Value in Hospital Medicine

///Value in Hospital Medicine

Abstract Number: 440

CHOOSING WISELY: “INPATIENT THYROID FUNCTION TESTING – A COST-EFFECTIVENESS ANALYSIS”

Background: In the US, thyroid stimulating hormone (TSH) is the 4th most commonly ordered laboratory test with thyroxine measurement being the 10th commonest. In 2016, Medicare alone spent $482 million on 21.5 million performed TSH [...]

By | 2019-03-18T17:43:29+00:00 March 18th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on CHOOSING WISELY: “INPATIENT THYROID FUNCTION TESTING – A COST-EFFECTIVENESS ANALYSIS”

Abstract Number: 463

LIGHTNING HUDDLE: AN INNOVATIVE METHOD FOR IMPROVING PATIENT THROUGHPUT

Background: One of the Society of Hospital Medicine (SHM) core competencies (listed as Principle 7) is that Hospitalists provide effective clinical resource utilization. Examples: cost effective care, high-value care, and designing processes that address cost [...]

By | 2019-03-11T14:27:04+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on LIGHTNING HUDDLE: AN INNOVATIVE METHOD FOR IMPROVING PATIENT THROUGHPUT

Abstract Number: 461

BEDSIDE HUDDLE AT DISCHARGE: EVOLUTION OF THE TACTIC FOR READMISSION REDUCTION IN HIGH RISK MEDICINE PATIENTS

Background: Hospital readmission rate is viewed as an indirect indicator of quality of care provided by a hospital. We completed a small pilot study looking at a multidisciplinary bedside huddle in the 24 – 48 [...]

By | 2019-03-11T14:27:00+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on BEDSIDE HUDDLE AT DISCHARGE: EVOLUTION OF THE TACTIC FOR READMISSION REDUCTION IN HIGH RISK MEDICINE PATIENTS

Abstract Number: 460

THE EFFECT OF SHARED ELECTRONIC HEALTH RECORDS ON DUPLICATE IMAGING AFTER INTERHOSPITAL TRANSFERS

Background: When patients are transferred between hospitals (interhospital transfer, IHT), incomplete information exchange between electronic health records (EHRs) poses a barrier to continuity of care. As a result, diagnostic tests may be repeated after transfer, [...]

By | 2019-03-11T14:26:59+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on THE EFFECT OF SHARED ELECTRONIC HEALTH RECORDS ON DUPLICATE IMAGING AFTER INTERHOSPITAL TRANSFERS

Abstract Number: 458

DESIGN THINKING TO IMPROVE PATIENT EXPERIENCE

Background: Hospitalization can be overwhelming for patients. Diagnostic uncertainty is common, and patients interact with many professionals who present information that may seem confusing. We bring a design thinking perspective to creating more patient-responsive hospital [...]

By | 2019-03-11T14:26:56+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on DESIGN THINKING TO IMPROVE PATIENT EXPERIENCE

Abstract Number: 457

BEHIND THE GOLDEN CURTAIN: THE EFFECTS OF SPENDING REPORTS ON AN INPATIENT MEDICINE SERVICE

Background: Providers are often frustrated by the lack of cost transparency in the US healthcare system. Studies aimed at assessing providers’ knowledge of medical costs generally show poor cost awareness. Pilot studies examining the effects [...]

By | 2019-03-11T14:26:54+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on BEHIND THE GOLDEN CURTAIN: THE EFFECTS OF SPENDING REPORTS ON AN INPATIENT MEDICINE SERVICE

Abstract Number: 455

PREVALENCE, TREATMENT, AND OUTCOMES ASSOCIATED WITH HEART FAILURE AMONG PATIENTS HOSPITALIZED WITH PNEUMONIA

Background: Hospitalized patients are complex and often receive concurrent treatment for multiple diseases. Patients presenting with shortness of breath and infiltrates on chest x-ray may be treated for pneumonia, congestive heart failure (CHF) or both. [...]

By | 2019-03-11T14:26:51+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on PREVALENCE, TREATMENT, AND OUTCOMES ASSOCIATED WITH HEART FAILURE AMONG PATIENTS HOSPITALIZED WITH PNEUMONIA

Abstract Number: 454

ASSOCIATION OF ATRIAL FIBRILLATION WITH IN-HOSPITAL OUTCOMES AND 30-DAY READMISSION RATE FOLLOWING HOSPITALIZATION FOR SEPSIS IN THE ELDERLY PATIENTS

Background: The annual incidence of sepsis is about 1.7 million in the United States and about 270,000 Americans die as a result of sepsis each year. Atrial fibrillation is the most common arrhythmia seen in [...]

By | 2019-03-11T14:26:49+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on ASSOCIATION OF ATRIAL FIBRILLATION WITH IN-HOSPITAL OUTCOMES AND 30-DAY READMISSION RATE FOLLOWING HOSPITALIZATION FOR SEPSIS IN THE ELDERLY PATIENTS

Abstract Number: 451

FRIEND OR FOLATE?

Background: While checking serum folate levels in hospitalized adults is no longer recommended, and only one hospital meal is needed to replete a low serum folate level, more than 2500 serum folate levels were obtained in [...]

By | 2019-03-11T14:26:45+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on FRIEND OR FOLATE?

Abstract Number: 450

ANALYSIS OF UPPER GASTROINTESTINAL BLEED AND WEEKEND EFFECT ON LENGTH OF STAY IN A TERTIARY REFERRAL ACADEMIC HOSPITAL

Background: The “weekend effect” is a term to define worse outcomes among patients that present to the hospital on weekends. For upper gastrointestinal bleed (UGIB) some of these outcomes include increased mortality and increased length [...]

By | 2019-03-11T14:26:44+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on ANALYSIS OF UPPER GASTROINTESTINAL BLEED AND WEEKEND EFFECT ON LENGTH OF STAY IN A TERTIARY REFERRAL ACADEMIC HOSPITAL

Abstract Number: 448

COLONOSCOPY PREPARATIONS IN AN OBSERVATION UNIT: SAME QUALITY, SHORTER STAY

Background: Some patients lack the functional capability or social support to perform their own colonoscopy bowel preparation. These patients may be admitted to Inpatient units for support with the bowel preparation, but this process can [...]

By | 2019-03-11T14:26:40+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on COLONOSCOPY PREPARATIONS IN AN OBSERVATION UNIT: SAME QUALITY, SHORTER STAY

Abstract Number: 446

SYNCOPE IN SINGAPORE: AN ANALYSIS OF RESOURCE UTILIZATION AT A TERTIARY MEDICAL INSTITUTION

Background: Syncope is a common presentation encountered by hospitals worldwide. While well-established guidelines exist, there is significant variation in practice regarding the investigation and management of these patients. Practitioners tend to over-investigate, which may lead [...]

By | 2019-03-11T14:26:37+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on SYNCOPE IN SINGAPORE: AN ANALYSIS OF RESOURCE UTILIZATION AT A TERTIARY MEDICAL INSTITUTION

Abstract Number: 445

HOSPITALIST CARE FOR END-OF-LIFE HOSPITALIZED PATIENTS IN TAIWAN: CHOOSING WISELY TO PREVENT MEDICAL FUTILITY

Background: Increasing number of palliative care patients are cared for by hospitalists, but the value of hospitalist on end-of-life (EOL) care is scarcely reported. The study aims to evaluate the effect of hospitalist care on [...]

By | 2019-03-11T14:26:36+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on HOSPITALIST CARE FOR END-OF-LIFE HOSPITALIZED PATIENTS IN TAIWAN: CHOOSING WISELY TO PREVENT MEDICAL FUTILITY

Abstract Number: 443

A COST-MINIMIZATION ANALYSIS OF STANDARD APPROACHES TO STAFFING HOSPITAL MEDICINE SERVICES IN AN ACADEMIC MEDICAL CENTER

Background: Academic Medical Centers (AMC) have utilized teams comprised of an attending, resident, interns and medical students to care for hospitalized patients. ACGME work restrictions have reduced the capacity of teaching services. Consequently, most AMCs [...]

By | 2019-03-11T14:26:33+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on A COST-MINIMIZATION ANALYSIS OF STANDARD APPROACHES TO STAFFING HOSPITAL MEDICINE SERVICES IN AN ACADEMIC MEDICAL CENTER

Abstract Number: 442

HEALTHCARE UTILIZATION AMONG OBESE POPULATION: ROLE OF HOSPITAL MEDICINE

Background: Obesity medicine is an upcoming subspecialty in the field of medicine. We are actively learning about the epidemic of rising trend of this disease, as healthcare professionals we must determine our role to make [...]

By | 2019-03-11T14:26:31+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on HEALTHCARE UTILIZATION AMONG OBESE POPULATION: ROLE OF HOSPITAL MEDICINE

Abstract Number: 441

CURRENT TREND IN OBESITY (1999-2016): MODIFIABLE FACTORS INFLUENCING CURRENT TREND AND POSSIBLE CONTRIBUTION OF HEALTHCARE SYSTEM

Background: Obesity as a disease is increasing in incidence and prevalence across all demographics, socioeconomic status. Our objective was to determine the current trend and possible modifiable factors that can be intervened for a possible [...]

By | 2019-03-11T14:26:30+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on CURRENT TREND IN OBESITY (1999-2016): MODIFIABLE FACTORS INFLUENCING CURRENT TREND AND POSSIBLE CONTRIBUTION OF HEALTHCARE SYSTEM

Abstract Number: 439

SUPINE-RELATED ANEMIA IN HOSPITALIZED PATIENTS

Background: Hemoglobin and hematocrit, routinely measured in hospitalized patients, are likely affected by shifts in plasma volume related to posture. This could have important ramifications on hemoglobin trends overnight, resulting in over diagnosis of anemia [...]

By | 2019-03-11T14:26:27+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on SUPINE-RELATED ANEMIA IN HOSPITALIZED PATIENTS

Abstract Number: 26

MEASURING ADVANCED PRACTICE PROVIDER VALUE: CAN ADVANCED PRACTICE PROVIDERS DECREASE PHYSICIAN BURNOUT IN HOSPITAL MEDICINE?

Background: From 2016 to 2018, advanced practice provider (APP) utilization in academic hospital medicine groups (HMGs) has increased by 23.6%, with 75.7% of academic HMGs now employing APPs. Due to a lack of standardization around [...]

By | 2019-03-18T14:09:24+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on MEASURING ADVANCED PRACTICE PROVIDER VALUE: CAN ADVANCED PRACTICE PROVIDERS DECREASE PHYSICIAN BURNOUT IN HOSPITAL MEDICINE?