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 [...]

By | 2016-02-01T08:00:34-05:00 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

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Value in Hospital Medicine|Comments Off on A Multidisciplinary Approach to High Value Cardiac Biomarkers

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Value in Hospital Medicine|Comments Off on Use of a Hospitalist Clinical Community to Facilitate Dissemination of an Early Mobility Quality Improvement Program

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 [...]

By | 2016-02-01T08:00:34-05:00 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

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Translating Research into Practice|Comments Off on Using “Magic” to Facilitate Appropriate Picc Use: Results of Implementation of a Picc Appropriateness Assessment Tool

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Transitions of Care|Comments Off on Intensive Follow Up After Palliative Care Consultations to Reduce Readmissions

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Transitions of Care|Comments Off on Novel Pharmacist-Managed Rivaroxaban Clinic for Outpatient Treatment of Venous Thromboembolism

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, [...]

By | 2016-02-01T08:00:34-05:00 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

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Unnecessary Transfusions: Hospital Medicine Leading Institution-Wide Change

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 [...]

By | 2016-02-01T08:00:34-05:00 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

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Fixing What Is Broken: Quality Improvement in the Critical Lab Value Process

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. [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Making It Simple – Process Improvement for Outside Medical Records

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Managing Challenging Patients: From Conflict to Teaching Opportunity

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, [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Implementation of a Pay-for-Perfomance Structure for Hospitalist-Led Quality Improvement Projects

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 | 2016-02-01T08:00:34-05:00 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: 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 | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Innovations Abstracts, Outcomes Research|Comments Off on Improving Risk-Adjusted Outcome Measures with Physician-Oriented Documentation Interventions

HM2016 Abstract Number: 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 | 2016-02-01T08:00:34-05:00 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 | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Geriatrics, Innovations Abstracts|Comments Off on Developing an Inpatient Delirium Prevention Protocol

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 | 2016-02-01T08:00:34-05:00 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: 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 | 2016-02-01T08:00:34-05:00 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