High Value Care

/Tag:High Value Care

AN INNOVATIVE COST ANALYSIS METHOD FOR ROUTINE LABORATORY TESTS

Background: As hospitals are increasingly reimbursed for value-based care, quality improvement projects addressing overutilization of routine “daily labs” have become commonplace. Although there are many published studies of daily labs reduction initiatives, there is little [...]

By | 2018-03-19T13:03:06+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on AN INNOVATIVE COST ANALYSIS METHOD FOR ROUTINE LABORATORY TESTS

APPLYING A USER-CENTERED DESIGN PROCESS TO CO-CREATE INPATIENT EXPERIENCE IMPROVEMENT STRATEGIES

Background: Practical and financial pressures have placed a renewed focus on improving the human experience of healthcare from both the patient and provider perspective. Despite this, aligning patients and interdisciplinary providers around meaningful experience improvement [...]

By | 2017-04-20T17:35:52+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on APPLYING A USER-CENTERED DESIGN PROCESS TO CO-CREATE INPATIENT EXPERIENCE IMPROVEMENT STRATEGIES

BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

Background : As part of the Choosing Wisely campaign, the Society of Hospital Medicine recommends against performing "repetitive complete blood count [CBC] and chemistry testing in the face of clinical and lab stability.” This recommendation [...]

By | 2017-04-20T17:34:38+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

Caring Wisely: A Program to Support Frontline Providers and Staff in Improving Healthcare and Reducing Costs

Background: High value care is a key priority in healthcare, but strategies are needed to empower frontline clinicians to work with organizational leadership to reduce healthcare costs and improve care.   Purpose: Caring Wisely (CW) [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Oral Presentations|Comments Off on Caring Wisely: A Program to Support Frontline Providers and Staff in Improving Healthcare and Reducing Costs

CHARACTERISTICS OF SYNCOPE ADMISSIONS AMONG HOSPITALS OF VARYING TEACHING INTENSITY

Background: Previous work suggests that hospitals’ teaching status is correlated with readmission rates, cost of care, and mortality. This research has focused on conditions closely tracked by the Centers for Medicare and Medicaid Services (CMS). [...]

By | 2018-03-19T12:59:35+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on CHARACTERISTICS OF SYNCOPE ADMISSIONS AMONG HOSPITALS OF VARYING TEACHING INTENSITY

CHEST PAIN AFTER PHYSICAL ASSAULT: AN UNEXPECTED BLESSING

Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart [...]

By | 2019-03-11T14:30:28+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on CHEST PAIN AFTER PHYSICAL ASSAULT: AN UNEXPECTED BLESSING

CO-CREATION OF SHM ADULT CHOOSING WISELY LIST: ENGAGING OUR PATIENTS AND PUBLIC FROM START TO FINISH

Background: The Choosing Wisely campaign aims to engage clinicians and public in addressing overuse in healthcare. Through adoption in 20 countries and 75 organizations, clinician engagement is largely successful. However, patient and public engagement remains [...]

By | 2018-03-19T13:17:44+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on CO-CREATION OF SHM ADULT CHOOSING WISELY LIST: ENGAGING OUR PATIENTS AND PUBLIC FROM START TO FINISH

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

DAILY DRAWS: ARE THEY IN OUR VEINS? EDUCATION AND RESIDENT COMMUNICATION TO IMPROVE LAB ORDERING PRACTICES

Background: The Society of Hospital Medicine identified questioning the necessity of repeat labs in stable patients as a Choosing Wisely goal to improve overall value of care. Implications of unnecessary blood draws include over-testing, pain, [...]

By | 2019-03-11T14:24:45+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DAILY DRAWS: ARE THEY IN OUR VEINS? EDUCATION AND RESIDENT COMMUNICATION TO IMPROVE LAB ORDERING PRACTICES

DESCRIBING VARIABILITY OF INPATIENT CONSULTATION PRACTICES ON GENERAL MEDICINE SERVICES: PATIENT, ADMISSION, AND PHYSICIAN-LEVEL FACTORS

Background: Appropriate use of consultation can improve mortality and decrease cost of care. However, inappropriate consultation may carry risks to patients. Little is known about the variability of inpatient consultation. We aim to describe patient-, [...]

By | 2018-03-19T13:03:19+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on DESCRIBING VARIABILITY OF INPATIENT CONSULTATION PRACTICES ON GENERAL MEDICINE SERVICES: PATIENT, ADMISSION, AND PHYSICIAN-LEVEL FACTORS

DESIGN AND IMPLEMENTATION OF A HOUSESTAFF COUNCIL ON VALUE AND INNOVATION

Background: Delivering HVC is a core component of hospitalist practice, and equipping residents with skills and experience to lead HVC initiatives is a priority for training institutions and for society. We describe the design, founding [...]

By | 2019-03-11T14:26:25+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on DESIGN AND IMPLEMENTATION OF A HOUSESTAFF COUNCIL ON VALUE AND INNOVATION

DISMANTLING A BARRIER TO MINDFUL LAB ORDERING: THE ATTENDING PHYSICIAN

Background: Unnecessary laboratory orders are a well-known contributor to healthcare cost. Our residents identified “fear of attending” as a barrier to more mindful lab ordering. This project focused on educating attending physicians on high-value care [...]

By | 2019-03-11T14:24:11+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on DISMANTLING A BARRIER TO MINDFUL LAB ORDERING: THE ATTENDING PHYSICIAN

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

DON’T BLEED: A HIGH VALUE CARE INITIATIVE TO DECREASE DIAGNOSTIC PHLEBOTOMY

Background: High value healthcare has been increasingly emphasized during residency training. The Choosing Wisely campaign, an initiative of the American Board of Internal Medicine foundation and the Society of Hospital Medicine recommend against performing repetitive [...]

By | 2018-03-19T12:53:30+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on DON’T BLEED: A HIGH VALUE CARE INITIATIVE TO DECREASE DIAGNOSTIC PHLEBOTOMY

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