Value in Hospital Medicine

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

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Value in Hospital Medicine|Comments Off on Cost Conscious Care Committee: Using a Modified Nominal Group Technique to Reduce Wasteful Spending at an Academic Internal Medicine Residency

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Value in Hospital Medicine|Comments Off on Decreasing Inappropriate Telemetry Utilization in the Non-Icu Setting

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

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Value in Hospital Medicine|Comments Off on Development and Implementation of an Evidence-Based Pathway for the Evaluation of Catheter Associated UTI (Cauti) in an Academic Health System

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Value in Hospital Medicine|Comments Off on Hospital Based Population Health Management Program: Why It Makes Sense and How to Set It Up?

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 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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Value in Hospital Medicine|Comments Off on Improving Capture of Major Comorbidities in Provider Documentation Using an Integrated Template

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Value in Hospital Medicine|Comments Off on Out Reach Hospitalist Coverage for Community Hospitals by Major Academic Center:

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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Value in Hospital Medicine|Comments Off on Reducing Unnecessary Phlebotomy on an Inpatient Medical Teaching Service

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+00:00 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