Value in Hospital Medicine

HM2016 Abstract Number: 390

Clinical Utility of Routine Cbc Testing in Patients with Community Acquired Pneumonia

Background: Avoiding repeated complete blood count (CBC) tests in the face of clinical and lab stability is a focus of the Choosing Wisely initiatives endorsed by the Society of Hospital Medicine. The goal of this [...]

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HM2016 Abstract Number: 389

Towards Accurate Value-Based Care Metrics: Failings of Medicare Reporting

Background: Increasing the value of health care, typically regarded as maximizing quality of care while minimizing unnecessary costs, has been an increasing focus of hospitals nationwide.  Ways of reliably measuring unnecessary utilization, however, have not [...]

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HM2016 Abstract Number: 385

Sustainability of a Hospitalist Led Intervention to Reduce Length of Stay on Telemetry

Background: As part of the Choosing Wisely campaign, the Society of Hospital Medicine highlights use of telemetry monitoring as one of the top interventions that physicians and patients should use judiciously.  While telemetry is invaluable [...]

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HM2016 Abstract Number: 383

Site Related Bleeding and Health Outcome Metrics in Patients Admitted with Bleeding to a Large Academic Medical Center

Background: Patients who are admitted through the emergency department with a primary diagnosis of bleeding represent a group with significant morbidity and mortality. Of those patients admitted with a primary bleeding diagnosis, those on anticoagulants [...]

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HM2016 Abstract Number: 382

Unsurprise the Surprise: Prognosticate Chronically Ill Hospitalized Patients

Background: As chronic illnesses are claiming majority of deaths in United States, it is very important that we identify patients with chronic illnesses who have shortened life expectancy and prioritize their needs for palliative care. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Unsurprise the Surprise: Prognosticate Chronically Ill Hospitalized Patients

HM2016 Abstract Number: 381

30-Day Readmission Rate for Patients Discharged with Sickle Cell Crisis: An Analysis of 369,103 Admissions

Background: Sickle cell crisis is a acute medical emergency, which may require management in the ICU. Sickle cell anemias are remarkable in their clinical heterogeneity. Some people remain asymptomatic in their adult life, whereas others [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on 30-Day Readmission Rate for Patients Discharged with Sickle Cell Crisis: An Analysis of 369,103 Admissions

HM2016 Abstract Number: 380

Making Every Drop Count: Drivers of Laboratory Overutilization

Background: As health systems focus on providing high-value, cost-conscious care, efforts to optimize laboratory testing are increasing.  In order to improve safe and effective utilization of the laboratory, it is informative to understand the prevalence [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Making Every Drop Count: Drivers of Laboratory Overutilization

HM2016 Abstract Number: 376

Syncope Evaluation: Overuse of Head Ct, Underuse of Orthostatics

Background: Syncope is a common diagnosis for hospitalists and often accompanied by extensive and unnecessary diagnostic workup. Neurally-mediated syncope and orthostatic hypotension account for over 75% of causes. Most causes of syncope can be diagnosed [...]

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HM2016 Abstract Number: 372

Hospital Based Restrictive Blood Transfusion Program Proves to Be Effective in Reducing Healthcare Costs by Limiting Blood Product Usage

Background: It is known that blood product transfusions can be harmful to some patients and should be administered only in medically justified circumstances (Ferraris, et al. 2015). In keeping with current recommendations set forth by [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Hospital Based Restrictive Blood Transfusion Program Proves to Be Effective in Reducing Healthcare Costs by Limiting Blood Product Usage

HM2016 Abstract Number: 369

Development of a High-Value Care Culture Survey

Background: Efforts to improve value within hospitals must engage frontline clinicians to enhance organizational culture. Culture surveys have been used to drive improvements, but currently no such tool exists for measuring high-value care culture. We [...]

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HM2016 Abstract Number: 368

Can We Be Smarter About Ordering Renal Ultrasounds for Acute Kidney Injury Patients?

Background: Renal ultrasound (RUS) is frequently used as part of the routine work-up for acute kidney injury (AKI) for the hospitalized patient.  Society guidelines and previous literature suggest that RUS should be ordered when an [...]

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HM2016 Abstract Number: 367

Overlooked and Under-Appreciated? A Retrospective Study on Sleep Disordered Breathing and Its Effect on Cardiovascular Risks

Background: In the outpatient setting, untreated obstructive sleep apnea (OSA) is associated with myriad adverse clinical outcomes including myocardial infarction, heart failure, arrhythmias, and cerebrovascular disease.  However, little is known about the impact of treated [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Overlooked and Under-Appreciated? A Retrospective Study on Sleep Disordered Breathing and Its Effect on Cardiovascular Risks

HM2016 Abstract Number: 366

Differences in Routine Laboratory Ordering Between a Teaching Service and a Hospitalist Service at a Single Academic Medical Center – a Survey and Retrospective Data Analysis

Background: Studies have shown that overutilization of labs is common and can cause adverse health outcomes.  No study to date has compared whether variation in lab ordering tendencies exists between different services within the same [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Differences in Routine Laboratory Ordering Between a Teaching Service and a Hospitalist Service at a Single Academic Medical Center – a Survey and Retrospective Data Analysis

HM2016 Abstract Number: 363

Reducing Overutilization of Cardiac Telemetry Through Targeted Education

Background: Cardiac telemetry allows hospitalists to monitor for dangerous arrhythmias. The American Heart Association has published indications on which patients are likely to benefit from telemetry.  The Society of Hospital Medicine highlighted this issue through [...]

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HM2016 Abstract Number: 364

Not so Fast- Discharge Bias on a Teaching Hospital Inpatient Service

Background: Many institutions struggle with educational structure in the wake of ACGME duty hour restrictions, and concerns have been raised that there has been a net negative impact on quality of education. Efforts to balance [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Not so Fast- Discharge Bias on a Teaching Hospital Inpatient Service

HM2016 Abstract Number: 360

Effect of Intravenous Route of Administration on Corticosteroid Dosage in Aecopd

Background: Consensus supports the use of corticosteroids in acute exacerbation of COPD (AECOPD), but route of administration and dosage still vary considerably. In one study comparing lower dose oral (PO) prednisone to higher dose intravenous [...]

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HM2016 Abstract Number: 359

Identification and Referral of Emergency Department Patients with a Presentation Suspicious for Underlying Malignancy

Background: A large percentage of cancer diagnoses emerge from the emergency setting yet limited literature is published describing this phenomenon in detail. Our study aims to identify the number of patients who present to a [...]

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HM2016 Abstract Number: 358

Predictors of Length of Stay in Patients Admitted in the Hospital with Community-Acquired Pneumonia: A Nationwide Study

Background: Pneumonia remains the foremost cause for hospitalization.  The objective of our study was to look at the predictors of longer length of stay (LOS) in patients admitted in the hospital with community acquired pneumonia [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Predictors of Length of Stay in Patients Admitted in the Hospital with Community-Acquired Pneumonia: A Nationwide Study

HM2016 Abstract Number: 357

Appropriately Ordered Brain Mris Based on the American College of Radiology Appropriateness Criteria Often Did Not Lead to a Change in Management

Background: The United States has the highest expenditure per capita and fastest growth when it comes to health care. Imaging is one of the fastest growing services in medicine reaching approximately $100 billion annually. There [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Appropriately Ordered Brain Mris Based on the American College of Radiology Appropriateness Criteria Often Did Not Lead to a Change in Management