities (EPAs) are fast becoming the framework to assess medical student preparedness to deliver safe, high quality care. The hospital ward environment leads to highly variable teaching and evaluation of EPAs. Accordingly, [...]

By | 2019-03-11T14:18:05+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on UTILIZATION OF A STANDARDIZED CHECKLIST AND SIMULATION TO IMPROVE MEDICAL STUDENT LEARNING AND FACULTY EVALUATION OF ENTRUSTABLE PROFESSIONAL ACTIVITIES

Abstract Number: 95

TEAM BASED TEACHING: A COMPETITION BASED CURRICULUM TO PROMOTE RESIDENT TEACHING

Background: Residency training includes learning to be an educator; however, it can be difficult for residents to feel comfortable and empowered to teach. Further, it has been established that the current generation of learners prefers [...]

By | 2019-03-11T14:18:04+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on TEAM BASED TEACHING: A COMPETITION BASED CURRICULUM TO PROMOTE RESIDENT TEACHING

Abstract Number: 94

A HEALTH EQUITY AND DISPARITIES CURRICULUM WHICH DOES NOT REDACT HISTORICAL AND POLITICAL ROOTS

Background: Disparities in health outcomes that differ by racial or ethnic group, religion, socioeconomic status, gender, age, mental health, ability, sexual orientation or gender identity, geographic location, or other characteristics historically linked to discrimination or [...]

By | 2019-03-11T14:18:02+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on A HEALTH EQUITY AND DISPARITIES CURRICULUM WHICH DOES NOT REDACT HISTORICAL AND POLITICAL ROOTS

Abstract Number: 87

INTERACTIVE LECTURES – THE USE OF PERSONAL CELLPHONE BASED APPLICATIONS TO IMPROVE RESIDENT ENGAGEMENT IN PEER-RUN DIDACTIC SESSIONS.

Background: Innovation in graduate medical education is driven by the recognition of residents as adult learners. Increasing digitization provides for exciting opportunities to make the learning process more interactive. The use of audience response devices, [...]

By | 2019-03-11T14:17:54+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on INTERACTIVE LECTURES – THE USE OF PERSONAL CELLPHONE BASED APPLICATIONS TO IMPROVE RESIDENT ENGAGEMENT IN PEER-RUN DIDACTIC SESSIONS.

Abstract Number: 86

CLINICALREASONING.ORG: IMPROVING USAGE OF TEACHING MATERIALS VIA WEBSITE REDESIGN

Background: The Exercises in Clinical Reasoning (ECR) series in the Journal of General Internal Medicine (JGIM) is a unique and growing series of 30 case-based problem-solving manuscripts, designed to teach the foundations of clinical reasoning [...]

By | 2019-03-11T14:17:53+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on CLINICALREASONING.ORG: IMPROVING USAGE OF TEACHING MATERIALS VIA WEBSITE REDESIGN

Abstract Number: 85

SOUNDS GREAT! DESIGNING A FACULTY DEVELOPMENT POCUS WORKSHOP SERIES FOR BUSY CLINICIANS

Background: The accelerating integration of point of care ultrasound (POCUS) training into UME and GME curricula puts academic faculty untrained in POCUS at a disadvantage. Educating providers in POCUS during the clinical day is challenging. [...]

By | 2019-03-11T14:17:51+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on SOUNDS GREAT! DESIGNING A FACULTY DEVELOPMENT POCUS WORKSHOP SERIES FOR BUSY CLINICIANS

Abstract Number: 84

STANDARDIZATION OF ADVANCED PRACTICE PROVIDER HOSPITAL MEDICINE ONBOARDING: DEVELOPMENT OF A NEW HIRE ONBOARDING CHECKLIST

Background: Advanced practice providers (APPs) such as nurse practitioners and physician assistants have become an important addition to the hospital medicine team with the growing demand for physician providers. As APPs experience variable exposure to [...]

By | 2019-03-11T14:17:50+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on STANDARDIZATION OF ADVANCED PRACTICE PROVIDER HOSPITAL MEDICINE ONBOARDING: DEVELOPMENT OF A NEW HIRE ONBOARDING CHECKLIST

Abstract Number: 83

USING OBJECTIVE STRUCTURED TEACHING EXERCISES TO PREPARE RESIDENTS FOR TEACHING ON THE WARDS

Background: Although residency programs strive to train residents in effective teaching, few tools to provide direct observation and feedback exist. In our prior work, we developed and validated observed structured teaching exercises (OSTEs) for pediatric [...]

By | 2019-03-11T14:17:49+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on USING OBJECTIVE STRUCTURED TEACHING EXERCISES TO PREPARE RESIDENTS FOR TEACHING ON THE WARDS

Abstract Number: 82

IMPLEMENTING A HOSPITAL SYSTEMS VALUE BOARD DURING PEDIATRIC RESIDENCY INPATIENT ROTATION

Background: The ACGME has developed competencies for systems-based practice and problem-based learning and improvement to encourage trainees to integrate quality and safety into their everyday practice. Furthermore, the AAMC has a call to action for [...]

By | 2019-03-11T14:17:48+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on IMPLEMENTING A HOSPITAL SYSTEMS VALUE BOARD DURING PEDIATRIC RESIDENCY INPATIENT ROTATION

Abstract Number: 80

‘WE’LL SHOW YOU MEDICINE IF YOU HELP US PRACTICE IT’: USE OF PRE-HEALTHCARE UNDERGRADUATE ASSISTANTS ON INPATIENT INTERNAL MEDICINE TEACHING SERVICES FOR CLINICAL SUPPORT TASK COMPLETION

Background: As the volume of inpatient clinical support tasks (non-direct patient care tasks) has increased, there has been increasing frustration amongst the internal medicine residents at our institution with the efficiency and educational value of [...]

By | 2019-03-11T14:17:45+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on ‘WE’LL SHOW YOU MEDICINE IF YOU HELP US PRACTICE IT’: USE OF PRE-HEALTHCARE UNDERGRADUATE ASSISTANTS ON INPATIENT INTERNAL MEDICINE TEACHING SERVICES FOR CLINICAL SUPPORT TASK COMPLETION

Abstract Number: 78

FINDING SUPPORT ON THE WARDS: INTRODUCTION OF A DISCHARGE LIAISON TO REDUCE WORK COMPRESSION AND IMPROVE TRAINEE EDUCATION AND WELLNESS IN INPATIENT INTERNAL MEDICINE

Background: At academic centers the work of discharge planning has historically fallen on housestaff. The medical education community’s efforts to improve the trainee experience have led to an iterative process of duty hour reform and [...]

By | 2019-03-11T14:17:43+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on FINDING SUPPORT ON THE WARDS: INTRODUCTION OF A DISCHARGE LIAISON TO REDUCE WORK COMPRESSION AND IMPROVE TRAINEE EDUCATION AND WELLNESS IN INPATIENT INTERNAL MEDICINE

Abstract Number: 77

IT’S ALL ABOUT LOCATION: CREATION OF A RESIDENT GEOGRAPHIC ACCOUNTABLE CARE UNIT

Background: The buzzword of the decade for hospital medicine is geography. Geographic ACUs have been in existence for years at our institution on non-teaching floors. The ACUs have improved overall throughput, quality and patient experience. [...]

By | 2019-03-11T14:17:41+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on IT’S ALL ABOUT LOCATION: CREATION OF A RESIDENT GEOGRAPHIC ACCOUNTABLE CARE UNIT

Abstract Number: 72

THE JOURNAL CLUB STRIKES BACK

Background: Journal club is a frequently used avenue in residency programs for teaching critical evaluation of the medical literature. Common structures include prerequisite reading of an article and then a presentation or discussion about the [...]

By | 2019-03-11T14:17:35+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on THE JOURNAL CLUB STRIKES BACK

Abstract Number: 70

TRAINING THE TRAINER: IMPLEMENTATION OF A FACULTY POINT-OF CARE- ULTRASOUND CURRICULUM WITH A PATH TO COMPETENCY

Background: Recently coined the “fifth pillar to the bedside physical exam” in a 2018 JAMA article, a growing number of physicians have started incorporating point-of-care ultrasound (POCUS) into their clinical assessments. Many medical schools have [...]

By | 2019-03-11T14:17:32+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on TRAINING THE TRAINER: IMPLEMENTATION OF A FACULTY POINT-OF CARE- ULTRASOUND CURRICULUM WITH A PATH TO COMPETENCY

Abstract Number: 68

MENTEES BECOMING MENTORS: RESIDENT MENTORSHIP FOR THE INTERNAL MEDICINE CORE CLERKSHIP STUDENT

Background: Emerging evidence demonstrates that medical mentorship programs are beneficial in creating the ideal learning environment, in career guidance, and mentee wellness. The majority of current studies on medical mentorship are focused on relationships between [...]

By | 2019-03-11T14:17:30+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on MENTEES BECOMING MENTORS: RESIDENT MENTORSHIP FOR THE INTERNAL MEDICINE CORE CLERKSHIP STUDENT

Abstract Number: 67

COACH TO TEACH THE TEACHER

Background: Robust faculty development programs are useful for teaching hospitalists who are often providing the largest portion of the education experience for residents in internal medicine and is key to maintaining institutional competence. This requires [...]

By | 2019-03-11T14:17:29+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on COACH TO TEACH THE TEACHER

Abstract Number: 62

TEACHIM.ORG: ENHANCING RESIDENT-LED EDUCATION WITH AN ONLINE TOOL

Background: Senior residents often serve as the primary educator for medical students and interns on their inpatient medicine rotations. Additionally, the act of teaching enhances the resident’s own knowledge acquisition and retention. Although residents desire [...]

By | 2019-03-11T14:17:23+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on TEACHIM.ORG: ENHANCING RESIDENT-LED EDUCATION WITH AN ONLINE TOOL

Abstract Number: 61

DEVELOPMENT OF A CASE-BASED ETHICS CURRICULUM TO PROMOTE RESIDENTS’ PROFESSIONAL DEVELOPMENT AND MORAL REASONING SKILLS

Background: Ethics is at the core of a physician’s professional identity. As internists, we are constantly grappling with medical and moral uncertainty. While ethical action is an integral component of professionalism, most residency programs offer [...]

By | 2019-03-11T14:17:22+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on DEVELOPMENT OF A CASE-BASED ETHICS CURRICULUM TO PROMOTE RESIDENTS’ PROFESSIONAL DEVELOPMENT AND MORAL REASONING SKILLS

Abstract Number: 60

COMMUNICATION SKILLS EDUCATION: BACK TO THE BASICS

Background: Strong evidence exists showing that effective communication in healthcare conversations improves outcomes such as patient satisfaction, safety, reduced malpractice suits, physician professional fulfillment and burnout prevention. Formal communication skills training in medical education is [...]

By | 2019-03-11T14:17:21+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on COMMUNICATION SKILLS EDUCATION: BACK TO THE BASICS

Abstract Number: 59

THE ADVANCED HOSPITAL MEDICINE FELLOWSHIP FOR THE ALREADY PRACTICING HOSPITALIST: AN INNOVATIVE APPROACH TO DEVELOPING CAREERS IN HOSPITAL MEDICINE

Background: Hospital Medicine is a growing field and integral part of the evolving healthcare system. Hospitalists are challenged to provide high-quality, effective, and efficient care to complex hospitalized patients, which requires medical knowledge in evidence-based [...]

By | 2019-03-11T14:17:19+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on THE ADVANCED HOSPITAL MEDICINE FELLOWSHIP FOR THE ALREADY PRACTICING HOSPITALIST: AN INNOVATIVE APPROACH TO DEVELOPING CAREERS IN HOSPITAL MEDICINE

Abstract Number: 58

TRANSPARENCY IN RESIDENT TEAM ADMISSIONS

Background: The model of “teaching” and “non-teaching” services has become prevalent in academic medical centers, with increasing amounts of patient care provided by hospitalists without resident involvement. Previously, Duke Regional Hospital used a common model [...]

By | 2019-03-11T14:17:18+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on TRANSPARENCY IN RESIDENT TEAM ADMISSIONS

Abstract Number: 52

CREATING A PLATFORM FOR DISCHARGE PLANNING WITHIN THE ELECTRONIC MEDICAL RECORD FOR MULTIDISCIPLINARY COMMUNICATION

Background: Discharge delays occur because of inconsistent communication among all clinicians and providers. Inefficient utilization of resources also contributes to delays. Effective communication among the patient care team is a foundation of creating an effective [...]

By | 2019-03-11T14:17:11+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on CREATING A PLATFORM FOR DISCHARGE PLANNING WITHIN THE ELECTRONIC MEDICAL RECORD FOR MULTIDISCIPLINARY COMMUNICATION

Abstract Number: 51

THE COMPLEX CARE PLAN FOR FREQUENTLY HOSPITALIZED PATIENTS: A TOOL TO IMPROVE COMMUNICATION IN CARE TRANSITIONS

Background: Frequently hospitalized patients represent a vulnerable population due to discontinuity between episodes of inpatient, outpatient, and specialty care. This discontinuity puts patients at risk for unnecessary over-treatment, dangerous under-treatment, medication errors, and loss of [...]

By | 2019-03-11T14:17:10+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on THE COMPLEX CARE PLAN FOR FREQUENTLY HOSPITALIZED PATIENTS: A TOOL TO IMPROVE COMMUNICATION IN CARE TRANSITIONS

Abstract Number: 49

A NEW WAY TO SAY G-NITE: DEVELOPMENT AND IMPLEMENTATION OF A TOOL TO IMPROVE DOCTOR-PATIENT COMMUNICATION IN THE HOSPITALIZED SETTING

Background: Developing effective tools which enhance patient-physician communication is crucial to improving the patient experience. Existing research has shown that there are several components which are central to effective communication, including creating a good interpersonal [...]

By | 2019-03-11T14:17:07+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on A NEW WAY TO SAY G-NITE: DEVELOPMENT AND IMPLEMENTATION OF A TOOL TO IMPROVE DOCTOR-PATIENT COMMUNICATION IN THE HOSPITALIZED SETTING

Abstract Number: 48

IMPLEMENTING ACCEPT NOTE TEMPLATES TO IMPROVE COMMUNICATION DURING INTERHOSPITAL TRANSFERS

Background: Poor communication among providers is a barrier to seamless transitions in patient care. This problem is compounded when patients undergo interhospital transfer (IHT), where complex patients are transferred between providers, settings and healthcare systems. [...]

By | 2019-03-11T14:17:06+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on IMPLEMENTING ACCEPT NOTE TEMPLATES TO IMPROVE COMMUNICATION DURING INTERHOSPITAL TRANSFERS

Abstract Number: 47

‘MYCARE CARD’: A COST EFFECTIVE MEASURE TO IMPROVE PHYSICIAN-PATIENT COMMUNICATION AND HCAHPS SCORES

Background: During hospitalization, many patients cannot identify the physician responsible for their care. Among patients cared for by a hospitalist, many of them are meeting their hospitalist for the first time. Previous work has shown [...]

By | 2019-03-11T14:17:05+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on ‘MYCARE CARD’: A COST EFFECTIVE MEASURE TO IMPROVE PHYSICIAN-PATIENT COMMUNICATION AND HCAHPS SCORES

Abstract Number: 46

IMPROVING PHYSICIAN HANDOFFS: PHYSICIAN PERCEPTIONS OF AN ELECTRONIC MEDICAL RECORD-EMBEDDED TOOL

Background: Physician handoffs between inpatient shifts influence safety and care quality. Handoffs are also at risk for communication failures. Poor care coordination and miscommunication cause 80% of sentinel events nationwide. The rise of the electronic [...]

By | 2019-03-11T14:17:04+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on IMPROVING PHYSICIAN HANDOFFS: PHYSICIAN PERCEPTIONS OF AN ELECTRONIC MEDICAL RECORD-EMBEDDED TOOL

Abstract Number: 45

DAILY STANDARDIZED MULTIDISCIPLINARY BEDSIDE ROUNDS IMPROVE PATIENT SATISFACTION AND CARE TRANSITIONS

Background: Physicians and nurses often overestimate patients' understanding of their illness, medications, treatments, and care plans. Fragmented discussions can lead to inconsistent conveyance of key information to patients and their caregivers. Multidisciplinary bedside rounds are [...]

By | 2019-03-11T14:17:02+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on DAILY STANDARDIZED MULTIDISCIPLINARY BEDSIDE ROUNDS IMPROVE PATIENT SATISFACTION AND CARE TRANSITIONS

Abstract Number: 40

EIC TO DC: EARLY INTERVENTION COMMITTEES (EIC) HELP DISCHARGE (DC) LONG LENGTH OF STAY PATIENTS

Background: In the throughput arena, one of the most challenging groups of hospitalized patients is the long length of stay (LLOS) patients. Although representing a minority of inpatients, this LLOS population contributes to the majority [...]

By | 2019-03-11T14:16:56+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on EIC TO DC: EARLY INTERVENTION COMMITTEES (EIC) HELP DISCHARGE (DC) LONG LENGTH OF STAY PATIENTS

Abstract Number: 39

IMPROVING THE CATCH: INNOVATIVE VIDEO CONFERENCES TO ENHANCE TRANSITIONAL CARE COMMUNICATION AND RESIDENT EDUCATION

Background: Communication between hospital and outpatient clinicians is a key component to successful care transitions for older adults, yet this communication is frequently lacking. In addition, residents in academic medical centers are not routinely provided [...]

By | 2019-03-11T14:16:54+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on IMPROVING THE CATCH: INNOVATIVE VIDEO CONFERENCES TO ENHANCE TRANSITIONAL CARE COMMUNICATION AND RESIDENT EDUCATION

Abstract Number: 38

THE VIRTUAL DISCHARGE WHITEBOARD: A REAL-TIME COMMUNICATION TOOL TO IMPROVE EFFICIENCY, SAFETY AND NURSE SATISFACTION SURROUNDING THE DISCHARGE PROCESS

Background: Discharging patients is a complicated process that requires planning, coordination and communication between multiple care team members. Ideally this process begins at admission and is updated in real time as the patient care plan [...]

By | 2019-03-11T14:16:52+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on THE VIRTUAL DISCHARGE WHITEBOARD: A REAL-TIME COMMUNICATION TOOL TO IMPROVE EFFICIENCY, SAFETY AND NURSE SATISFACTION SURROUNDING THE DISCHARGE PROCESS

Abstract Number: 37

GETTING FIT: A NOVEL FRAMEWORK TO IMPROVE COMMUNICATION

Background: Rising inpatient census, limited physical space and unpredictable admission rates introduce communication inefficiencies among doctors, nurses and patients.Purpose: At UC San Diego Health System, we aimed to streamline communication among physicians, patients and other [...]

By | 2019-03-11T14:16:51+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on GETTING FIT: A NOVEL FRAMEWORK TO IMPROVE COMMUNICATION

Abstract Number: 35

EMBRACING TECHNOLOGY: TRANSITION FROM MANUAL TO ELECTRONIC BOARD FOR ASSIGNMENT OF PATIENTS ON A HOSPITALIST SERVICE

Background: Patient lists and patient assignment aid hospitalists through their workflow. Lack of a standardized approach has led to various ways of patient assignment and various means to display them. With the evolution of electronic [...]

By | 2019-03-11T14:16:49+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on EMBRACING TECHNOLOGY: TRANSITION FROM MANUAL TO ELECTRONIC BOARD FOR ASSIGNMENT OF PATIENTS ON A HOSPITALIST SERVICE

Abstract Number: 34

RESUSCITATION OF A TWO-WAY TEXTING PLATFORM TO ENHANCE SAFE AND EFFICIENT COMMUNICATION USING ITERATIVE APP PILOTING,FEEDBACK AND ENHANCEMENT

Background: Joint Commission has identified “communication” as the third most frequent root cause of sentinel events.1 Alpha-numeric pagers are common for communication among healthcare professionals. Pagers are not HIPAA compliant and communication through pagers often [...]

By | 2019-03-11T14:16:48+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on RESUSCITATION OF A TWO-WAY TEXTING PLATFORM TO ENHANCE SAFE AND EFFICIENT COMMUNICATION USING ITERATIVE APP PILOTING,FEEDBACK AND ENHANCEMENT

Abstract Number: 30

USE OF SCRIBES BY HOSPITALISTS IN THE ADMISSION PROCESS

Background: Physicians spend more time on documentation and less on direct patient care. Burnout and career disengagement have been linked to time spent documenting in the electronic health record. A scribe program could reduce the [...]

By | 2019-03-18T14:16:38+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on USE OF SCRIBES BY HOSPITALISTS IN THE ADMISSION PROCESS

Abstract Number: 29

THE ED TRIGGER PROGRAM: AN IMPORTANT INTERVENTION TOOL FOR HOSPITAL READMISSION PREVENTION

Background: The United States sees over 35 million hospital discharges a year with a 20% readmission rate. Unplanned readmissions amount to 20 billion dollars annually. Efforts to prevent readmissions impact patient’s overall morbidity/mortality and alleviate [...]

By | 2019-03-11T14:16:42+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on THE ED TRIGGER PROGRAM: AN IMPORTANT INTERVENTION TOOL FOR HOSPITAL READMISSION PREVENTION

Abstract Number: 28

DEMONSTRATING VALUE FOR THE TELE HOSPITALIST PROGRAM IN A TERTIARY CENTER

Background: This is an exciting time for Telemedicine with new programs being implemented across the continuum of care including acute care, post-acute care, and in home settings. Proving the value of telemedicine programs when no [...]

By | 2019-04-17T09:30:47+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Value in Hospital Medicine, Winners|Comments Off on DEMONSTRATING VALUE FOR THE TELE HOSPITALIST PROGRAM IN A TERTIARY CENTER

Abstract Number: 27

PROFITING FROM THE POKE: A HOSPITALIST PROCEDURE TEAM

Background: Internal medicine residency contains procedural training, including guidance in paracentesis, thoracentesis, lumbar puncture, arthrocentesis, and central line placement. As a result, most hospitalists are able to perform these bedside procedures. However, national trends confirm [...]

By | 2019-03-18T14:09:57+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on PROFITING FROM THE POKE: A HOSPITALIST PROCEDURE TEAM

Abstract Number: 25

ALWAYS THERE WHEN YOU CALL: HOSPITAL MEDICINE WITHIN THE ER IMPROVES DISCHARGE RATES

Background: Hospital capacity constraints remain an immense concern throughout the US and has been recognized as a national crisis for greater than a decade. ER overcrowding is of particular concern due to its downstream effects. [...]

By | 2019-03-18T14:01:42+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on ALWAYS THERE WHEN YOU CALL: HOSPITAL MEDICINE WITHIN THE ER IMPROVES DISCHARGE RATES

Abstract Number: 24

IS YOUR PATIENT IN SHAPE FOR DISCHARGE?

Background: A fifth of older adults discharged from the hospital require readmission within 30 days. Readmissions impose an enormous burden on both patients and the healthcare system. Previous investigations have found that less than half [...]

By | 2019-03-18T14:01:18+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on IS YOUR PATIENT IN SHAPE FOR DISCHARGE?

Abstract Number: 22

TOPIC MODELING TO EVALUATE HOSPITAL GOOGLE REVIEWS

Background: With access to big data in medicine, it is becoming increasingly necessary to use tools to automate the pooling of data into relevant thematic structures. Topic modeling is most often used to uncover these [...]

By | 2019-03-18T13:57:46+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on TOPIC MODELING TO EVALUATE HOSPITAL GOOGLE REVIEWS

Abstract Number: 20

AN INNOVATIVE ALCOHOL WITHDRAWAL PROTOCOL REDUCES LENGTH OF STAY, RESTRAINT USE, AND TRANSFERS TO INTENSIVE CARE

Background: Alcohol withdrawal is a common disorder faced by hospitalists. The pharmacologic standard of care involves the use of benzodiazepines, administered either as fixed doses or with doses adjusted per patient symptoms. At our institution, [...]

By | 2019-03-18T13:41:35+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on AN INNOVATIVE ALCOHOL WITHDRAWAL PROTOCOL REDUCES LENGTH OF STAY, RESTRAINT USE, AND TRANSFERS TO INTENSIVE CARE

Abstract Number: 19

THE PRE-REVIEW: A MULTIDISCIPLINARY INITIATIVE TO IMPROVE THE QUALITY OF PUBLICLY REPORTED MORTALITY DATA

Background: Publically reported data is increasingly important to a hospital’s reputation and bottom line. Programs such as CMS Hospital Value Based Purchasing (HVBP) place 2% of a hospital’s base payments at risk, while the CMS [...]

By | 2019-03-18T13:33:35+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on THE PRE-REVIEW: A MULTIDISCIPLINARY INITIATIVE TO IMPROVE THE QUALITY OF PUBLICLY REPORTED MORTALITY DATA

Abstract Number: 18

IMPROVING TIME TO ANTIBIOTICS IN SEPSIS ON ACUTE CARE FLOORS: A QUALITY SCHOLARS PROJECT

Background: Third International Consensus Definitions for Sepsis and Septic Shock (SEP-3) defines Sepsis as life-threatening organ dysfunction due to a dysregulated host response to infection. In United States about 1.5 million Americans are diagnosed with [...]

By | 2019-03-18T13:31:55+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on IMPROVING TIME TO ANTIBIOTICS IN SEPSIS ON ACUTE CARE FLOORS: A QUALITY SCHOLARS PROJECT

Abstract Number: 16

PROMOTING ACADEMIC APPOINTMENT FOR NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS

Background: One way academic organizations recognize staff achievements and scholarly activities is through four levels of academic appointments: Instructor, Assistant Professor, Associate Professor and Professor. Nurse Practitioners and Physician Assistants (NPPAs) employed by the Mayo [...]

By | 2019-03-18T13:29:14+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on PROMOTING ACADEMIC APPOINTMENT FOR NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS

Abstract Number: 14

ENDING ENDOSCOPY DELAY: A MULTIDISCIPLINARY APPROACH TO REDUCE INPATIENT ENDOSCOPY DELAYS

Background: Endoscopies are commonly performed in the inpatient setting, and successful completion frequently requires close coordination among nurses, hospitalists, gastroenterologists, and anesthesiologists. Given the complexity of this multidisciplinary involvement, as well as variability in patient [...]

By | 2019-04-17T09:30:11+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement, Winners|Comments Off on ENDING ENDOSCOPY DELAY: A MULTIDISCIPLINARY APPROACH TO REDUCE INPATIENT ENDOSCOPY DELAYS

Abstract Number: 13

THE FEASIBILITY AND ACCEPTABILITY OF VIDEO VISITS FOR HOME-LIMITED ADULTS, A PILOT PROGRAM

Background: Geriatric and palliative care patients who have been discharged from hospital and are home-limited face challenges in effectively accessing ongoing healthcare and clinical follow-up after being discharged, leaving them at risk for unnecessary re-hospitalization. [...]

By | 2019-03-18T13:27:24+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on THE FEASIBILITY AND ACCEPTABILITY OF VIDEO VISITS FOR HOME-LIMITED ADULTS, A PILOT PROGRAM

Abstract Number: 12

A PROCESS APPROACH TO DECREASING HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTIONS

Background: Stony Brook University Hospital (SBUH) identified an opportunity to develop and implement prevention strategies to reduce hospital onset C. difficile infections (CDI). Hospital Onset (HO) CDI are included in National Healthcare Safety Network (NHSN) [...]

By | 2019-03-18T13:27:00+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A PROCESS APPROACH TO DECREASING HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTIONS

Abstract Number: 11

CARE PROCESS MODEL FOR OUR PATIENTS ADMITTED WITH MEDICAL COMPLICATIONS OF INJECTION DRUG MISUSE

Background: Beginning in 2015 Mission Hospital in Asheville, NC began noticing a rise in the number and associated length of stay (LOS) of patients admitted for medical complications of injection drug misuse. What began as [...]

By | 2019-03-18T13:26:36+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on CARE PROCESS MODEL FOR OUR PATIENTS ADMITTED WITH MEDICAL COMPLICATIONS OF INJECTION DRUG MISUSE

Abstract Number: 5

TEACH THE TEACHER MODEL: AN INNOVATIVE METHOD FOR IMPLEMENTING A POINT OF CARE ULTRASOUND CURRICULUM WITHIN A LARGE ACADEMIC INSTITUTION

Background: Point-of-Care Ultrasound (POCUS) is becoming an increasingly valuable tool in Internal Medicine. With the proper training, POCUS can provide insight into diagnostic dilemmas, resulting in expedited management and enhancing patient care. However, the ability [...]

By | 2019-03-18T13:20:09+00:00 March 11th, 2019|Education, Finalist Posters - Innovations, Hospital Medicine 2019, Innovations|Comments Off on TEACH THE TEACHER MODEL: AN INNOVATIVE METHOD FOR IMPLEMENTING A POINT OF CARE ULTRASOUND CURRICULUM WITHIN A LARGE ACADEMIC INSTITUTION

Abstract Number: 4

DIRECT OBSERVATION OF CLINICAL TEACHING ON ROUNDS (DOCTOR): A PILOT PROGRAM

Background: Hospitalists on inpatient resident teaching services receive variable training in how to facilitate high-quality education during rounds. Teaching of cognitive skills such as clinical reasoning, acknowledging uncertainty, and non-cognitive behaviors such as eye contact [...]

By | 2019-03-18T13:19:27+00:00 March 11th, 2019|Education, Finalist Posters - Innovations, Hospital Medicine 2019, Innovations|Comments Off on DIRECT OBSERVATION OF CLINICAL TEACHING ON ROUNDS (DOCTOR): A PILOT PROGRAM

Abstract Number: 3

IMPROVING COMMUNICATION WITH COMMUNITY PEDIATRICIANS

Background: In hospital-based medicine, maintaining an open line of communication between inpatient teams and community pediatricians serves as an essential component of providing comprehensive patient care and ensuring continuity at time of discharge. At St. [...]

By | 2019-03-18T13:17:00+00:00 March 11th, 2019|Communication, Finalist Posters - Innovations, Hospital Medicine 2019, Innovations|Comments Off on IMPROVING COMMUNICATION WITH COMMUNITY PEDIATRICIANS

Abstract Number: 2

IMPROVING ADVANCED NOTIFICATION OF IMPENDING INTERHOSPITAL TRANSFERS

Background: Sub-optimal communication during care transitions contributes to poor patient outcomes. Patients who undergo interhospital transfer (IHT, the transfer of patients between hospitals) are at especially high risk given their level of illness severity. In [...]

By | 2019-03-18T13:15:56+00:00 March 11th, 2019|Communication, Finalist Posters - Innovations, Hospital Medicine 2019, Innovations|Comments Off on IMPROVING ADVANCED NOTIFICATION OF IMPENDING INTERHOSPITAL TRANSFERS

Abstract Number: 1

SNAP THIS: UTILIZING SOCIAL MEDIA AS A TOOL FOR REPRODUCTIVE HEALTH AWARENESS IN THE HOSPITAL SETTING

Background: Adolescent reproductive health education is essential to prevent transmission of sexually transmitted infections (STIs) and teen pregnancy. Half of all new STIs occur among 15-24 year-olds and 1 in 4 adolescent females has had [...]

By | 2019-03-18T13:13:04+00:00 March 11th, 2019|Communication, Finalist Posters - Innovations, Hospital Medicine 2019, Innovations|Comments Off on SNAP THIS: UTILIZING SOCIAL MEDIA AS A TOOL FOR REPRODUCTIVE HEALTH AWARENESS IN THE HOSPITAL SETTING