Value in Hospital Medicine

///Value in Hospital Medicine

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

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 | 2019-03-18T14:11:47+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on DEMONSTRATING VALUE FOR THE TELE HOSPITALIST PROGRAM IN A TERTIARY CENTER

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

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

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

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

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

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

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

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

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

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

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

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