Transitions of Care

Abstract Number: 427

COMPARISON OF PATIENTS DIRECTLY ADMITTED TO INTERMEDIATE CARE UNITS (IMC) VERSUS THOSE TRANSFERRED FROM MEDICAL-SURGICAL WARDS

Background: Previous research indicates that delayed transfer of patients to critical care units from Medical-Surgical units results in increased mortality. However, few studies have compared the outcomes of patients directly admitted from the emergency department [...]

By | 2019-03-11T14:26:09+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on COMPARISON OF PATIENTS DIRECTLY ADMITTED TO INTERMEDIATE CARE UNITS (IMC) VERSUS THOSE TRANSFERRED FROM MEDICAL-SURGICAL WARDS

Abstract Number: 425

IDENTIFYING RACIAL/ETHNIC DISPARITIES IN INTERHOSPITAL TRANSFER

Background: Racial/ethnocultural inequities have been demonstrated throughout our health care system, though their presence among patients who undergo interhospital transfer (IHT), commonly done to provide patients with more specialized care, is poorly understood. The goals [...]

By | 2019-03-11T14:26:06+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on IDENTIFYING RACIAL/ETHNIC DISPARITIES IN INTERHOSPITAL TRANSFER

Abstract Number: 424

UNDERSTANDING THE EXPERIENCE OF THE LONG-TERM HOSPITALIZED PATIENT WITH PROVIDER FRAGMENTATION: A QUALITATIVE STUDY

Background: As more healthcare systems adopt a hospitalist model to care for their inpatients, there has been extensive research into the impact of this change on metrics such as length of stay and cost. We [...]

By | 2019-03-11T14:26:05+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on UNDERSTANDING THE EXPERIENCE OF THE LONG-TERM HOSPITALIZED PATIENT WITH PROVIDER FRAGMENTATION: A QUALITATIVE STUDY

Abstract Number: 423

CAN CONDITION-SPECIFIC EDUCATIONAL VIDEOS ACTIVATE PATIENTS PREPARING FOR DISCHARGE?

Background: Hospital discharge is a vulnerable time: patients are at risk for readmission, adverse events, and death. Activated patients–those with the knowledge, confidence, and skills to engage in activities that promote self-management–are more likely to [...]

By | 2019-03-11T14:26:03+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CAN CONDITION-SPECIFIC EDUCATIONAL VIDEOS ACTIVATE PATIENTS PREPARING FOR DISCHARGE?

Abstract Number: 422

CURRENT PRACTICES IN NALOXONE PRESCRIBING UPON HOSPITAL DISCHARGE

Background: Drug overdose deaths are increasing throughout the country. Increasing naloxone availability is a cost-effective way to prevent opioid-related deaths. High-risk patients admitted in the hospital may benefit from a take-home naloxone prescription. This study [...]

By | 2019-03-11T14:26:02+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CURRENT PRACTICES IN NALOXONE PRESCRIBING UPON HOSPITAL DISCHARGE

Abstract Number: 420

SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

Background: Hospital readmissions are common, detrimental for patients and associated with significant costs for the healthcare system. The aim of this study was to evaluate simplified HOSPITAL score (Aubert et al, 2017) in 30-day non-elective [...]

By | 2019-03-11T14:25:59+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

Abstract Number: 419

CHARLSON, CHARLSON AGE, SIMPLIFIED HOSPITAL AND LACE SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

Background: Hospital readmissions are common, detrimental for patients and associated with significant costs for the healthcare system. The aim of this study was to evaluate Charlson, Charlson age, simplified HOSPITAL and LACE score in 30-day [...]

By | 2019-03-11T14:25:58+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CHARLSON, CHARLSON AGE, SIMPLIFIED HOSPITAL AND LACE SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

Abstract Number: 415

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

Background: Studies have shown about 2 million patients are readmitted to hospitals nationwide yearly. Data from the Center for Health Information and Analysis (CHIA) estimate the annual cost of readmissions of Medicare patients amounts to [...]

By | 2019-03-11T14:25:52+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on EFFECT OF EARLY POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

Abstract Number: 413

PRESSURE POINTS: AN OBSERVATIONAL STUDY USING LEAN METHODOLOGY TO UNDERSTAND INTERDISCIPLINARY FRONTLINE PROVIDER EXPERIENCE ON DAY OF DISCHARGE

Background: As patient turnover increases, inpatients and providers may feel pressure during discharge preparation. Hospitals emphasize early daily discharge to improve throughput and decrease length of stay. At our academic center, providers often report feeling [...]

By | 2019-03-11T14:25:49+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PRESSURE POINTS: AN OBSERVATIONAL STUDY USING LEAN METHODOLOGY TO UNDERSTAND INTERDISCIPLINARY FRONTLINE PROVIDER EXPERIENCE ON DAY OF DISCHARGE

Abstract Number: 412

INITIAL MOTIVATION TO QUIT SMOKING AS A PREDICTOR OF SUCCESS IN THE CHART TRIAL

Background: Smoking is the leading cause of preventable death in the United States, and hospitalization is an excellent opportunity to promote smoking cessation. Motivation to quit has been shown to be associated with quit attempts, [...]

By | 2019-03-11T14:25:48+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on INITIAL MOTIVATION TO QUIT SMOKING AS A PREDICTOR OF SUCCESS IN THE CHART TRIAL

Abstract Number: 411

CODE STATUS CHANGE OF INTERHOSPITAL TRANSFER PATIENTS

Background: Patients who undergo interhospital transfer commonly have complex medical issues requiring higher levels of care and are often at an increased risk of mortality. Consequently, code status discussion is an important part of this [...]

By | 2019-03-11T14:25:46+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CODE STATUS CHANGE OF INTERHOSPITAL TRANSFER PATIENTS

Abstract Number: 409

TEMPORAL TRENDS IN DISCHARGE OPIOID PRESCRIBING FROM AN INPATIENT MEDICAL SERVICE

Background: In March of 2016, the CDC released guidelines recommending shorter duration of opioid prescriptions. While these guidelines have the potential to influence hospitalist practice, it is not clear whether discharge prescribing patterns have changed [...]

By | 2019-03-11T14:25:42+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on TEMPORAL TRENDS IN DISCHARGE OPIOID PRESCRIBING FROM AN INPATIENT MEDICAL SERVICE

Abstract Number: 408

IMPLICATIONS OF USING AN ALTERNATIVE MEASURE TO ASSESS OPIATE DAYS SUPPLIED AT DISCHARGE

Background: Development of opiate use disorder and opiate overdose has been associated with prolonged opiate-days prescribed. Conventionally, opiate-days supplied has been calculated based on the discharge prescription signature (e.g., how a patient is supposed to [...]

By | 2019-03-11T14:25:40+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on IMPLICATIONS OF USING AN ALTERNATIVE MEASURE TO ASSESS OPIATE DAYS SUPPLIED AT DISCHARGE

Abstract Number: 407

A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

Background: Recently enacted policies in multiple states have placed restrictions on opioid prescription days given the risk of development of chronic opioid therapy with prolonged opioid prescriptions. However, there are still patients who receive an [...]

By | 2019-03-11T14:25:38+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

Abstract Number: 406

INPATIENT CROSS-COVER EXPERT CONSENSUS GUIDELINES FOR MEDICAL AND SURGICAL RESIDENTS: A DELPHI ANALYSIS

Background: Cross-cover is defined as caring for hospitalized patients for whom one is not the primary provider. This is a common, daily practice for residents and hospitalists. It has been demonstrated that the primary intern [...]

By | 2019-03-11T14:25:37+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on INPATIENT CROSS-COVER EXPERT CONSENSUS GUIDELINES FOR MEDICAL AND SURGICAL RESIDENTS: A DELPHI ANALYSIS

Abstract Number: 405

USING COGNITIVE LOAD THEORY TO IMPROVE POST-HOSPITALIZATION FOLLOW-UP VISITS

Background: Cognitive load (CL) is increasing in healthcare leading to provider frustration and poor performance. Human factors design principles like cognitive load theory (CLT) may mitigate the negative impacts of CL. This study examined the [...]

By | 2019-03-11T14:25:35+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on USING COGNITIVE LOAD THEORY TO IMPROVE POST-HOSPITALIZATION FOLLOW-UP VISITS

Abstract Number: 404

READMISSIONS: DO PATIENT PERCEPTIONS OF HEALTH AND CARE IMPACT HOSPITAL READMISSION RATES?

Background: Unplanned hospital readmissions are a burden on patients and cost taxpayers tens of billions of dollars each year in the United States1. Multi-component interventions have been the most effective at readmission reduction.2. But with [...]

By | 2019-03-11T14:25:34+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on READMISSIONS: DO PATIENT PERCEPTIONS OF HEALTH AND CARE IMPACT HOSPITAL READMISSION RATES?

Abstract Number: 403

PREVENTING FUTILE TRANSFERS

Background: As hospitals organize into larger regional systems anchored by tertiary care facilities, delivering appropriate care at the best-suited institution presents a growing challenge. Interfacility transfer can offer increased access to equipment, services, and expertise; [...]

By | 2019-03-11T14:25:33+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PREVENTING FUTILE TRANSFERS

Abstract Number: 402

MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE

Background: Medication discrepancies are prevalent at various transitions of care including hospital discharge. Medication changes at hospital discharge may be misunderstood by the patient or not conveyed throughout the healthcare system. Most outpatient pharmacy medication [...]

By | 2019-03-11T14:25:31+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE

Abstract Number: 401

COMPARISON OF THE SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY READMISSION USING LAB VALUES AT ADMISSION OR AT DISCHARGE

Background: The simplified HOSPITAL score is an easy-to-use prediction model that accurately identifies patients at high-risk of 30-day unplanned readmission before hospital discharge. The predictors include the last available hemoglobin and sodium levels at discharge. [...]

By | 2019-03-11T14:25:30+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on COMPARISON OF THE SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY READMISSION USING LAB VALUES AT ADMISSION OR AT DISCHARGE

Abstract Number: 400

PICCS IN SNFS: PATTERNS OF PICC USE IN PATIENTS DISCHARGED TO SKILLED NURSING FACILITIES

Background: Peripherally inserted central catheters (PICCs) are often used as devices to extend intravenous treatment for hospitalized patients in post-acute settings. Variation between hospitals, indications for use, device characteristics, and outcomes for patients who receive [...]

By | 2019-03-11T14:25:28+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PICCS IN SNFS: PATTERNS OF PICC USE IN PATIENTS DISCHARGED TO SKILLED NURSING FACILITIES

Abstract Number: 399

A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Background: Advancement of patient care can necessitate inter-hospital transfers to another facility. The inter-hospital transferring process can pose inherent risks to the patient due to the transition of care, as well as increase overall cost [...]

By | 2019-03-11T14:25:26+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Abstract Number: 397

CAREGIVER EXPERIENCES OF CARE COORDINATION FOR RECENTLY-DISCHARGED PATIENTS: A QUALITATIVE METASYNTHESIS

Background: In response to a national movement toward increasing value in health care, hospitals are seeking to better support patients after discharge. Older patients with functional limitations are frequently referred to receive home health care [...]

By | 2019-03-11T14:25:24+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CAREGIVER EXPERIENCES OF CARE COORDINATION FOR RECENTLY-DISCHARGED PATIENTS: A QUALITATIVE METASYNTHESIS

Abstract Number: 396

PATIENTS’ PERCEPTIONS OF RELATIVE IMPORTANCE OF DISCHARGE INFORMATION ELEMENTS

Background: The Agency for Healthcare Research and Quality recommends a structured, patient-centered discharge communication process. To create patient-centered discharge communication, it is vital to understand the information that patients value upon discharge. Little is known [...]

By | 2019-03-11T14:25:22+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PATIENTS’ PERCEPTIONS OF RELATIVE IMPORTANCE OF DISCHARGE INFORMATION ELEMENTS

Abstract Number: 395

RIFAXIMIN AND LACTULOSE COMBINATION THERAPY VERSUS LACTULOSE ALONE FOR PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE: A POOLED ANALYSIS OF TWO RANDOMIZED TRIALS

Background: Rifaximin 550 mg tablets is a nonsystemic antibiotic indicated for reducing the risk of overt hepatic encephalopathy (HE) recurrence in adults and may be used in combination with lactulose. Practice guidelines state that rifaximin [...]

By | 2019-03-11T14:25:21+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on RIFAXIMIN AND LACTULOSE COMBINATION THERAPY VERSUS LACTULOSE ALONE FOR PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE: A POOLED ANALYSIS OF TWO RANDOMIZED TRIALS

Abstract Number: 23

USING ELECTRONIC HEALTH RECORD PHENOTYPIC DATA TO PREDICT DISCHARGE DESTINATION

Background: Discharge to post-acute care settings (PACs), such as skilled nursing facilities (SNFs), requires significant, complex discharge planning which often needs to be started early during hospitalization to be complete by time of discharge. This [...]

By | 2019-04-17T09:33:02+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Research, Transitions of Care, Winners|Comments Off on USING ELECTRONIC HEALTH RECORD PHENOTYPIC DATA TO PREDICT DISCHARGE DESTINATION