To learn more about this meeting, visit hospitalmedicine2017.org

IMPACT OF ‘TRANSITION OF CARE MODEL’ ON HOSPITAL DIABETIC KETOACIDOSIS READMISSION RATES

Background: Hospital admissions are the majority contributor to the cost in caring for diabetes, accounting for about 40% of the costs. As most hospital reimbursements are based upon diagnosis-related groups, hospitals have strong financial incentives [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPACT OF ‘TRANSITION OF CARE MODEL’ ON HOSPITAL DIABETIC KETOACIDOSIS READMISSION RATES

“BECAUSE THEY SAID SO I GUESS”: EVALUATING THE QUALITY OF OLDER ADULTS’ DECISION-MAKING REGARDING POST-ACUTE CARE OPTIONS

Background: Hospitalized older adults are increasingly referred to skilled nursing facilities (SNFs) for post-acute care following hospitalization. However, whether hospitalized older adults are enabled to make high-quality decisions about different post-acute care options is unclear. [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on “BECAUSE THEY SAID SO I GUESS”: EVALUATING THE QUALITY OF OLDER ADULTS’ DECISION-MAKING REGARDING POST-ACUTE CARE OPTIONS

DOES EVERYONE NEED DAILY LABS? CHOOSE WISELY AND REDUCE THE OVERUSE: A HIGH VALUE CARE PROJECT

Background: As part of the ABIM Foundation’s Choosing Wisely campaign the Society of Hospital Medicine recommended providers avoid performing repetitive CBC and chemistry testing in the face of clinical and lab stability. In 2014 as [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DOES EVERYONE NEED DAILY LABS? CHOOSE WISELY AND REDUCE THE OVERUSE: A HIGH VALUE CARE PROJECT

THE DEVELOPMENT AND VALIDATION OF A HIGH VALUE CARE ROUNDING TOOL USING THE DELPHI METHOD

Background: In response to skyrocketing healthcare costs, providing high value care is an increasing priority for health care systems. Physicians are responsible for translating high value care (HVC) to the bedside, however there is a [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on THE DEVELOPMENT AND VALIDATION OF A HIGH VALUE CARE ROUNDING TOOL USING THE DELPHI METHOD

PHYSICIAN REIMBURSEMENT MODELS AND VALUE-BASED PAYMENTS: A SURVEY OF FACULTY AND TRAINEE KNOWLEDGE AND INTEREST

Background: Guiding health care delivery towards patient-centered value can be accelerated by reforming physician reimbursement. Recent legislation including the Medicare Access and CHIP Reauthorization Act (MACRA) and the Affordable Care Act have created frameworks for value-based [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on PHYSICIAN REIMBURSEMENT MODELS AND VALUE-BASED PAYMENTS: A SURVEY OF FACULTY AND TRAINEE KNOWLEDGE AND INTEREST

WHY ORDER TWO WHEN YOU CAN GET ONE FOR HALF THE PRICE?: EVALUATING THE RELIABILITY OF POINT OF CARE ARTERIAL BLOOD GAS ELECTROLYTE MEASUREMENTS FOR USE IN STANDARD SUPPLEMENTATION PROTOCOLS

Background: Frequent blood draws are implicated in hospital-acquired anemia as well as rising costs. Critically ill patients undergo frequent venous and arterial blood sampling, both providing electrolyte concentrations. In this study, we sought to examine [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on WHY ORDER TWO WHEN YOU CAN GET ONE FOR HALF THE PRICE?: EVALUATING THE RELIABILITY OF POINT OF CARE ARTERIAL BLOOD GAS ELECTROLYTE MEASUREMENTS FOR USE IN STANDARD SUPPLEMENTATION PROTOCOLS

THRESHOLDS FOR VENOUS THROMBOEMBOLISM PROPHYLAXIS IN HOSPITALIZED MEDICAL PATIENTS — A COST-EFFECTIVENESS ANALYSIS

Background: Venous thromboembolism (VTE) is a common preventable condition in hospitalized medical patients. Chemoprophylaxis with heparin or fondaparinux has been recommended for all hospitalized patients who are not at low risk, and appropriate thromboprophylaxis is [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on THRESHOLDS FOR VENOUS THROMBOEMBOLISM PROPHYLAXIS IN HOSPITALIZED MEDICAL PATIENTS — A COST-EFFECTIVENESS ANALYSIS

DRAWING WISELY BEYOND EDUCATIONAL SESSIONS: THE IMPACT OF ADMISSION ORDER SET ADJUSTMENT ON INPATIENT LABORATORY ORDERING PRACTICES

Background: In an era where the cost of healthcare in the United States is rising at an unsustainable rate, promoting high value care has never been more important. As highlighted by the Society of Hospital [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DRAWING WISELY BEYOND EDUCATIONAL SESSIONS: THE IMPACT OF ADMISSION ORDER SET ADJUSTMENT ON INPATIENT LABORATORY ORDERING PRACTICES

CONTINUOUS BLOOD COLLECTION: A REVIEW OF CURRENT CBC UTILIZATION, PROVIDER SURVEY, AND PILOT INTERVENTION AT A LARGE ACADEMIC MEDICAL CENTER

Background: Inappropriate laboratory utilization in hospitalized patients is a significant contributing factor to health care expenditures, iatrogenic anemia, downstream testing, and poor patient satisfaction. For these reasons, the Society of Hospital Medicine has recommended through [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on CONTINUOUS BLOOD COLLECTION: A REVIEW OF CURRENT CBC UTILIZATION, PROVIDER SURVEY, AND PILOT INTERVENTION AT A LARGE ACADEMIC MEDICAL CENTER

REPETITIVE CBC TESTING IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA: A MULTICENTER STUDY

Background: Avoiding repeated complete blood count (CBC) testing in the face of clinical and laboratory stability is a Choosing Wisely initiative recommendation endorsed by the Society of Hospital Medicine. We investigated the prevalence and clinical [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on REPETITIVE CBC TESTING IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA: A MULTICENTER STUDY

EVALUATION OF TELEMETRY USE IN THE PATIENT AT RISK FOR ALCOHOL WITHDRAWAL

Background: Cardiac telemetry is frequently overused in the hospital. Our institution requires telemetry while patients are on the Clinical Institute Withdrawal Assessment (CIWA) protocol, regardless of the presence or severity of alcohol withdrawal (AW).  Telemetry use [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on EVALUATION OF TELEMETRY USE IN THE PATIENT AT RISK FOR ALCOHOL WITHDRAWAL

IF YOU BUILD IT, THEY WILL ORDER IT…APPROPRIATELY: USE OF A TELEMETRY ORDER SET IMPROVES ADHERENCE TO EVIDENCE-BASED PRACTICE

Background: Inappropriate telemetry use has been associated with increased health care cost and unnecessary diagnostic procedures. For these reasons, the Society of Hospital Medicine’s Choosing Wisely campaign promoted use of both American Heart Association (AHA) [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on IF YOU BUILD IT, THEY WILL ORDER IT…APPROPRIATELY: USE OF A TELEMETRY ORDER SET IMPROVES ADHERENCE TO EVIDENCE-BASED PRACTICE

OPTIMIZING LABORATORY TEST UTILIZATION IN LONG-TERM ACUTE CARE HOSPITALS

Background: Misuse of laboratory tests can be difficult to determine unless tests are clearly overused or repeated routinely. However, excessive testing of chronically critically ill patients treated in long-term acute care hospitals (LTACHs) can be [...]

By | 2018-03-15T20:50:08+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on OPTIMIZING LABORATORY TEST UTILIZATION IN LONG-TERM ACUTE CARE HOSPITALS

DRIVERS OF OVERUSE OF PANCREATIC ENZYME LAB TESTING AT AN ACADEMIC MEDICAL CENTER

Background: Decades-old clinical data and practice guidelines support the use of lipase over amylase in the workup and management of acute pancreatitis. Yet, laboratory testing for amylase continues to cost the Center for Medicare and [...]

By | 2018-03-15T20:50:08+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DRIVERS OF OVERUSE OF PANCREATIC ENZYME LAB TESTING AT AN ACADEMIC MEDICAL CENTER