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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Value in Hospital Medicine|Comments Off on A Multidisciplinary Approach to High Value Cardiac Biomarkers

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on A Novel Md-Rn Collaborative Protocol to Prevent and Manage Acute Delirium in Inpatient Wards

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

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Value in Hospital Medicine|Comments Off on Designing Hospitalist Shifts Around Admission Demand Reduces Patient Wait Times and Cost

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Fixing What Is Broken: Quality Improvement in the Critical Lab Value Process

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, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Technology in Hospital Medicine|Comments Off on Implementation of a Patient-Centered ‘Microblog’ Messaging Platform to Improve Care Team Communication

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, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Implementation of a Pay-for-Perfomance Structure for Hospitalist-Led Quality Improvement Projects

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Value in Hospital Medicine|Comments Off on Implementing Guideline-Based Indications for Cardiac Monitoring at Cedars-Sinai Medical Center

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

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Transitions of Care|Comments Off on Intensive Follow Up After Palliative Care Consultations to Reduce Readmissions

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. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Making It Simple – Process Improvement for Outside Medical Records

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Managing Challenging Patients: From Conflict to Teaching Opportunity

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

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Transitions of Care|Comments Off on Novel Pharmacist-Managed Rivaroxaban Clinic for Outpatient Treatment of Venous Thromboembolism