Innovations Abstracts

//Innovations Abstracts

HM2016 Abstract Number: 391

Designing Hospitalist Shifts Around Admission Demand Reduces Patient Wait Times and Cost

Background: In 2014 we recognized that the pace of admissions frequently exceeded our ability to assign a hospitalist. Long patient wait times occurred at admission, especially for patients arriving in the late afternoon when hospitalist [...]

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HM2016 Abstract Number: 388

Cost Conscious Care Committee: Using a Modified Nominal Group Technique to Reduce Wasteful Spending at an Academic Internal Medicine Residency

Background: It is estimated that 30% of US healthcare cost is wasteful spending. In order to reduce this cost, there have been initiatives by SHM (evidence based recommendations), ABIM (Choosing Wisely campaign), and ACP (High [...]

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HM2016 Abstract Number: 387

A Multidisciplinary Approach to High Value Cardiac Biomarkers

Background: Cardiac biomarkers, such as myoglobin and B-type natriuretic peptide (BNP), are frequently ordered in the emergency room and inpatient settings. Newer studies and guidelines have called into question the value of these tests in [...]

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HM2016 Abstract Number: 384

Hospital Based Population Health Management Program: Why It Makes Sense and How to Set It Up?

Background:   Five percent of Medicare's patients account for almost 50 percent of its cost. The same 5:50 rule holds true for other insurances. The ongoing changes in health care like Affordable Care Act, Meaningful [...]

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HM2016 Abstract Number: 379

Improving Capture of Major Comorbidities in Provider Documentation Using an Integrated Template

Background: On October 1, 2007, Medicare changed their payment structure from Diagnosis Related Group (DRG) to Medicare Severity-Diagnosis Related Group (MS-DRG) based reimbursement. This led institutions to prioritize clinical documentation improvement (CDI) programs in an [...]

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HM2016 Abstract Number: 375

Out Reach Hospitalist Coverage for Community Hospitals by Major Academic Center:

Background: There is a huge desire to have hospitalist program in smaller community and rural hospitals. Few hospitals will be reluctant to have their own hospitalist program due to multiple issues. Bothwell Regional Health Center [...]

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HM2016 Abstract Number: 374

Development and Implementation of an Evidence-Based Pathway for the Evaluation of Catheter Associated UTI (Cauti) in an Academic Health System

Background: Misdiagnosis of catheter associated asymptomatic bacteriuria as CAUTI leads to inappropriate use of antibiotics and related consequences, including medication side effects, antibiotic resistance, C. difficile infection, and potential financial penalties to hospitals. Purpose: To [...]

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HM2016 Abstract Number: 373

Reducing Unnecessary Phlebotomy on an Inpatient Medical Teaching Service

Background: The ABIM’s Choosing Wisely campaign targets daily phlebotomy in medical inpatients as an area of potential wasteful care.  Unnecessary phlebotomy increases labor and costs while negatively impacting patient’s through hospital-acquired anemia, intravenous access issues, and false-positive [...]

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HM2016 Abstract Number: 371

Use of a Hospitalist Clinical Community to Facilitate Dissemination of an Early Mobility Quality Improvement Program

Background: To facilitate interdisciplinary collaboration targeting specific quality improvement (QI) and patient safety goals, the Armstrong Institute of Johns Hopkins Medicine has facilitated development of “clinical communities”—interdisciplinary groups of clinicians and administrators from across the [...]

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HM2016 Abstract Number: 365

Decreasing Inappropriate Telemetry Utilization in the Non-Icu Setting

Background:   Telemetry monitoring is known to be over-utilized outside of the ICU, rarely leads to a change in management, and has never been shown to improve clinical outcomes. Telemetry monitoring increases cost and is [...]

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HM2016 Abstract Number: 362

Implementing Guideline-Based Indications for Cardiac Monitoring at Cedars-Sinai Medical Center

Background: Cardiac monitoring (CM) is often overused, hindering patient mobility, triggering unnecessary cardiac testing, delaying appropriate discharge, and expending resources.  Purpose: To reduce the days that medical and surgical ward patients spend on CM without [...]

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HM2016 Abstract Number: 355

Using “Magic” to Facilitate Appropriate Picc Use: Results of Implementation of a Picc Appropriateness Assessment Tool

Background: Given the convenience of placement and long term viability, PICC (peripherally inserted central catheter) utilization has been on a steady increase nationally over the last decade. Despite their advantages, PICCs are associated with minor [...]

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HM2016 Abstract Number: 353

Stepwise Quality Improvement (Qi) in Writing Discharge Summaries to Achieve Efficient and Effective Care Transitions

Background: Poor communication among health providers during transitions of care (TOC) between inpatient and outpatient settings is being increasingly recognized as responsible for subpar health outcomes, wasteful healthcare spending and low patient satisfaction. Such poor [...]

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HM2016 Abstract Number: 351

Assessing the Feasibilty and Implementation of a Bedside Service Handoff on an Academic Hospitalist Service: A Physicians Perspective

Background: Inpatient service handoffs have been recognized as a vulnerable time during a patients’ hospitalization. Prior studies have suggested the need for more systematic, team-based, and patient-centered handoff models. We hypothesized that performing the service [...]

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HM2016 Abstract Number: 352

The Zhos – an Innovative Approach to Psychiatric Co-Management

Background: ZHH is an inpatient psychiatric facility with an average daily census of 220 patients. It is located adjacent to LIJ, our tertiary medical center. On average, 300-400 cases are transferred from LIJ to ZHH [...]

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HM2016 Abstract Number: 347

Pilot of an Embedded Discharge Scheduler for a Patient-Centered Discharge Process

Background: At our medical center, there are 14,716 discharges annually from the general medicine services. Post discharge appointments are made by residents, nurse practitioners, and hospitalists. In a baseline survey, clinicians identified logistical barriers to [...]

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HM2016 Abstract Number: 345

Acute and Post-Acute Care Collaboration: Front Line Approach to Reduce Readmissions

Background: Patients discharged to post-acute care facilities are at higher risk for re-admissions compared to those discharged home. Mount Sinai Hospital (MSH) discharges a significant number of patients to Terence Cardinal Cooke Health Care Center (TCC), [...]

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HM2016 Abstract Number: 334

Improving Medication Safety Through a New Multidisciplinary Approach to Medicine Reconciliation at an Urban Safety Net Academic Hospital

Background: Studies have shown that care transitions represent times of great risk, especially to vulnerable patients; medication reconciliation is a major component of ensuring safe care transitions. Yet, challenges exist to obtaining a best possible [...]

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HM2016 Abstract Number: 329

Ddemap – a Formal Discharge Time-Out Tool

Background: Hospital discharge describes the point at which inpatient hospital care ends, with ongoing care transferred to other providers. The coordination of such care typically involves multiple health care providers and social care contributors. The [...]

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HM2016 Abstract Number: 328

The Use of the Patient Aligned Care Team (Pact) Model to Optimize Outpatient Clinic Availability

Background: The Veterans Health Administration (VHA) is undergoing a national effort to improve access for its patients so that veterans can get the right care, in the right place, at the right time. National benchmarks [...]

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HM2016 Abstract Number: 325

The Rockfish Pilot: A Web-Based Application to Assist Patient Transitions from Hospital to Snf

Background: The current process of transitioning to a skilled nursing facility (SNF) is non-transparent and inefficient. For patients and caregivers, the process is stressful and confusing. For the providers and the hospital, it could result [...]

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HM2016 Abstract Number: 323

A Multidisciplinary Care Coordination and Continuity Intervention for High Utilizers on a Hospitalist Service

Background: Patients recurrently admitted to the hospital account for a disproportionate percentage of hospital costs and frequently experience fragmentation of care and poor health outcomes. On our hospitalist service at a large academic medical center, [...]

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HM2016 Abstract Number: 312

Integration of Observation Medicine in Internal Medicine Training Through a Milestone Based Hospitalist Rotation

Background: Observation services continue are a growing part of U.S. healthcare, with over 90% of surveyed hospitalist groups providing observation care. Despite observation services growing at teaching hospitals, few residents receive structured training in this [...]

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HM2016 Abstract Number: 311

Intensive Follow Up After Palliative Care Consultations to Reduce Readmissions

Background: Kaiser Permanente Roseville Medical Center is a 340 bed facility in Northern California.  Reducing readmissions has been a focus, and the current observed over expected rate is 0.77.  Starting from this relatively low readmission [...]

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HM2016 Abstract Number: 309

A Framework for Improving Safety, Efficiency, and Education in Holdover Signout

Background: Multiple tools have been developed to improve the quality of signout from daytime clinicians to night covering clinicians. However, despite the frequency of holdover signout (new overnight admissions whose care is transferred to a [...]

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HM2016 Abstract Number: 306

Novel Pharmacist-Managed Rivaroxaban Clinic for Outpatient Treatment of Venous Thromboembolism

Background: Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), affects one to two per one thousand persons annually in the US. Treatment of VTE consists of anticoagulation therapy, and evidence supports [...]

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HM2016 Abstract Number: 302

Resident Satisfaction After Implementation of the I-Pass Handoff Bundle

Background: The ACGME duty hour standards have led to an increased frequency of transitions of care, necessitating a need to improve communication skills to prevent adverse events related to handoffs. The ACGME also requires residency [...]

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HM2016 Abstract Number: 299

Finding Meaning in Meaningful Use: Implementing a Patient Portal in an Urban Safety Net Academic Hospital

Background: Driven by meaningful use (MU) incentives, many safety net systems have adopted patient portals, which offer patients online access to their health information. Portal use correlates with increased engagement and better health outcomes, but [...]

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HM2016 Abstract Number: 293

Automatic Electronic Feedback for Admission Medication Reconciliation

Background: Medication reconciliation at patient care transition points is a requirement of multiple regulatory bodies in medicine. In 2005 it was rated as the #8 National Patient Safety Goal by the Joint Commission and subsequently [...]

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HM2016 Abstract Number: 291

Emr Quality Dashboard: Providing Essential, Real-Time Data at a Glance

Background: Multidisciplinary rounds, geared toward reviewing patients’ readiness for discharge, are performed daily throughout our large academic medical center. Standardization of these rounds was made a priority in order to promote patient safety and efficiency. [...]

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HM2016 Abstract Number: 289

Impact of Health Information Technology (Hit) Tool on Compliance and Monitoring of Medicare Inpatient Certification at an Academic Medical Center

Background:  Recent Center for Medicare and Medicaid Services (CMS) rules require hospitals to have their physicians submit inpatient admission orders and certification prior to a patient’s discharge in order to justify hospitalization reimbursement; however, CMS [...]

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HM2016 Abstract Number: 288

Secure Mobile Messaging Platform and Clinical Directory to Enhance Communication Between Healthcare Professionals

Background: Mobile phones enable efficient communication between healthcare providers. These devices also have the advantage of providing faster information retrieval at the point of care. Many hospitals still rely on outdated pager technology that allows [...]

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HM2016 Abstract Number: 287

A Web-Based Application to Help Hospitalized Patients: If You Build It, Will They Come?

Background: Mobile health and health related applications have largely focused on outpatient tools with little development intended for an inpatient setting where the acute need for timely and easy to access information may be greater. [...]

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HM2016 Abstract Number: 286

Implementation of a Patient-Centered ‘Microblog’ Messaging Platform to Improve Care Team Communication

Background: Communication in acute care settings is fragmented and inefficient, and consequently, patients and providers are often not “on-the-same-page” with regard to the plan of care. Care team members frequently communicate asynchronously via alpha-numeric pagers, [...]

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HM2016 Abstract Number: 282

Implementation of a Routine Inpatient Hepatitis C Virus (Hcv) Screening and Outpatient Linkage to Care Program

Background: Chronic hepatitis C virus (HCV) is a leading cause of liver failure and cancer. Half of 3.5 million infected persons in the U.S. know their status, and 43% have access to care. Despite antivirals [...]

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HM2016 Abstract Number: 280

Personal Photographs in the Clinical Setting (Ppics): Enhancing Patient Experience on Adult Medicine Services

Background: Given that the hospital can be a depersonalizing and stressful environment for patients and families, healthcare teams should help ensure hospitalized patients feel respected as individuals. While studies suggest that displaying personal photographs at [...]

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HM2016 Abstract Number: 279

Screening Tool for Identifying Unmet Palliative Care Needs in Patients with Sepsis

Background: Palliative care (PC) has been shown to improve the quality of life for patients facing life-threatening illness and their families.  PC screening tools have been successfully used in identifying cancer patients in need of [...]

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HM2016 Abstract Number: 278

Reducing Unnecessary Chest X-Rays: An Initiative to Implement Choosing Wisely Recommendations in Intensive Care Units

Background: Choosing Wisely ® is a national campaign aimed at promoting high-value care. Vanderbilt University Medical Center (VUMC) has created a steering committee to direct implementation of select Choosing Wisely (CW) recommendations. Our first initiative [...]

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HM2016 Abstract Number: 276

Standardizing the Admission Process Using Lean Six Sigma One Piece Flow

Abstract Text: Background: Safely and efficiently moving patients through the admission process is a key concern for emergency and hospital medicine faculty. Our hospitalist group admits approximately 400 patients per month, each admitting physician evaluates [...]

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HM2016 Abstract Number: 265

Unnecessary Transfusions: Hospital Medicine Leading Institution-Wide Change

Unnecessary Transfusions: Hospital Medicine Leading Institution Wide Change Lesley Schmaltz MD, Shalini Bhattacharya MD, Jisu Kim MD, Amir Jaffer MD MBA, Amanda Tosto RN MS, Scott Hasler MD, Manya Gupta MD Background: It is well [...]

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HM2016 Abstract Number: 262

The Use of Lean-Kaizen Methodology to Improve Quality of Care in a Remote Health System in Tribal India

Background: The Lean-Kaizen approach of implementing patient-centered systems change by reducing waste and adding value has been widely used in health systems in the US to provide incremental process improvement. This approach to streamlining health [...]

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HM2016 Abstract Number: 259

The Early Discharge Plan: Increasing Discharge Efficiency on Teaching and Non-Teaching Medicine Floors at an Urban Academic Hospital

Background: Unnecessary delays in patient discharges can lead to overcrowding, redundant handoffs, and increased inpatient unit and Emergency Department lengths of stay.  Therefore, timely discharge of ready patients is essential to optimizing patient flow.  Our [...]

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HM2016 Abstract Number: 260

A Novel Md-Rn Collaborative Protocol to Prevent and Manage Acute Delirium in Inpatient Wards

Background:  Delirium affects 20-60% of the general hospitalized patients, and up to 85% of intensive care unit (ICU) patients. Its occurrence is associated with higher morbidity and mortality, long-term institutionalization, worse long-term cognitive outcomes, and [...]

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HM2016 Abstract Number: 258

Afternoon Discharge Huddles to Increase Early Discharges

Background: Late discharges are a known barrier to patient flow.  Our project was to identify barriers to early discharges and develop processes to increase early discharges from the inpatient medicine teams.   Purpose:  "Daily afternoon multidisciplinary team huddles [...]

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HM2016 Abstract Number: 256

Hepatitis C Antibody Testing: Saving Costs by Preventing Multiple Unnecessary Tests

Background: Healthcare costs continue to represent a growing burden on the American economy.  Current research has focused on methods to eliminate unnecessary tests or procedures to save costs and prevent waste.  Hepatitis C antibody testing [...]

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HM2016 Abstract Number: 253

Implementation of a Code Blue Event Outcome Tracking System for Resident-Led Teams

Background: Code Blue events, or in-hospital patient emergencies, often require advanced cardiac life support (ACLS) and unfortunately can end in loss of life. Defining and measuring outcomes is an essential step for improvement in any [...]

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HM2016 Abstract Number: 242

Fixing What Is Broken: Quality Improvement in the Critical Lab Value Process

Background: Critical lab values are those results that require rapid notification to clinical staff so that urgent interventions can be made to avoid morbidity or mortality. The Joint Commission requires that hospitals have an effective [...]

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HM2016 Abstract Number: 241

In Pursuit of Happiness: Creating an Academic Hospitalists Wellness Committee

Background: Physician burnout poses a critical threat to the United States health care system.  Finding a solution to this problem is a leadership imperative, as studies report that nearly half of physicians in the U.S. [...]

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HM2016 Abstract Number: 240

Using Lean and A3 Thinking to Improve Code Blue Multidisciplinary Communication

Background: A LEAN principle is that front line staff provide value as defined by the customer (the patient). Within a LEAN framework, an A3 is both a way to understand your problem and a tool [...]

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HM2016 Abstract Number: 237

Making It Simple – Process Improvement for Outside Medical Records

Background: Outside Medical Records are essential for accurate continuity of care when patients are transferred from one healthcare system to another. Despite their importance, obtaining records in a timely manner is a notoriously difficult process. [...]

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HM2016 Abstract Number: 235

Resident-Based Telemetry Utilization Innovations Lead to Improved Outcomes

Background: Inpatient telemetry monitoring is commonly used to identify arrhythmias, ischemia, and QT prolongation. The American College of Cardiology and American Heart Association (ACC/AHA) guidelines identify groups in which telemetry use (1) is indicated, (2) [...]

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HM2016 Abstract Number: 236

Man Vs. Machine: A Multidisciplinary Intervention Targeting Dropped High Risk Medications in the Electronic Medical Record

Background: New York State has identified a list of controlled medications that require frequent monitoring and review. New York State law dictates that these medications, when disbursed in a hospital setting, must be reviewed and [...]

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HM2016 Abstract Number: 230

Managing Challenging Patients: From Conflict to Teaching Opportunity

Background: Challenging patients exhibit disruptive behaviors that lack conformity with normal work flow. Examples of such behaviors include drug seeking, violence, non-compliance, exchanging drugs with visitors, unauthorized departure from hospital premises, etc. Patients engaging in [...]

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HM2016 Abstract Number: 227

Improving Goals of Care Documentation at an Academic Medical Center with Electronic Health Record-Based Alerting

Background: Hospital admission presents an important opportunity to engage with patients about goals of care (GOC) and advanced care planning. The significant and sensitive nature of GOC conversations requires that documentation of a patient’s goals [...]

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HM2016 Abstract Number: 226

Implementation of a Pay-for-Perfomance Structure for Hospitalist-Led Quality Improvement Projects

Background: Pay-for-performance incentives allow for engagement and motivation of participating physicians. Hospitalist compensation structure commonly combines base salary with performance and/or productivity-based incentives. Frequently used quality measures are value based purchasing metrics, patient satisfaction scores, [...]

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HM2016 Abstract Number: 225

Interprofessional Approach to Improving Malnutrition Screening and Diagnosis at a Va Medical Center

Background: Malnutrition affects up to 30% of inpatients, but is rarely diagnosed. This leads to under-treatment and poor patient outcomes including: infections, pressure ulcers, and poor wound healing. In the MS-DRG system, malnutrition is considered [...]

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HM2016 Abstract Number: 224

Increasing Ambulation with Fitbits in Hospitalized Medicine Patients

Background: Ambulation is significantly reduced when patients are hospitalized, which leads to decreased muscle strength and aerobic capacity. A recent study of geriatric inpatients found daily median step counts of 478 to 846, much lower [...]

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HM2016 Abstract Number: 217

Post-Tace Race: Improving Discharge Times Through Creation of a Hospitalist-Based Service

Background: Early, yet safe hospital discharges are a constant area of focus at tertiary care centers in order to maintain efficiency and patient flow. This is especially true at our institution, which acts as a [...]

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HM2016 Abstract Number: 213

Project Sleep: A Multidisciplinary Quality Improvement Project

Background: Acute hospitalization can precipitate insomnia- the insomnia being related to the underlying illness, medications, change from usual nighttime routines and a sleep disruptive hospital environment.  Both insomnia and the drugs used to treat it [...]

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HM2016 Abstract Number: 210

Residency Run Initiative to Improve Appropriateness of Telemetry Use

Background: Inpatient telemetry monitoring began over 4 decades ago. However, recently hospitals have started to implement programs that aim to improve the appropriateness of telemetry use. Quality initiatives take the American Heart Association (AHA) guidelines [...]

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HM2016 Abstract Number: 209

Resident Progress Note Improvement Via a Standardized Template

Background: The daily progress note is the foundation of inpatient documentation and communication for healthcare providers. With the advent of the electronic medical record, copy-and-pasting, note bloat, inconsistencies, erroneous data, and lack of cognitive processing [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Resident Progress Note Improvement Via a Standardized Template

HM2016 Abstract Number: 208

Integrated Clinical Decision Support Focused on Early Recognition and Standardized Treatment of Sepsis

Background: Despite widespread awareness of best practices in the early management of sepsis, sepsis continues to burden our healthcare systems with high mortality, prolonged length of stay and excessive cost.  Early recognition of sepsis and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Integrated Clinical Decision Support Focused on Early Recognition and Standardized Treatment of Sepsis

HM2016 Abstract Number: 206

Evaluating the Quality of Patient Pass-Offs

Background: Patient pass-offs represent a known vulnerability in patient care.   The Hospital Medicine Unit at Massachusetts General Hospital has several specialized roles including an admitting hospitalist, a rounding hospitalist, and a nocturnist.  Our on-service time [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Evaluating the Quality of Patient Pass-Offs

HM2016 Abstract Number: 201

Building a Comprehensive Patient-Centered Readmission Reduction Program

Background: Traditional readmission case review processes at our tertiary-care academic institution failed to identify obvious target processes for readmission reduction.  Looking for a more nuanced method of readmission review, we turned to our patients.   We [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Building a Comprehensive Patient-Centered Readmission Reduction Program

HM2016 Abstract Number: 199

Skip the Drips: Reining in Unnecessary Continuous Intravenous Infusions

Background: Continuous intravenous infusions – or “drips” – can be burdensome for patients and clinicians. With this in mind, we identified three scenarios for which providers could safely “skip the drip” in favor a therapeutic [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Skip the Drips: Reining in Unnecessary Continuous Intravenous Infusions

HM2016 Abstract Number: 197

Reducing Routine Blood Draws

Background:   In line with the American Board of Internal Medicine's (ABIM) Choosing Wisely® initiative, the Society of Hospital Medicine (SHM) recommends not performing repetitive complete blood count (CBC) and chemistry (CHEM7) testing in the face of clinical and lab stability.  [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Reducing Routine Blood Draws

HM2016 Abstract Number: 196

Reducing Emergency Room Length of Stay for Medicine Admissions

Background: Keeping admitted patients in the emergency room (ER) carries negative operational and clinical consequences. Prolonged stays reduce ER bed turnover, thereby limiting access for other patients. Furthermore prolonged ER length of stay (LOS) has [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Reducing Emergency Room Length of Stay for Medicine Admissions

HM2016 Abstract Number: 195

Take Your Patient’s Polst: An Advance Care Planning Quality Improvement Initiative in Hospital Medicine!

Background: The Physician Orders for Life-Sustaining Treatment (POLST) form is an important tool to elicit and document patients’ treatment preferences in a way that is valid across health care settings. Studies on its efficacy have found [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Take Your Patient’s Polst: An Advance Care Planning Quality Improvement Initiative in Hospital Medicine!

HM2016 Abstract Number: 193

A Multidisciplinary Approach to Improving Congestive Heart Failure (Chf) Specificity Documentation

Background: Appropriate documentation of Congestive Heart Failure (CHF) specificity is still a major documentation problem in most hospitals in the United States despite the frequent presence of Clinical Documentation Improvement Specialists (CDIs) to assist with [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on A Multidisciplinary Approach to Improving Congestive Heart Failure (Chf) Specificity Documentation

HM2016 Abstract Number: 190

Effect of Medication Reconciliation Performed by the Pharmacist on Outcomes of Medication Safety and Patient Care

Background: Medication discrepancies, defined as unexplained differences between documented medication regimens, are highly prevalent in the hospital setting and an important contributor to adverse drug events.  In the hospital setting, 27% of all prescribing errors occur [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Perioperative|Comments Off on Effect of Medication Reconciliation Performed by the Pharmacist on Outcomes of Medication Safety and Patient Care

HM2016 Abstract Number: 189

Improving Peri-Operative Glycemic Control in Patients Undergoing Total Hip and Knee Replacements (Thr/tkr)

Background: Hyperglycemia is directly associated with increased risk for infection, delayed healing, increased morbidity, mortality and increased length of stay following orthopedic surgery.  A process was developed to identify these patients pre-operatively to proactively intervene [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Perioperative|Comments Off on Improving Peri-Operative Glycemic Control in Patients Undergoing Total Hip and Knee Replacements (Thr/tkr)

HM2016 Abstract Number: 168

Do You Know Your New Medication? A Novel Approach to Improve Patient Medication Education

Background: Medication education for patients and caregivers can significantly impact patient safety. New medications are often introduced during a patient’s acute hospitalization. Without proper education, patients may not recognize these medications, their indications or their [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Do You Know Your New Medication? A Novel Approach to Improve Patient Medication Education

HM2016 Abstract Number: 166

Hospital Horror Story: Situational Awareness to Assess Interns’ Recognition of Safety and Low-Value Hospital Hazards

Background:  While many institutions train housestaff to mitigate hospital hazards, few have exploited the crucial concept of situational awareness (i.e. mindfulness of the patient environment) to teach patient safety. One method to promote situational awareness [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Hospital Horror Story: Situational Awareness to Assess Interns’ Recognition of Safety and Low-Value Hospital Hazards

HM2016 Abstract Number: 165

Improving Physician-Nursing Pager Communicaton Safety and Reliability

Background: We observed that clinical pages in our institution on both medical and surgical services do not always reach the primary inpatient provider. Because we use pagers to communicate critical, time-sensitive information, delayed or misdirected [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Improving Physician-Nursing Pager Communicaton Safety and Reliability

HM2016 Abstract Number: 161

Life After Death: Integrating Patient Safety and Evidence-Based Medicine Into Your Morbidity and Mortality Conference

Background: Morbidity and Mortality (M&M) Conference is a traditional forum that provides residents with an opportunity to discuss medical errors, adverse events and near misses. Conventionally, most of the allotted time is spent on case [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Life After Death: Integrating Patient Safety and Evidence-Based Medicine Into Your Morbidity and Mortality Conference

HM2016 Abstract Number: 157

Why Use Two When One Will Do: A Project to Minimize Opioid Therapeutic Duplication in the Hospital Setting

Background: Therapeutic duplication is the practice of prescribing multiple medications within the same class without a clear indication to use one over the other. Also referred to as “drug stacking”, this prescribing behavior is a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Why Use Two When One Will Do: A Project to Minimize Opioid Therapeutic Duplication in the Hospital Setting

HM2016 Abstract Number: 151

Redesigned Morbidity and Mortality Conference Emphasizes Patient Safety

Background: Discussion of medical errors in patient care is often not formally taught in most residencies or medical schools.  Yet the skill set needed for addressing patient adverse events when they occur and preventing similar [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Redesigned Morbidity and Mortality Conference Emphasizes Patient Safety

HM2016 Abstract Number: 150

Pilot of a Low-Resource, Ehr-Based Protocol for Sepsis Monitoring, Alert, and Intervention

Background: In-hospital mortality attributable to sepsis is higher than overall population mortality (Gaieski DF et al, 2013; Dombrovskiy VY, 2007). Furthermore, the rates of severe sepsis are increasing annually (Dombrovskiy VY,2007). Early detection and early [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Pilot of a Low-Resource, Ehr-Based Protocol for Sepsis Monitoring, Alert, and Intervention

HM2016 Abstract Number: 147

Creation and Growth of a Hospitalist-Led Medicine Procedure Service: A 2-Year Experience

Background: The American Board of Internal Medicine expects all general internists to be competent, at least “with regard to their knowledge and understanding,” in bedside paracentesis, thoracentesis, central venous catheterization, and lumbar puncture, among other [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Creation and Growth of a Hospitalist-Led Medicine Procedure Service: A 2-Year Experience

HM2016 Abstract Number: 144

Real-Time Padua: An Automated Ehr Integrated Venous Thromboembolism Risk Assessment Tool

Background: Venous thromboembolism (VTE) is a serious and all too frequent hospital complication, therefore assessing each patient’s individual risk of VTE is an important part of their care.  Multiple models are available for risk assessment, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Patient Safety|Comments Off on Real-Time Padua: An Automated Ehr Integrated Venous Thromboembolism Risk Assessment Tool

HM2016 Abstract Number: 143

A Comprehensive, Multidisciplinary Approach to Reducing Excessive Telemetry Alarms on Med-Surg Units

Background: Alarm fatigue is a serious patient safety issue and represents a 2015 National Patient Safety Goal.  False alarms can mask true alarms, and may contribute to suboptimal patient care practices.  Cardiac telemetry monitoring in [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on A Comprehensive, Multidisciplinary Approach to Reducing Excessive Telemetry Alarms on Med-Surg Units

HM2016 Abstract Number: 125

Improving Risk-Adjusted Outcome Measures with Physician-Oriented Documentation Interventions

Background: Accurate and timely documentation is essential for patient care, as well as the appropriate reflection of patient complexity and severity of illness. Most hospitals utilize a traditional retrospective or contemporaneous physician-query strategy to ensure [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Outcomes Research|Comments Off on Improving Risk-Adjusted Outcome Measures with Physician-Oriented Documentation Interventions

HM2016 Abstract Number: 86

Measuring and Improving Provider Experience in Healthcare

Background: Provider engagement is a key component of improving healthcare delivery in any healthcare setting. Characteristics of burnout are prevalent among healthcare providers and have been associated with lower engagement, increased errors and poor long term sustainability in [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Other|Comments Off on Measuring and Improving Provider Experience in Healthcare

HM2016 Abstract Number: 85

‘discharge by Appointment’ Improves Patient Flow, by Increasing Number of Discharges Before Noon

Background:  Most patient discharges(DC) from hospitals occur in the afternoons, thus creating patient flow and potentially patient safety issues. This creates increased ER boarding hours and delays interunit patient transfers between ICU, stepdown and medical units. Sick patients may [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Other|Comments Off on ‘discharge by Appointment’ Improves Patient Flow, by Increasing Number of Discharges Before Noon

HM2016 Abstract Number: 79

Transition to Practice Program for Advanced Practice Registered Nurses

Background: The institute of Medicine’s (IOM) landmark report, “The Future of Nursing: Leading Change, Advancing Health” outlines recommendations that position nurses to influence the future of health care. Implementation of nurse residency programs is one [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Other|Comments Off on Transition to Practice Program for Advanced Practice Registered Nurses

HM2016 Abstract Number: 71

The Golden Ticket Project: A Pilot Program in Resident Peer Recognition

Background: How to combat the corrosive effects of burnout during residency training remains a persistent question, but a supportive working environment has shown to be a protective factor.  Purpose: The Golden Ticket Project (GTP) is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Other|Comments Off on The Golden Ticket Project: A Pilot Program in Resident Peer Recognition

HM2016 Abstract Number: 70

Building Parallel Co-Management Services in a Large Academic Hospitalist Group

Background: Co-management across service lines has become increasingly common in hospital medicine. SHM’s Co-Management Task Force has outlined several components of a successful co-management program. Recent studies have shown that cross-disciplinary service arrangements, which are [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Other|Comments Off on Building Parallel Co-Management Services in a Large Academic Hospitalist Group

HM2016 Abstract Number: 60

Developing an Inpatient Delirium Prevention Protocol

Background: The development of delirium is a common source of morbidity and mortality in the hospitalized elderly, with an estimated incidence of 30-60%. Sleep deprivation is a common and modifiable risk factor for iatrogenic delirium [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Geriatrics, Innovations Abstracts|Comments Off on Developing an Inpatient Delirium Prevention Protocol

HM2016 Abstract Number: 59

Team-Based Lectures: A Faculty Coaching Model for Creating Digital Learning Content

Background: The University of California, San Francisco is undergoing many changes in its approach to teaching in both undergraduate (UME) and graduate medical education (GME). As a result, approximately one third of traditional in-class lectures [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Team-Based Lectures: A Faculty Coaching Model for Creating Digital Learning Content

HM2016 Abstract Number: 57

The Development and Evaluation of a Night Float Curriculum

Background:   Internal medicine training programs have been profoundly impacted by changes in resident duty hours, workloads, and supervisory requirements. Consequentially, it has become increasingly important to re-evaluate and re-formulate traditional methods of teaching to [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on The Development and Evaluation of a Night Float Curriculum

HM2016 Abstract Number: 58

Improving Management of Venous Thromboembolism: Effect of Online Cme

Background: Venous thromboembolism (VTE) is a common hospital condition; however, our analysis indicates that clinicians lack confidence in selecting appropriate management strategies for patients. Purpose: This study was conducted to determine if an online, video-based [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Improving Management of Venous Thromboembolism: Effect of Online Cme

HM2016 Abstract Number: 54

Reforming Your Health Care Reform Curriculum

Background: Health care policy is currently under scrutiny due to health care reform, yet in our experience the majority of house staff have insufficient opportunity to learn about the environment they will soon be practicing [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Reforming Your Health Care Reform Curriculum

HM2016 Abstract Number: 53

Direct Observation Tool to Assess Milestones During Inpatient Bedside Rounding

Background: With the roll out of ACGME  outcomes-based milestones as a framework for determining resident and fellow performance within the six ACGME Core Competencies in 2013, residency training programs have been tasked to directly observe [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Direct Observation Tool to Assess Milestones During Inpatient Bedside Rounding

HM2016 Abstract Number: 52

Med Rec: A Skills-Based Curriculum on Medication Safety and Medication Reconciliation for Medical Students

Background: Medication errors are common, with more than half of patients estimated to have greater than or equal to one unintended medication discrepancy at hospital admission.  Medication reconciliation can identify errors. Although there has been [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Finalist, Innovations Abstracts|Comments Off on Med Rec: A Skills-Based Curriculum on Medication Safety and Medication Reconciliation for Medical Students

HM2016 Abstract Number: 49

An Innovative Educational Program for Hospital-Based Nurse Practitioners

Background: The transition of an experienced Registered Nurse into a novice hospital-based Nurse Practitioner (NP) is frequently met with trepidation. The novice NP is often uncertain if s/he possesses the level of clinical competency and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on An Innovative Educational Program for Hospital-Based Nurse Practitioners

HM2016 Abstract Number: 47

Co-Manage, Co-Educate: Hospitalists As Conduits for Early Systems & Interprofessional Learning on Surgical Teams

Background: Hospitalists’ favorable impact on student education is well described.  There is an emerging mandate to equip health care professionals with skills in navigating complex systems, interprofessional teamwork, and quality improvement.  Surgical teams are ideal [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Co-Manage, Co-Educate: Hospitalists As Conduits for Early Systems & Interprofessional Learning on Surgical Teams

HM2016 Abstract Number: 46

Acute Care Curriculum: Examining the Effectiveness of 30 Minute, Focused, High-Yield Workshops for Internal Medicine Residents

Background: The Accreditation Council for Graduate Medical Education (ACGME) realizes the importance of ambulatory medicine as an integral part of internal medicine (IM) training. Therefore, program requirements specify that at least one third of the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Acute Care Curriculum: Examining the Effectiveness of 30 Minute, Focused, High-Yield Workshops for Internal Medicine Residents

HM2016 Abstract Number: 44

Critical Communication: Training Deaf Physicians and Interpreters to Communicate Effectively in a Code Blue

Background: Code blue situations, being uncommon yet stressful, require excellent team communication; they can pose challenges for deaf or hard of hearing (DHH) clinicians, trainees, and interpreters, though DHH providers are a growing source of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Critical Communication: Training Deaf Physicians and Interpreters to Communicate Effectively in a Code Blue

HM2016 Abstract Number: 43

Running a Hospitalist Program: An Elective for Medical Residents

Background: Hospital medicine is an evolving and expanding field, with a large proportion of internal medicine graduates choosing to pursue careers in hospital medicine.  While future hospitalists receive extensive clinical education during their post-graduate years, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Running a Hospitalist Program: An Elective for Medical Residents

HM2016 Abstract Number: 39

Re-Booting Faculty Development: Implementing a “Faculty Boot Camp” to Orient New Faculty to Academic Hospital Medicine

Background: Early career faculty often face challenges in setting personal and professional expectations, identifying effective mentorship, and quickly learning foundational skills in academic hospital medicine. We developed a "Faculty Boot Camp" to better orient new [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Re-Booting Faculty Development: Implementing a “Faculty Boot Camp” to Orient New Faculty to Academic Hospital Medicine

HM2016 Abstract Number: 37

Engaging Senior Residents in Intern Handoffs: A Novel Curriculum to Teach Direct Observation and Feedback Skills

Background: Increased fragmentation of inpatient medical care requires hospitalists to frequently hand off their patients to other providers. Communication breakdown during transitions of care is a major cause of adverse events. Direct observation of handoff [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Engaging Senior Residents in Intern Handoffs: A Novel Curriculum to Teach Direct Observation and Feedback Skills

HM2016 Abstract Number: 34

Hospitalist Elective Rotation: Model for Residents to Learn Multi-Discisplinary Care

Background: In an era of value-based purchasing, healthcare providers like Internal Medicine (IM) residents will require advancing knowledge on performance measures for quality and efficiency of patient care.  In the hospital-based care setting, many large [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Hospitalist Elective Rotation: Model for Residents to Learn Multi-Discisplinary Care

HM2016 Abstract Number: 32

Using Innovative Scheduling to Implement a Longitudinal Qi Curriculum

Background: Novel strategies such as the block system have been implemented to address resident teaching while maintaining continuity of care. Studies assessing block scheduling and adequate delivery of quality improvment (QI) concepts are limited. The [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Using Innovative Scheduling to Implement a Longitudinal Qi Curriculum

HM2016 Abstract Number: 31

Medical Students As Value Advocates in Academic Hospital Medicine

Background: An estimated one-third of national healthcare spending is waste, with the largest contribution stemming from unnecessary use of services. Published efforts to enhance cost consciousness have largely focused on residents and practicing physicians. Few [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Medical Students As Value Advocates in Academic Hospital Medicine

HM2016 Abstract Number: 30

Honing the Sharp End: A Resident Rotation in Patient Safety and Quality Improvement

Background: The Accreditation Council for Graduate Medical Education’s Clinical Learning Environment Review (CLER) program has placed a much-needed spotlight on the role of resident physicians in patient safety (PS) and quality improvement (QI). Medical school [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Honing the Sharp End: A Resident Rotation in Patient Safety and Quality Improvement

HM2016 Abstract Number: 29

Impact of Novel Emergency Department Intensive Care Unit on Medicine Resident Critical Care Experience

Background: Critically ill patients require time dependent and resource intense interventions. In February 2015 our institution initiated a novel intensive care unit within the Emergency Department (ED-ICU) with the goal to enhance timely resuscitation and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Impact of Novel Emergency Department Intensive Care Unit on Medicine Resident Critical Care Experience

HM2016 Abstract Number: 27

Teaching Residents Clinical Practice Guidelines Through a “Flipped Classroom” Model

Background: The American Academy of Pediatrics (AAP) publishes core pediatric clinical practice guidelines advising pediatricians on evidence-based management of common diagnoses. However, multiple studies demonstrate poor guideline compliance by pediatricians. There is no published curriculum [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Teaching Residents Clinical Practice Guidelines Through a “Flipped Classroom” Model

HM2016 Abstract Number: 26

Mentorship and Faculty Development for Academic Hospitalists: A Replicable and Scalable Curriculum

Background: Mentorship is key to successful, satisfying, and engaging academic careers. Models for mentorship and faculty development exist, but are often resource-intensive and focused on achieving success in research. Establishing mentorship in hospital medicine has [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Mentorship and Faculty Development for Academic Hospitalists: A Replicable and Scalable Curriculum

HM2016 Abstract Number: 25

A New “Model”: Simulator-Based Faculty Procedure Training & Privileging

Background: Simulation-based procedural training has been shown to improve provider competency and confidence in number of medical specialties, including hospital medicine. To the present, simulation training has largely focused on medical students and residents. Attending [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on A New “Model”: Simulator-Based Faculty Procedure Training & Privileging

HM2016 Abstract Number: 24

Mindfulness for Hospitalists: A Pilot Study Investigating the Effect of a Mindfulness Initiative on Mindfulness and Perceived Stress Among Hospitalists

Background: Stress and burnout are pervasive among health care professionals and both have been associated with health problems and poorer quality of patient care. Among health care professionals, hospitalists are especially prone to stress and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Mindfulness for Hospitalists: A Pilot Study Investigating the Effect of a Mindfulness Initiative on Mindfulness and Perceived Stress Among Hospitalists

HM2016 Abstract Number: 22

Stroke Systems of Care Curriculum for Hospitalist Residents

Background:  The Society of Hospital Medicine considers stroke care a core competency in hospital medicine.  It also challenges hospitalists to lead, coordinate, and participate in multidisciplinary efforts to improve stroke care within their organizations.  Hospitalist [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Stroke Systems of Care Curriculum for Hospitalist Residents

HM2016 Abstract Number: 19

It All Just Clicks: Development of an Inpatient E-Consult Program

Background:    Electronic consults (“e-consults”) are commonly used in the outpatient setting to allow subspecialists to provide documented recommendations to primary care doctors without a face-to-face patient encounter. In the inpatient setting, a consult that [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Consultative Medicine, Innovations Abstracts|Comments Off on It All Just Clicks: Development of an Inpatient E-Consult Program

HM2016 Abstract Number: 17

Identifying Health Care Teams Using Electronic Health Records Access Data and Social Network Analysis

Background: Electronic Health Records (EHR) systems are broadly used to support the delivery of patient care and to facilitate communication and coordination among providers.  The use of EHR has been demonstrated to improve health care [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Identifying Health Care Teams Using Electronic Health Records Access Data and Social Network Analysis

HM2016 Abstract Number: 15

Social Networks in Electronic Health Records

Background: Team-based approaches have been broadly promoted to improve healthcare delivery in the U.S. However, few studies have analyzed the complexities of team-based communication in the current healthcare delivery landscape of increasing electronic health record [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Social Networks in Electronic Health Records

HM2016 Abstract Number: 16

Rapid-Fire Walkrounds: A Tool for Improving Multidisciplinary Teamwork

Background: High functioning medical teams are essential for providing safe and efficient medical care. To assess team culture on a medical-surgical unit, we conducted an abridged version of the Agency for Healthcare Research and Quality [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Rapid-Fire Walkrounds: A Tool for Improving Multidisciplinary Teamwork

HM2016 Abstract Number: 14

Starting on Day 1: An Interactive Role Play for Incoming Interns on the Importance of Interprofessional Practice

Background The goal of the Accreditation Council for Graduate Medical Education (ACGME) CLER program is to optimize the clinical learning environment for trainees, including improving interprofessional practice.  It is unclear how to best prepare interns [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Starting on Day 1: An Interactive Role Play for Incoming Interns on the Importance of Interprofessional Practice

HM2016 Abstract Number: 9

Priority Structured Paging

Background: Paging is a commonly used, yet limited means of communication. Despite text capability, one-way numeric paging remains the dominant method of communication at the University of Colorado Hospital (UCH). On a modified Hospital Survey [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Priority Structured Paging

HM2016 Abstract Number: 8

Design and Implementation of an Emr-Based Interactive Multidisciplinary Checklist on the Inpatient Medicine Ward

Background: One target for improvement of effective patient centered care on the inpatient medical ward is the mechanism for communication among the multidisciplinary care team (MCT).  The medical service at Stanford Hospital and Clinics recently [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Design and Implementation of an Emr-Based Interactive Multidisciplinary Checklist on the Inpatient Medicine Ward

HM2016 Abstract Number: 5

Doctor’s Orders: An Intervention to Achieve Earlier Discharge Times at an Academic Medical Center

Background: Hospitals around the country are facing patient flow issues. Late discharges on the inpatient floors are thought to contribute to overcrowding in the emergency department and increased evening admissions (Wertheimer, 2014). This can lead [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Doctor’s Orders: An Intervention to Achieve Earlier Discharge Times at an Academic Medical Center

HM2016 Abstract Number: 4

Who Moved My Ehr Cheese? A New Approach to Curating and Individualizing Communications to Physicians About Ehr Software Updates

Background: Communicating to physicians about electronic health record (EHR) software updates is important for maintaining clinical workflow and preserving patient safety. However, reaching providers with mass e-mails is challenging; the optimal strategy for educating providers [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Finalist, Innovations Abstracts|Comments Off on Who Moved My Ehr Cheese? A New Approach to Curating and Individualizing Communications to Physicians About Ehr Software Updates

HM2016 Abstract Number: 3

Bringing the Patient’s Goals Into Interdisciplinary Clinical Bedside Rounds

Background: Interdisciplinary clinical rounds at the bedside can promote the core principles of patient- and family-centered care, including promoting respect and dignity, information sharing, and participation by the patient in the care and decision making.  [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Bringing the Patient’s Goals Into Interdisciplinary Clinical Bedside Rounds

HM2016 Abstract Number: 1

Inbox Messaging: An Effective Tool for Minimizing Non-Urgent Paging Related Interruptions

Background: Communication is one of the foundations on which safe, high quality care is built. The nature of hospital medicine requires that providers be efficient and effective in communicating with multiple disciplines. This need for [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Inbox Messaging: An Effective Tool for Minimizing Non-Urgent Paging Related Interruptions

HM2016 Abstract Number:

The Feedback Bundle: A Novel Method of Inpatient Audit and Feedback

Background: Audit and feedback is a commonly used strategy to improve performance among providers. Most prior studies on its efficacy were done in the outpatient setting and showed a modest benefit. Certain factors, such as [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Plenary Presentations|Comments Off on The Feedback Bundle: A Novel Method of Inpatient Audit and Feedback

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Caring Wisely: A Program to Support Frontline Providers and Staff in Improving Healthcare and Reducing Costs

Background: High value care is a key priority in healthcare, but strategies are needed to empower frontline clinicians to work with organizational leadership to reduce healthcare costs and improve care.   Purpose: Caring Wisely (CW) [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Oral Presentations|Comments Off on Caring Wisely: A Program to Support Frontline Providers and Staff in Improving Healthcare and Reducing Costs

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Impact of a 24 Hour Care Progression Bundle at a Tertiary Care Children’s Hospital

Background: Delays in the discharge process of hospitalized patients impact patient flow and lead to increased costs and slower progression of care. As hospitalist work becomes increasingly shift based, there are concerns for proper patient [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Oral Presentations|Comments Off on Impact of a 24 Hour Care Progression Bundle at a Tertiary Care Children’s Hospital

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Creating a Best Practice for Discharges Against Medical Advice

Creating a Best Practice for Discharges Against Medical AdviceBackground: Nationally, 1-2% of medical discharges from hospitals are against medical advice (AMA).  Patients that leave AMA are at higher risk for readmission and adverse health events.   [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Oral Presentations|Comments Off on Creating a Best Practice for Discharges Against Medical Advice

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Team Communication Regarding Estimated Day of Discharge Improves Discharge Efficiency and Quality Metrics

Background: Patient discharge is a complex process, requiring effective coordination between physicians, the interdisciplinary care team, patients, and their families. Patients often remain in the hospital after they are medically ready for discharge due to [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Oral Presentations|Comments Off on Team Communication Regarding Estimated Day of Discharge Improves Discharge Efficiency and Quality Metrics