Care Transitions

/Tag:Care Transitions

A RESIDENT-DRIVEN INTERDISCIPLINARY PROCESS TO HELP PATIENTS SUCCESSFULLY OBTAIN PRESCRIPTIONS POST-DISCHARGE

Background: Patients are discharged home on medications different than those they were taking before admission.  New and discontinued medications as well as dosage changes contribute to medication-related adverse events.  Purpose: To help address this problem, [...]

By | 2017-04-20T17:50:52+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on A RESIDENT-DRIVEN INTERDISCIPLINARY PROCESS TO HELP PATIENTS SUCCESSFULLY OBTAIN PRESCRIPTIONS POST-DISCHARGE

CARING FOR PATIENTS ACROSS TRANSITIONS FROM ACUTE TO SUB-ACUTE CARE: AN INNOVATIVE HOSPITALIST STAFFING MODEL

Background: Care transitions between hospitals, nursing homes, and home are a vulnerable time for patients.  Given the increasing elderly population and the shortage of primary care physicians with training in geriatrics or nursing home care, [...]

By | 2017-04-20T17:50:50+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on CARING FOR PATIENTS ACROSS TRANSITIONS FROM ACUTE TO SUB-ACUTE CARE: AN INNOVATIVE HOSPITALIST STAFFING MODEL

DAILY STANDARDIZED MULTIDISCIPLINARY BEDSIDE ROUNDS IMPROVE PATIENT SATISFACTION AND CARE TRANSITIONS

Background: Physicians and nurses often overestimate patients' understanding of their illness, medications, treatments, and care plans. Fragmented discussions can lead to inconsistent conveyance of key information to patients and their caregivers. Multidisciplinary bedside rounds are [...]

By | 2019-03-11T14:17:02+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on DAILY STANDARDIZED MULTIDISCIPLINARY BEDSIDE ROUNDS IMPROVE PATIENT SATISFACTION AND CARE TRANSITIONS

FROM HOSPITAL TO HOME: CREATING CARE TRANSITIONS STANDARDS FROM CONSENSUS USING NOMINAL GROUP TECHNIQUE

Background: The ACGME identifies care transitions as both a core competency and focus area for the Clinical Learning Environment Review, but there is a scarcity of literature on standardized curricula designed to teach residents how [...]

By | 2019-03-11T14:25:56+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on FROM HOSPITAL TO HOME: CREATING CARE TRANSITIONS STANDARDS FROM CONSENSUS USING NOMINAL GROUP TECHNIQUE

HOME HEALTH NURSE PERSPECTIVES ON COMMUNICATION AFTER DISCHARGE: RESULTS FROM A STATEWIDE SURVEY

Background: Communication is critical to high-quality care transitions, yet little is known about the quality of information transfer from the hospital to home health care (HHC) setting. We performed a cross-sectional survey of HHC nurses [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on HOME HEALTH NURSE PERSPECTIVES ON COMMUNICATION AFTER DISCHARGE: RESULTS FROM A STATEWIDE SURVEY

IMPROVING ADVANCED NOTIFICATION OF IMPENDING INTERHOSPITAL TRANSFERS

Background: Sub-optimal communication during care transitions contributes to poor patient outcomes. Patients who undergo interhospital transfer (IHT, the transfer of patients between hospitals) are at especially high risk given their level of illness severity. In [...]

By | 2019-03-18T13:15:56+00:00 March 11th, 2019|Communication, Finalist Posters - Innovations, Hospital Medicine 2019, Innovations|Comments Off on IMPROVING ADVANCED NOTIFICATION OF IMPENDING INTERHOSPITAL TRANSFERS

IMPROVING DISCHARGE COMMUNICATION: THE EXCELLENT COMMUNICATION LEADS TO IMPROVED PATIENT SATISFACTION AND EXPERIENCE (ECLIPSE) PROJECT

Background: The hospital discharge is one of the most important aspects of a patient’s hospitalization, yet in residency training, this process often goes overlooked. Most residents are never properly taught how to effectively discharge a [...]

By | 2018-03-19T13:23:18+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on IMPROVING DISCHARGE COMMUNICATION: THE EXCELLENT COMMUNICATION LEADS TO IMPROVED PATIENT SATISFACTION AND EXPERIENCE (ECLIPSE) PROJECT

IMPROVING HANDOFFS FROM HOSPITALS TO SUB-ACUTE CARE: AN INTERDISCIPLINARY HFMEA QUALITY IMPROVEMENT PROJECT

Background: Communication has been cited as the most common root cause in sentinel events, with failed patient care handoffs contributing to an estimated 80% of serious preventable adverse events. Handoffs to sub-acute care such as [...]

By | 2017-04-20T17:51:41+00:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on IMPROVING HANDOFFS FROM HOSPITALS TO SUB-ACUTE CARE: AN INTERDISCIPLINARY HFMEA QUALITY IMPROVEMENT PROJECT

OPTIMIZING COMPLEX PATIENT TRANSITIONS THROUGH COLLABORATIVE CARE

Background: Due to the complexity of patient discharge needs leading to increased length of stay within a large academic medical center, a specialized inpatient unit became a priority. Purpose: The University of Kentucky Healthcare created [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on OPTIMIZING COMPLEX PATIENT TRANSITIONS THROUGH COLLABORATIVE CARE

Scheduling Follow-Up Appointments Prior to Discharge: Analysis of Project Impact Pilot Data

Background: Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-center quality improvement collaborative aiming to improve hospital to home transitions. As part of this project, providers attempt to schedule follow-up visits prior to discharge [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Scheduling Follow-Up Appointments Prior to Discharge: Analysis of Project Impact Pilot Data

THE IMPORTANCE OF AVOIDING ANCHORING BIAS WHEN TAKING THE HELM

Case Presentation: A 22 year-old G1P1000 pregnant woman at 24 weeks presented with hypertensive urgency and newly diagnosed intrauterine growth restriction in the setting of pre-eclampsia. On admission her physical exam and laboratory data were [...]

By | 2019-03-11T14:30:58+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on THE IMPORTANCE OF AVOIDING ANCHORING BIAS WHEN TAKING THE HELM

The Use of the Patient Aligned Care Team (Pact) Model to Optimize Outpatient Clinic Availability

Background: The Veterans Health Administration (VHA) is undergoing a national effort to improve access for its patients so that veterans can get the right care, in the right place, at the right time. National benchmarks [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on The Use of the Patient Aligned Care Team (Pact) Model to Optimize Outpatient Clinic Availability