Discharge

/Tag:Discharge

Abstract Number: 171

LENGTH OF HOSPITAL STAY AND DISCHARGE OUTCOMES AMONG PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS-ASSOCIATED PULMONARY ARTERIAL HYPERTENSION (HIV-PAH) IN THE UNITED STATES

Background: Though the advent of highly active anti-retroviral medications has improved survival in HIV infection, mortality from non-infectious complications such as pulmonary arterial hypertension (PAH) has increased. Also, studies have shown that PAH is the [...]

By | 2019-03-18T17:58:04+00:00 March 18th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on LENGTH OF HOSPITAL STAY AND DISCHARGE OUTCOMES AMONG PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS-ASSOCIATED PULMONARY ARTERIAL HYPERTENSION (HIV-PAH) IN THE UNITED STATES

Abstract Number: 410

RIDING ON THE TIGER: A HOSPITAL AND COMMUNITY CO-MANAGEMENT MODEL TO PREVENT RE-ADMISSIONS

Background: Following discharge from hospital, Community Care Teams (CCT) continue the care of patients with chronic medical problems. Handover is by means of discharge summary with no further communication between Inpatient Teams (IPT) and CCT. [...]

By | 2019-03-11T14:25:45+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on RIDING ON THE TIGER: A HOSPITAL AND COMMUNITY CO-MANAGEMENT MODEL TO PREVENT RE-ADMISSIONS

Abstract Number: 409

TEMPORAL TRENDS IN DISCHARGE OPIOID PRESCRIBING FROM AN INPATIENT MEDICAL SERVICE

Background: In March of 2016, the CDC released guidelines recommending shorter duration of opioid prescriptions. While these guidelines have the potential to influence hospitalist practice, it is not clear whether discharge prescribing patterns have changed [...]

By | 2019-03-11T14:25:42+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on TEMPORAL TRENDS IN DISCHARGE OPIOID PRESCRIBING FROM AN INPATIENT MEDICAL SERVICE

Abstract Number: 408

IMPLICATIONS OF USING AN ALTERNATIVE MEASURE TO ASSESS OPIATE DAYS SUPPLIED AT DISCHARGE

Background: Development of opiate use disorder and opiate overdose has been associated with prolonged opiate-days prescribed. Conventionally, opiate-days supplied has been calculated based on the discharge prescription signature (e.g., how a patient is supposed to [...]

By | 2019-03-11T14:25:40+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on IMPLICATIONS OF USING AN ALTERNATIVE MEASURE TO ASSESS OPIATE DAYS SUPPLIED AT DISCHARGE

Abstract Number: 407

A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

Background: Recently enacted policies in multiple states have placed restrictions on opioid prescription days given the risk of development of chronic opioid therapy with prolonged opioid prescriptions. However, there are still patients who receive an [...]

By | 2019-03-11T14:25:38+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

Abstract Number: 402

MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE

Background: Medication discrepancies are prevalent at various transitions of care including hospital discharge. Medication changes at hospital discharge may be misunderstood by the patient or not conveyed throughout the healthcare system. Most outpatient pharmacy medication [...]

By | 2019-03-11T14:25:31+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE

Abstract Number: 396

PATIENTS’ PERCEPTIONS OF RELATIVE IMPORTANCE OF DISCHARGE INFORMATION ELEMENTS

Background: The Agency for Healthcare Research and Quality recommends a structured, patient-centered discharge communication process. To create patient-centered discharge communication, it is vital to understand the information that patients value upon discharge. Little is known [...]

By | 2019-03-11T14:25:22+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PATIENTS’ PERCEPTIONS OF RELATIVE IMPORTANCE OF DISCHARGE INFORMATION ELEMENTS

Abstract Number: 355

IMPROVING DISCHARGE TIME AND DECREASING LENGTHS OF STAY: PILOT STUDY OF AN EMR-EMBEDDED, PHYSICIAN-DESIGNED SOLUTION FOR CROSS-DISCIPLINARY CLINICAL COMMUNICATION

Background: The EMR does not provide readily available information that conveys an at-a-glance understanding of discharge progress for a given patient. Healthcare workers have different workflows and need to manage the information in different ways, [...]

By | 2019-03-11T14:24:25+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on IMPROVING DISCHARGE TIME AND DECREASING LENGTHS OF STAY: PILOT STUDY OF AN EMR-EMBEDDED, PHYSICIAN-DESIGNED SOLUTION FOR CROSS-DISCIPLINARY CLINICAL COMMUNICATION

Abstract Number: 335

STILL EFFECTIVE WELL AFTER KINDERGARTEN: HOW A LOW TECH (STICKER CHART!) INTERVENTION HELPED DOUBLE RATES OF HOSPITAL DISCHARGE BEFORE NOON

Background: Hospital discharges before noon have become a common institutional goal in order to improve hospital throughput, reduce emergency department boarding time, and enhance patient satisfaction. Evaluation of baseline rates at Brigham and Women's Faulkner [...]

By | 2019-03-11T14:23:55+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on STILL EFFECTIVE WELL AFTER KINDERGARTEN: HOW A LOW TECH (STICKER CHART!) INTERVENTION HELPED DOUBLE RATES OF HOSPITAL DISCHARGE BEFORE NOON

Abstract Number: 320

UNDERSTANDING CLINICAL PATHWAY FOR HOSPITALIZED INJECTION DRUG USERS DUE TO INJECTION-RELATED INFECTION SEQUELAE

Background: There have been increases in the incidence of and significant costs associated with hospitalizations due to injection-related infection sequelae both in the U.S. and worldwide. Infection sequelae include but are not limited to cellulitis [...]

By | 2019-03-11T14:23:33+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on UNDERSTANDING CLINICAL PATHWAY FOR HOSPITALIZED INJECTION DRUG USERS DUE TO INJECTION-RELATED INFECTION SEQUELAE

Abstract Number: 299

IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

Background: Discharge of hospitalized patients is a multistep process, involving communication amongst numerous healthcare providers. Delays in discharge cause a backlog of patients in the ED and ICUs, leading to prolonged patient wait times and [...]

By | 2019-03-11T14:23:02+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

Abstract Number: 239

EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) multi-site quality improvement collaborative aims to improve discharge transitions by use of a transition bundle, including use of a discharge checklist (DCL) to ensure completion of important [...]

By | 2019-03-11T14:21:34+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

Abstract Number: 38

THE VIRTUAL DISCHARGE WHITEBOARD: A REAL-TIME COMMUNICATION TOOL TO IMPROVE EFFICIENCY, SAFETY AND NURSE SATISFACTION SURROUNDING THE DISCHARGE PROCESS

Background: Discharging patients is a complicated process that requires planning, coordination and communication between multiple care team members. Ideally this process begins at admission and is updated in real time as the patient care plan [...]

By | 2019-03-11T14:16:52+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on THE VIRTUAL DISCHARGE WHITEBOARD: A REAL-TIME COMMUNICATION TOOL TO IMPROVE EFFICIENCY, SAFETY AND NURSE SATISFACTION SURROUNDING THE DISCHARGE PROCESS

Abstract Number: 25

ALWAYS THERE WHEN YOU CALL: HOSPITAL MEDICINE WITHIN THE ER IMPROVES DISCHARGE RATES

Background: Hospital capacity constraints remain an immense concern throughout the US and has been recognized as a national crisis for greater than a decade. ER overcrowding is of particular concern due to its downstream effects. [...]

By | 2019-03-18T14:01:42+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on ALWAYS THERE WHEN YOU CALL: HOSPITAL MEDICINE WITHIN THE ER IMPROVES DISCHARGE RATES

HM2018 Abstract Number: 65

THE USE OF STANDARDIZED DISCHARGE EDUCATION ACROSS THE CONTINUUM OF CARE REDUCES HOSPITAL READMISSIONS

Background: Hospital readmission rates may be influenced by the level of healthcare literacy. Patients who lack an understanding of their diagnosis and warning signs have the potential to not seek medical care in a timely [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on THE USE OF STANDARDIZED DISCHARGE EDUCATION ACROSS THE CONTINUUM OF CARE REDUCES HOSPITAL READMISSIONS

HM2018 Abstract Number: 230

REDUCING DISCHARGE DELAYS AND ROOM TURNOVER TIME: DECREASING INEFFICIENCIES IN THE DISCHARGE PROCESS

Background: As a group of medical students in a five-week leadership program, we were charged with making a medicine inpatient unit at an urban quaternary care academic medical center the best unit in the hospital. [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on REDUCING DISCHARGE DELAYS AND ROOM TURNOVER TIME: DECREASING INEFFICIENCIES IN THE DISCHARGE PROCESS

HM2018 Abstract Number: 220

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

HM2018 Abstract Number: 265

ACCURACY OF A PATIENT’S PCP IN THE EMR

Background: Insufficient communication, particularly at transitions in patient care, is a common and accepted cause of negative outcomes. Handoffs between hospitalists and primary care physicians (PCPs) are infrequent, occurring in 3-20% of cases (2). Many [...]

By | 2018-03-19T13:16:38+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on ACCURACY OF A PATIENT’S PCP IN THE EMR

HM2018 Abstract Number: 308

GETTING DISCHARGES OFF THE BACK BURNER: THE ROLE OF THE ATTENDING NURSE

Background: Throughput is a challenge for many hospitals. Discharging patients impacts throughput, but is time-consuming and competes with other physician and nurse tasks, often being left on the “back burner” while attending to sicker patients. [...]

By | 2018-03-19T13:07:41+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on GETTING DISCHARGES OFF THE BACK BURNER: THE ROLE OF THE ATTENDING NURSE

HM2018 Abstract Number: 307

THE DEVELOPMENT OF AN INNOVATIVE PATIENT JOURNEY TIMELINE TO IDENTIFY TRANSITION GAPS FOR A MULTI-HEALTH SYSTEM COLLABORATIVE QUALITY INITIATIVE: INTEGRATED MICHIGAN PATIENT-CENTERED ALLIANCE IN CARE TRANSITIONS (I-MPACT)

Background: Transition home after hospitalization carries significant risk of adverse patient events, readmissions and increased costs. Despite significant organizational efforts to improve care transitions, there continue to be challenges in implementing consistent interventions that impact [...]

By | 2018-03-19T12:59:24+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on THE DEVELOPMENT OF AN INNOVATIVE PATIENT JOURNEY TIMELINE TO IDENTIFY TRANSITION GAPS FOR A MULTI-HEALTH SYSTEM COLLABORATIVE QUALITY INITIATIVE: INTEGRATED MICHIGAN PATIENT-CENTERED ALLIANCE IN CARE TRANSITIONS (I-MPACT)

HM2017 Abstract Number: 285

EARLY DISCHARGE FROM AN ACADEMIC HOSPITALIST SERVICE – MULTIPLE SUSTAINED INTERVENTIONS ARE NECESSARY FOR SUCCESS

Background: Earlier discharge time is an important satisfaction metric for patients, maximizes the utilization of hospital beds, and reduces waste and capacity issues in EDs /PACUs. Overall, early discharge represents high-value care and responsible stewardship [...]

By | 2018-03-15T20:51:00+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on EARLY DISCHARGE FROM AN ACADEMIC HOSPITALIST SERVICE – MULTIPLE SUSTAINED INTERVENTIONS ARE NECESSARY FOR SUCCESS

HM2017 Abstract Number: 261

PHARMACY-DRIVEN CONTINUUM OF CARE PROGRAM: REDUCING RELATED READMISSIONS IN PATIENTS WITH HIGH-VOLUME HOME MEDICATIONS ON THE GENERAL MEDICINE SERVICE

Background: U.S. healthcare costs are rising due to the increase in polypharmacy, which is a potential risk factor for hospital readmission.1 In a cohort study of 5,507 patients with ≥10 discharge medications, more than 25% of [...]

By | 2017-04-26T02:36:27+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PHARMACY-DRIVEN CONTINUUM OF CARE PROGRAM: REDUCING RELATED READMISSIONS IN PATIENTS WITH HIGH-VOLUME HOME MEDICATIONS ON THE GENERAL MEDICINE SERVICE

HM2017 Abstract Number: 223

DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

Background: A “safe” hospitalist workload - that is, the point at which caring for too many patients leads to poorer outcomes for each individual patient – has not been defined.  We sought to understand whether [...]

By | 2017-04-26T02:46:42+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

HM2017 Abstract Number: 193

USING QUALITY IMPROVEMENT METHODOLOGY TO ANALYZE AND OPTIMIZE THE INPATIENT PEDIATRIC DISCHARGE PROCESS

Background: Inpatient hospital care cost $971.8 billion in 2014 and costs are projected to rise by 5.8% per year. Inpatient operational efficiency and waste reduction have become the focus of cost-reduction measures. A recent study [...]

By | 2017-04-26T02:57:57+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USING QUALITY IMPROVEMENT METHODOLOGY TO ANALYZE AND OPTIMIZE THE INPATIENT PEDIATRIC DISCHARGE PROCESS

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: 349

Are We on the Same Team? Interprofessional Perceptions of Discharge Delay Causes and Occurrence Frequency

Background: Unintentional discharge delays account for up to 20% of total patient hospital days. Previous studies identified bed availability, scheduling logistics for studies, and poor communication as causes of delay factors. Although discharge requires a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Are We on the Same Team? Interprofessional Perceptions of Discharge Delay Causes and Occurrence Frequency

HM2016 Abstract Number: 329

Ddemap – a Formal Discharge Time-Out Tool

Background: Hospital discharge describes the point at which inpatient hospital care ends, with ongoing care transferred to other providers. The coordination of such care typically involves multiple health care providers and social care contributors. The [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on Ddemap – a Formal Discharge Time-Out Tool

HM2016 Abstract Number: 328

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

HM2016 Abstract Number: 239

Piloting a Physician-Centered Discharge Checklist in the Electronic Medical Record

Background: Discharge checklists may reduce medical errors. Traditional paper checklists do not fit into the current workflow in centers that utilize electronic medical records (EMRs). In an era where team-based care is becoming widespread, defining [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Piloting a Physician-Centered Discharge Checklist in the Electronic Medical Record

HM2016 Abstract Number: 177

Pediatric Post Discharge Follow-Up Calls

Background: Post discharge (d/c) follow-up calls are utilized for many reasons: monitoring patient (pt) status, understanding of d/c instructions including medications and appointments, and satisfaction with hospital care. Adult data suggests such calls improve satisfaction [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Pediatric Post Discharge Follow-Up Calls

HM2016 Abstract Number: 85

‘discharge by Appointment’ Improves Patient Flow, by Increasing Number of Discharges Before Noon

Background:  Most patient discharges(DC) from hospitals occur in the afternoons, thus creating patient flow and potentially patient safety issues. This creates increased ER boarding hours and delays interunit patient transfers between ICU, stepdown and medical units. Sick patients may [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Other|Comments Off on ‘discharge by Appointment’ Improves Patient Flow, by Increasing Number of Discharges Before Noon

HM2016 Abstract Number:

Improving Pediatric Centered Care Transitions: Use of Teachback for Discharge Education Decreases Hospital Reulitization and Improves Parental Comfort and Understanding

Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) Multi-site Quality Improvement Collaborative aims to improve discharge transitions by testing a patient-centered transition bundle. Teach-back is a core component. This is a well-established method of confirming [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Improving Pediatric Centered Care Transitions: Use of Teachback for Discharge Education Decreases Hospital Reulitization and Improves Parental Comfort and Understanding