Innovations Abstracts

/Tag:Innovations Abstracts

HM2015 Abstract Number:

“Stop Compressions; Hold Injections:” Calling the Code on Overzealous Vte Prophylaxis

Background: On a daily basis, hospitalists prescribe Venous Thromboembolism (VTE) prophylaxis. While of benefit to certain populations, VTE prophylaxis has not been proven to benefit medical patients at low risk for VTE. Pharmacologic prophylaxis may [...]

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HM2015 Abstract Number:

Rapid Warfarin Reversal: Step Dose Protocol for 4 Factor Pcc

Background: Despite the wide use of warfarin therapy this drug is associated with the largest number of serious adverse event reports by the FDA with 86% of warfarin-associated bleeds resulting in serious outcomes, and 10% [...]

By | 2015-04-15T15:07:09-04:00 February 28th, 2015|Uncategorized|Comments Off on Rapid Warfarin Reversal: Step Dose Protocol for 4 Factor Pcc

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Novice with a Needle: A Six-Year Experience with an Intern-Based, Hospitalist-Supervised Medical Procedures Service

Background: Academic medical procedure services (MPS) arise from the continued need for procedural training in the setting of decreasing procedural opportunities, increasing safety awareness, and increasing demands on inpatient resident time. Prior research has shown [...]

By | 2015-04-15T15:08:42-04:00 February 28th, 2015|Uncategorized|Comments Off on Novice with a Needle: A Six-Year Experience with an Intern-Based, Hospitalist-Supervised Medical Procedures Service

HM2015 Abstract Number:

5Th Time’s a Charm: Creation of Unit-Based Care Teams in a High Occupancy Hospital

Background: Unit-based care teams offer inherent benefits to hospitalist services, including opportunity for improved efficiency, interdisciplinary collaboration, and enhanced patient experience. However, many barriers exist to creation of these care teams such as high occupancy [...]

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HM2015 Abstract Number:

Implementation of a Clinical Pathway for Pediatric Asthma Exacerbations Reduces Hospital Length of Stay

Background: In an effort to improve pediatric inpatient asthma care, the Joint Commission developed standards for hospital management in 2003. Despite this initiative, inpatient management of asthma exacerbations and adherence to these guidelines varies by [...]

By | 2015-04-15T15:12:39-04:00 February 28th, 2015|Uncategorized|Comments Off on Implementation of a Clinical Pathway for Pediatric Asthma Exacerbations Reduces Hospital Length of Stay

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Development and Implementation of a Six Month Physician Assistant Hospitalist Internship Program

Background:  Per the 2014 State of Hospital Medicine Survey, 94% of adult hospital medicine groups (HMGs) reported financial shortfalls, with a mean of $169,886 in financial support per full time equivalent physician. In addition, many [...]

By | 2015-04-15T15:17:16-04:00 February 28th, 2015|Uncategorized|Comments Off on Development and Implementation of a Six Month Physician Assistant Hospitalist Internship Program

HM2015 Abstract Number:

Increasing Billing Accuracy of Initial Inpatient Visits in a Multispecialty Academic Hospital Group Using Pdsa Methodology

Background: The financial success of a hospital medicine practice is dependent on accurate billing and documentation practices. Academic hospitalists face the additional challenge of educating resident physicians on appropriate documentation. As most patients admitted to [...]

By | 2015-04-15T15:27:09-04:00 February 28th, 2015|Uncategorized|Comments Off on Increasing Billing Accuracy of Initial Inpatient Visits in a Multispecialty Academic Hospital Group Using Pdsa Methodology

HM2015 Abstract Number:

Cutting Our ‘Los’ses: Hospitalist & Emergency Medicine Multidisciplinary Partnership to Improve Ed Throughput

Background: Emergency department (ED) crowding is a widespread national issue which has been shown to negatively impact patient experience and the quality and safety of care delivery.  A community hospital within our academic health system [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Cutting Our ‘Los’ses: Hospitalist & Emergency Medicine Multidisciplinary Partnership to Improve Ed Throughput

HM2015 Abstract Number:

Characteristics of Inpatient Glycemic Control Among Top Performing Hospitals

Background:  Successful inpatient glycemic control programs achieve both improved glycemic control and low rates of hypoglycemia.  Using results from the analysis of performance in glycemic control and hypoglycemia, we identified top performers and those demonstrating [...]

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HM2015 Abstract Number:

A Valuable Lesson: Implementing the Value Improves Quality (Viq) Curriculum for Internal Medicine Housestaff

Background: Both the ACP through its High Value, Cost-Conscious Care Initiative, and the ABIM through its Choosing Wisely campaign, have called on clinicians to engage in efforts to improve the value of the care we [...]

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HM2015 Abstract Number:

Creation of a Mobile Patient Dashboard: Leveraging Technology to Improve Care

Background: Caring for patients involves multitudes of moving parts – from teams of physicians, nurses and radiologists to tests, medications and an array of electronic health record (EHR) systems. However, as medical care has evolved, [...]

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HM2015 Abstract Number:

Linking Physician Schedules to the Electronic Health Record to Provide Real-Time, Individualized Data Feedback

Background: To maximize its effectiveness, performance feedback must be personalized, accurate, timely, and visually appealing. In the clinical environment, effective feedback must therefore extract accurate data from an electronic health-record system, link patient care activity [...]

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HM2015 Abstract Number:

Setting New Standards: A Novel Approach to Large Volume Paracentesis

Background: A recent nationwide recall for large glass evacuated containers has led to new innovations performing large volume paracentesis (LVP). Compared to the individually manufactured evacuated containers traditionally used in the past, wall suction systems [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Setting New Standards: A Novel Approach to Large Volume Paracentesis

HM2015 Abstract Number: 1

Pilot Study of Nurse:doctor:patient “Trio” Bedside Rounding and Impact on Patient Experience Scores

Background: Structured interdisciplinary rounds improve communication between healthcare team members, improve patient safety, decrease costs and improve length of stay.  The impact of interdisciplinary rounds on patient satisfaction is less clear.  Our patient experience scores [...]

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HM2015 Abstract Number: 2

Interdisciplinary Communication Facilitates Early Discharges on an Academic General Medicine Service

Background: The general medicine service at the Hospital of the University of Pennsylvania has recently undergone a significant restructuring with the addition of new teams and redesign of rounding workflow.  Bedside interdisciplinary rounds now include [...]

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HM2015 Abstract Number: 3

A Multimodal Program to Train Internal Medicine Interns Code Status Discussion Skills

Background: Code status discussions can be an almost daily occurrence for residents in the hospital. Published literature supports the fact that residents are lacking in knowledge and confidence in having these crucial discussions. Medical students [...]

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HM2015 Abstract Number: 4

Creating a Culture of Patient-Centered Care Team Communication at a Large Academic Medical Center

Background:   A precursor to improving patient-centered communication is accurate and reliable identification of all the members of the care team. Providers must quickly identify other providers caring for specific patients, and increasingly patients and [...]

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HM2015 Abstract Number: 5

Building a Patient Centered Hospitalist Culture

Background: The impact of hospitalists on the patient experience has gained attention with the advent of the HCAHPS survey. Hospitalists face multiple challenges in establishing quick rapport with new, acutely ill patients, possibly amplified in [...]

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HM2015 Abstract Number: 11

Asking the Right Question: Cross-Discipline Appreciative Inquiry to Priortize Patient-Provider Communication Improvement Strategies

Background: Effective communication between providers and patients in the hospital is essential for high-quality care. Communication quality metrics, including HCAHPS scores, are increasingly tied to hospital reimbursement, and public reporting of these metrics has raised [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Asking the Right Question: Cross-Discipline Appreciative Inquiry to Priortize Patient-Provider Communication Improvement Strategies

HM2015 Abstract Number: 12

No Body Told Me Anything: Reflections on the Incorporation of Ask Me 3 Into Inpatient Rounds

Background: According to the 2003 National Assessment of Adult Literacy 88% of adults do not have the health literacy skills needed to adequately manage their own health care.  Low health literacy is associated with poorer [...]

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HM2015 Abstract Number: 14

The Patient Passport: Enabling Patients to Organize Their Health Information and Prepare for Discharge

Background: Health care teams provide patients and families with large amounts of written information during their hospitalization. This includes discharge information that is often provided immediately prior to discharge leaving patients and families with insufficient [...]

By | 2015-04-07T11:32:46-04:00 February 27th, 2015|Uncategorized|Comments Off on The Patient Passport: Enabling Patients to Organize Their Health Information and Prepare for Discharge

HM2015 Abstract Number: 16

Implementation of a “Four C’s” Real-Time Feedback Tool to Assess Patient Satisfaction and Provider Communication

Background: Under Medicare Value Based Purchasing incentives, patient satisfaction scores comprise about one-third of a hospital’s total performance score. Standard patient satisfaction assessment instruments, such as the Hospital Consumer Assessment of Healthcare Providers and Systems [...]

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HM2015 Abstract Number: 18

Improving Communication of the Patient Daily Care Plan

Background: High-quality communication between physicians and patients is necessary to provide effective care. Hospital settings present unique challenges to the patient-physician relationship, including numerous dynamic care teams and fast pace of clinical care. A substantial [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Communication of the Patient Daily Care Plan

HM2015 Abstract Number: 22

Improving Trauma Patient Care Through Trauma Surgery and Hospitalist Co-Management

Background: Due to their higher incidence of pre-existing medical conditions, a growing number of older trauma patients require increased involvement of medical providers.  Trauma patients most often are admitted by a trauma surgeon or surgical [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Trauma Patient Care Through Trauma Surgery and Hospitalist Co-Management

HM2015 Abstract Number: 23

Perioperative Systems of Care Curriculum for Hospitalist Residents

Background:  The Society of Hospital Medicine considers perioperative medicine a core competency in hospital medicine.  It also challenges hospitalists to lead, coordinate, and participate in multidisciplinary efforts to improve perioperative care within their organizations.  Hospitalist [...]

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HM2015 Abstract Number: 29

Development and Pilot Implementation of Interprofessional Training, Education, and Awareness for Medical Students- Iteams

Background: The Liaison Committee on Medical Education (LCME) developed a recent accreditation standard requiring medical schools “must prepare medical students to function collaboratively on health care teams that include health professionals from other disciplines as [...]

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HM2015 Abstract Number: 30

How “Informed” Are Graduating Students in Obtaining Consent?

Background: Hospitalized patients are consented for procedures on a daily basis, and obtaining informed consent is a core competency in professionalism and medical ethics for hospitalists.  This provides an opportunity for academic hospitalists to evaluate [...]

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HM2015 Abstract Number: 31

Providing Feedback on Clinical Performance to Hospitalists: Experience Using a New Metric, Tool to Assess Inpatient Satisfaction with Care from Hospitalists (Taisch)

Background: While studies have shown that physicians are limited in their ability to accurately self-assess, many continue to believe that they have reasonably good insight into their own capacity and performance. Because of this incongruence, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Providing Feedback on Clinical Performance to Hospitalists: Experience Using a New Metric, Tool to Assess Inpatient Satisfaction with Care from Hospitalists (Taisch)

HM2015 Abstract Number: 32

Development and Pilot of a Discharge Curriculum for First-Year Residents

Background: Safe and effective coordination of care within and across health care delivery systems is a national patient safety priority and an important competency for Internal Medicine residents. Residents are expected to work in teams [...]

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HM2015 Abstract Number: 33

Merging Geriatric and Hospital Medicine: The Geriatric Hospitalist Team (Ght)

Background: Medicare patients account for over 50% of hospital days and over 30% of all hospital discharges in the United States. The number of healthcare providers with specialized geriatric training dedicated to the care of [...]

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HM2015 Abstract Number: 40

Creating a Palliative Sedation Therapy Guideline at a Community Hospital

Background: A 42 year old male with know stage IV rhabdomyosarcoma of the neck presented to the ED from subacute rehab with severe dyspnea.  He had already undergone chemotherapy and radiation therapy, and had planned [...]

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HM2015 Abstract Number: 46

The Influence of a Medical Legal Partnership on the Healthcare of a Cohort of San Francisco Community Clinic Patients

Background: Social and environmental factors negatively affect the healthcare of low-income, vulnerable populations. Such determinants of health are often manifested as unmet basic needs that may be remedied through legal mediation, most commonly regarding housing, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Influence of a Medical Legal Partnership on the Healthcare of a Cohort of San Francisco Community Clinic Patients

HM2015 Abstract Number: 50

Lean A3 Intervention – a Handy Tool for Physician Leaders

Background: Pain management is an important part of patient satisfaction. We set out to apply the A3 approach in our hospital to improve our patient’s perception of pain control. The A3 LEAN method, derived from [...]

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HM2015 Abstract Number: 59

Resident Initiated Team-Based Approach to Patient Safety

Background: Recognizing that residents are at the forefront of patient care, New York- Presbyterian Hospital/Weil Cornell Medical Center developed the Housestaff Quality Council in 2008 to facilitate resident involvement in hospital wide patient care and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Resident Initiated Team-Based Approach to Patient Safety

HM2015 Abstract Number: 60

Putting Humpty Together Again: Mitigating Harm from Inpatient Falls

Background: Falls among hospitalized patients are common, difficult to prevent, and potentially harmful. Each year between 700,000 and 1 million falls occur among patients at US hospitals. In the past three years, our large urban [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Putting Humpty Together Again: Mitigating Harm from Inpatient Falls

HM2015 Abstract Number: 61

Compassionate Extubation in a Non-Intensive Care Unit Setting

Background: Compassionate extubation is the withdrawal of mechanical ventilation at end of life (EOL) ensuring a comfortable and peaceful experience for the patient and family.  EOL care encompasses instances when a decision is made to [...]

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HM2015 Abstract Number: 65

Improving Patient Experience of Peri-Operative Care Through Standardized Communication

Background: Rapid, frequent handoffs between multiple parties within the peri-operative unit pose communication challenges for patients and their healthcare providers. Miscommunication creates a suboptimal patient experience and can compromise patient safety and quality of care. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Patient Experience of Peri-Operative Care Through Standardized Communication

HM2015 Abstract Number: 67

Building a Culture of Quality: Performance Improvement As a Critical Component in Our Medical Education Mission

Background: Increasing emphasis has been placed on teaching medical residents the importance of cost conscious management while maintaining the focus on patient centered care. Classroom lectures on performance improvement methods are often dry and rarely [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Building a Culture of Quality: Performance Improvement As a Critical Component in Our Medical Education Mission

HM2015 Abstract Number: 68

Use of Lean to Re-Engineer the Discharge Process at a Tertiary Care Pediatrics Hospital

Background: Despite the efforts of many projects and the creation of internal benchmarks, data suggest that delays in patient discharges continue to negatively affect patient throughput in many hospitals. Lean six sigma has been shown to improve [...]

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HM2015 Abstract Number: 69

Move for 20: Making Strides Towards Better Outcomes

Background: Many patients admitted to hospitals develop hospitalization-associated disability, or the loss of the independence in performing one or more activities of daily living during a hospitalization and it is well-known that restricted mobility during [...]

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HM2015 Abstract Number: 72

Standardizing the Discharge to Skilled Nursing Facility Process on an Elder Care Inpatient Unit in a Tertiary Care Academic Medical Center

Background: The current discharge process to skilled nursing facilities (SNF) from our hospital lacks standardization which results in longer length of stay (LOS), wasting  hospital resources, exposing patients to possible iatrogenic complications, and delaying the [...]

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HM2015 Abstract Number: 73

Scripting Multi-Disciplinary Rounds Enhances Efficient and Productive Coordination of Care for Stroke Patients

Background: Well-designed multidisciplinary rounds (MDRs) focused on stroke patients can reduce mortality by over 30%. Accordingly, the Joint Commission encourages hospitals seeking certification as stroke Centers of Excellence to implement disease-specific MDRs, in which a [...]

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HM2015 Abstract Number: 79

A Patient Centered Inpatient Service: Transformation on the Generalist Firm

Background: Patient experience, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS), is one measure used to calculate hospital payments. HCHAPS is also endorsed by the National Quality Forum and the [...]

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HM2015 Abstract Number: 81

Direct Patient Participation in Discharge Follow-Up Appointment Scheduling

Background: Post-hospitalization follow-up is an important phase of care transitions.  However, it continues to be a challenge for patients to keep office visit appointments made at the time of discharge, particularly if the visit is [...]

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HM2015 Abstract Number: 82

A Hospitalist Led Quality Improvement Initiative to Improve Sepsis Care

Background: Nationwide, sepsis causes more deaths than AIDS, prostate and breast cancer combined.  In 2009, the sepsis mortality rate at our health system was 31%.  An initiative to improve sepsis care here based on the [...]

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HM2015 Abstract Number: 84

Anonymity: An Impediment to Performance in Healthcare

Background: Many hospitals employ a care team structure composed of a broad range of healthcare providers with different skill sets.  These different roles lead to greater complexity and confusion for both patients and nursing staff. [...]

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HM2015 Abstract Number: 85

A Novel It Solution Utilizing User-Centric Scheduling to Decrease Anonymity Between Hospital-Based Care Providers

Background: Many hospitals employ complex care team structures, composed of a broad range of healthcare providers, with variable levels of interaction between patients and bedside nurses. As a result, patients have great difficulty identifying care [...]

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HM2015 Abstract Number: 86

Nurse Driven Urinary Catheter Removal- Awareness and Attitudes Survey

Background: Catheter associated urinary tract infections (CAUTI) are a major cause of morbidity and mortality in a hospital.  A multifaceted intervention consisting of an informatics-led nurse driven catheter removal protocol in conjunction with a hospital-wide [...]

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HM2015 Abstract Number: 87

Nurse Driven Urinary Catheter Removal Protocol for Cauti Prevention

Background: Catheter associated urinary tract infection (CAUTI) is the most common inpatient healthcare associated infection. Previous evidence has shown that prolonged periods of unnecessary urinary catheterization leads to an increased rate of CAUTIs.  A cause [...]

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HM2015 Abstract Number: 88

A Streamlined Strategy for Incorporating Patient Experience Data Into Quality Improvement Efforts

Background: Healthcare systems often rely on superficial quantitative surveys, such as HCAHPS, to understand patient experience and satisfaction. As a result, improvement teams often lack guidance for how to meaningfully incorporate patient-centered perspectives when prioritizing [...]

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HM2015 Abstract Number: 90

Preliminary Results of the Angina and Stress Selection Improvements Initiative (Assisi) Study

Background: Chest pain is the chief complaint of approximately 10% of all Emergency Department (ED) admissions.  Optimal care is difficult to achieve in the ED environment and often requires involvement of Hospitalists physicians to aid [...]

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HM2015 Abstract Number: 92

Rapid Scale-Up of Bedside Interdisciplinary Plan of Care (Ipoc) Rounds in a Large Tertiary Care, Academic Institution

Background: Structured, interdisciplinary plan of care (IPOC) rounds appear to augment coordination of care and communication among health care workers and may offer additional benefits to patients, their families, and providers in the inpatient setting. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Rapid Scale-Up of Bedside Interdisciplinary Plan of Care (Ipoc) Rounds in a Large Tertiary Care, Academic Institution

HM2015 Abstract Number: 93

Enhancing Patient Engagement in Stroke Care: Developing Patient Centered Tools

Background: Practice guidelines mandate many best-practice activities during stroke hospitalization, but patient engagement may be viewed as secondary to such tasks. Designing patient-centered engagement and educational materials may help patients take an active role in [...]

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HM2015 Abstract Number: 100

Implementation of a Comfort Care Order Set: Improving the End-of-Life Care Experience by Promoting Appropriate Interventions, Evidence-Based Symptom Management, and Order Reconciliation

Background: According to the CDC, “A public health focus on death with dignity and with one's wishes honored is the logical extension of public health's efforts to promote well-lived, healthful lives.”  Despite a national dialogue [...]

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HM2015 Abstract Number: 101

A Novel Interdisciplinary, Patient-Centered, One-Piece Work Flow Inpatient Care Model

Background: Inpatient clinical care is often poorly coordinated. Providers operate independent of one another, resulting in redundancy, inefficient communication and interruptions in work flow. Disjointed care teams can lead to patient frustration with provider communication. [...]

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HM2015 Abstract Number: 102

Creating an Inter-Professional Course on Patient Safety, Quality Improvement and Efficiency: A Multi-Disciplinary Approach to Improving Patient Care

Background: Hospitalists have become national leaders in quality and safety, and the Division of Hospital Medicine has spearheaded many safety and quality improvement initiatives in our institution.  However, for faculty directly involved in patient care, [...]

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HM2015 Abstract Number: 104

Siesta (Sleep for Inpatients: Empowering Staff to Act): A Pilot Study

Background: Although sleep is critical to recovery from acute illness, hospitalization is far from restful. Our prior work has demonstrated that hospitalization is a period of acute sleep loss for patients, nighttime noise levels and [...]

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HM2015 Abstract Number: 107

Attempt to Decrease Readmission in Patients with Pneumonia by Increasing Post Discharge Follow Up

Background: Thirty day readmission rate is a benchmark that is increasingly being used as a quality metric for hospitals.  With the recent Hospital Readmission Reduction Program (HRRP), diagnoses such as pneumonia, congestive heart failure (CHF), [...]

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HM2015 Abstract Number: 108

Improvising Chest Pain Admission

Improvising process of chest pain admission Background Chest pain accounts for approximately six million annual visits to emergency departments (ED) in the United States, making chest pain the second most common complaint.  Typically, chest pain [...]

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HM2015 Abstract Number: 110

A Cost-Effective, Peer-Driven Approach to Reducing Unnecessary Utilization of Peripherally-Inserted Central Venous Catheters and Central Line-Associated Blood Stream Infections

Background: Central line-associated bloodstream infections (CLABSIs) are an undisputed issue in hospital medicine.  CLABSIs increase cost, morbidity and mortality, and hospital length of stay, thereby increasing risk of additional hospital-associated complications.  There are two primary [...]

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HM2015 Abstract Number: 111

Turning Back the Clock on Discharges

Background: Streamlined, efficient processes for patient discharge are important for overall patient flow through a hospital system. Optimal patient flow reduces staffing needs and limits emergency department boarding as well as ‘hallway bed’ utilization, which [...]

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HM2015 Abstract Number: 113

Apnp Hospitalist Program in Rural, Critical Access Hospitals: The Ministry Healthcare Experience

Background: Ministry Health Care is an integrated health system with hospitals and clinics located throughout Wisconsin. Ministry Eagle River Memorial Hospital (MERMH) is a 25 bed critical access hospital (CAH) in Eagle River, WI that [...]

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HM2015 Abstract Number: 114

Engaging Patients and Caregivers Via Acute Care Patient Portals: Early Experience from the Bwh Prospect Study

Background: Patients and family caregivers are not often engaged in developing their plan of care during hospitalization. As part of the BWH PROSPECT† initiative, we developed and implemented a suite of patient-facing tools available to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Engaging Patients and Caregivers Via Acute Care Patient Portals: Early Experience from the Bwh Prospect Study

HM2015 Abstract Number: 121

Transitioning Medically Complex Youth from Pediatric to Adult Inpatient Care: Easing the Way for Patients and Hospitalists

Background: Children with medical complexity experience repeated hospitalizations into young adulthood. At the University of Wisconsin, approximately 3 patients per week between ages 18-21 years are hospitalized at the children’s hospital, with over half of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Transitioning Medically Complex Youth from Pediatric to Adult Inpatient Care: Easing the Way for Patients and Hospitalists

HM2015 Abstract Number: 122

Patient-Centered High-Risk Medication Education in Hospital Discharge (Vmed) Program

Background: Patients report numerous barriers and obstacles to adhering to medication regimens and instructions post-discharge.  Hospitals, in particular, have explored several interventions to help improve patient awareness and understanding of proper medication administration.  Results of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Patient-Centered High-Risk Medication Education in Hospital Discharge (Vmed) Program

HM2015 Abstract Number: 127

Scheduled Discharge Times

Background: Discharges from an acute care hospital are notoriously disorganized, poorly planned and a source of frustration and dissatisfaction for patients and families.  Patients are often left uninformed about their likely discharge date.  They frequently [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Scheduled Discharge Times

HM2015 Abstract Number: 128

Hospitalist Diabetes Discharge: Using the Teach-Back Method to Transition High Risk Patients from Hospital to Home

Background: The prevalence of diabetes in rapidly increasing in the US and is reflected in the inpatient population. At our institution the diabetes/hyperglycemia rates in medical-surgical units can range from 30-45%.  The diabetes population is [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Hospitalist Diabetes Discharge: Using the Teach-Back Method to Transition High Risk Patients from Hospital to Home

HM2015 Abstract Number: 129

Improving Transitions Across the Continuum of Care

Background: With the introduction of the ACA, the Hospital Readmissions Reduction Program has resulted in a reduction in CMS reimbursements for patients with 30-day readmissions. Our institution identified above-average readmission rates within its population of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Transitions Across the Continuum of Care

HM2015 Abstract Number: 130

Automating Readmission Prevention Workflow Improves Efficiency and Reduces Readmissions

Background: Progressive health systems have begun to transform, innovate, and balance the cost-effective delivery of quality patient care. Buoyed by rising healthcare costs and initiatives published by institutes, such as the Joint Commission and Centers [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Automating Readmission Prevention Workflow Improves Efficiency and Reduces Readmissions

HM2015 Abstract Number: 132

Improving Outcomes for Homeless Patients Through Multidisciplinary Discharge Visits

Background: Homeless persons have higher rates of emergency department visits and acute care hospitalizations than housed populations. Studies show that homeless persons have increased lengths of stay with an average excess of 4.1 days, accounting [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Outcomes for Homeless Patients Through Multidisciplinary Discharge Visits

HM2015 Abstract Number: 133

Evaluating the Effectiveness of a Simple Survey in Reducing Readmissions in the Boost Population

Background: Unplanned hospital readmissions have significant detrimental effects on Medicare beneficiaries’ health, their families, and hospital patient flow since these readmissions consume emergency department resources and inpatient beds.  Project BOOST (Better Outcomes by and by [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Evaluating the Effectiveness of a Simple Survey in Reducing Readmissions in the Boost Population

HM2015 Abstract Number: 143

Creating a Hybrid Medicine and Psychiatric Unit to Manage Medically Ill Patients with Behavioral Health Disorders

Background: Hospitalized patients often have co-morbid mental health disorders. Mental health disorders can contribute to the complexity of care and create disposition challenges. In addition, active behavioral issues may require enhanced supervision and disrupt a [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Creating a Hybrid Medicine and Psychiatric Unit to Manage Medically Ill Patients with Behavioral Health Disorders

HM2015 Abstract Number: 144

Improving Patient Satisfaction Through Interdisciplinary Staff Education Focused on Behavioral Change

Background: The hospital experience can be a very frightening, stressful, and confusing one for many patients and families. Engaging patients more actively in their own care plan is becoming an important initiative and emphasis in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Patient Satisfaction Through Interdisciplinary Staff Education Focused on Behavioral Change

HM2015 Abstract Number: 145

Creation of a Hospitalist-Run Paracentesis Clinic

Background: Prior to September 2011, patients needing a therapeutic paracentesis at our hospital typically presented to the Emergency Department and received the procedure after admission to an inpatient unit. This led to significant delays in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Creation of a Hospitalist-Run Paracentesis Clinic

HM2015 Abstract Number: 147

Think Twice, Stick Once: An Internal Medicine Housestaff Incentive Project to Reduce Phlebotomy

Background: Excessive inpatient laboratory testing leads to unnecessary health care costs and exposes patients to uncomfortable blood draws, false-positive results, unwarranted interventions, and hospital-acquired anemia – harms that could otherwise be avoided. Purpose: Our objective [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Think Twice, Stick Once: An Internal Medicine Housestaff Incentive Project to Reduce Phlebotomy

HM2015 Abstract Number: 151

Improving Communication Between Interventional Radiology and Internal Medicine Utilizing Standardized Communication Tools

Background: Effective communication remains an important facet of high quality patient care. According to the Joint Commission, medical errors rank among the top ten causes of death in the United States, and communication failures are [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Communication Between Interventional Radiology and Internal Medicine Utilizing Standardized Communication Tools

HM2015 Abstract Number: 158

Improving Performance of Resident Lead Rapid Response Teams: Results of a Performance Improvement Project

Background: The Joint Commission requires all hospitals to develop systems to recognize and respond to deterioration in any patient’s condition. The Rapid Response Team (RRT) concept has been widely adopted as the solution to this [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Performance of Resident Lead Rapid Response Teams: Results of a Performance Improvement Project

HM2015 Abstract Number: 159

Incorporating High Value Care Into Morning Reports for Internal Medicine Residents

Background: High value care (HVC) was recently incorporated into training milestones reportable to Accreditation Council for Graduate Medical Education (ACGME) as a part of Next Accreditation System. However, there is minimal framework for teaching the [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Incorporating High Value Care Into Morning Reports for Internal Medicine Residents

HM2015 Abstract Number: 161

A Simple Simulation Exercise to Develop Clinical Reasoning Skills of Medical Students Rotating on Inpatient Wards

Background: Caring for hospitalized patients provides a unique learning opportunity for medical students because it requires efficient clinical reasoning and management of diagnostic uncertainty.   Purpose: Here we describe a novel simulation exercise designed to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Simple Simulation Exercise to Develop Clinical Reasoning Skills of Medical Students Rotating on Inpatient Wards

HM2015 Abstract Number: 162

Development of a Team-Based Dashboard: Delivering Performance Feedback to Residents Around Safe Discharges

Background: Receiving actionable and specific data can drive performance improvement for both hospitalists and residents. Although service level data regarding performance is often available to hospitalists, team-based feedback may be more effective at motivating behavior [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Development of a Team-Based Dashboard: Delivering Performance Feedback to Residents Around Safe Discharges

HM2015 Abstract Number: 163

Crossing the Streams: Medical Students Reindroduce Basic Science to Residents in Morning Report

Background: Medical school curriculum design teams are looking for methods that are contextual, experiential, motivational and vertically integrate  basic science with clinical medicine.    Purpose: Our objective is to assess the feasibility and perceived usefulness of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Crossing the Streams: Medical Students Reindroduce Basic Science to Residents in Morning Report

HM2015 Abstract Number: 164

An Interactive Learning Module for Inpatient Education

Background: The fast-paced inpatient environment often results in learners who depend solely on patient encounters to further their education.  As patient volume and diagnoses can be highly variable, learners may not have the breadth of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on An Interactive Learning Module for Inpatient Education

HM2015 Abstract Number: 165

The Hospitalist Scholars Program: A Win for When-Hours Coverage and a Win for Academic Pursuits

Background: Ensuring consistent coverage with well-trained hospitalists during W.H.E.N. (weekends, holidays, evenings and nights) hours is an ongoing challenge.  Purpose: Our goal was to create a hospitalist staffing model that would provide consistent coverage with [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Hospitalist Scholars Program: A Win for When-Hours Coverage and a Win for Academic Pursuits

HM2015 Abstract Number: 166

Hazardous to Your Health: A Novel Approach to Facilitating Resident Error Reporting

Background: Medical errors are frequently encountered by trainees but there is currently no standard curriculum for educating residents about medical errors. Morning report is a case-based peer-facilitated conference in which residents learn concepts in general [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Hazardous to Your Health: A Novel Approach to Facilitating Resident Error Reporting

HM2015 Abstract Number: 168

Linking Medical Education and Hospital Operations Through Trainee Conducted Root Cause Analysis of 30-Day Readmissons

Background: Transitions out of the hospital and into the next setting of care are a vulnerable time for patients and caregivers.  Targeted process improvement efforts to facilitate safe, efficient and effective transitions can reduce the [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Linking Medical Education and Hospital Operations Through Trainee Conducted Root Cause Analysis of 30-Day Readmissons

HM2015 Abstract Number: 169

Using Simulation to Improve Trainees’ Patient Safety Skills

Background: Simulation is frequently used to assess clinical skills of trainees. However its use in promoting basic patient safety skills in the hospital setting is less well established. To address the gap in trainees’ patient [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Using Simulation to Improve Trainees’ Patient Safety Skills

HM2015 Abstract Number: 170

Bedside Procedure Simulation Training: Two Years of Increasing the Confidence of Acting Interns

Background: As students advance in their undergraduate medical education, there are limited opportunities to gain experience and confidence with bedside procedures. Certain specialties, such as Emergency Medicine, already promote high-fidelity simulators as a method of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Bedside Procedure Simulation Training: Two Years of Increasing the Confidence of Acting Interns

HM2015 Abstract Number: 171

Preparing for Takeoff – Design and Implementation of a Transition-to-Practice Hospitalist Rotation

Background: Making the transition from resident to physician can leave even the most confident trainees asking if they are ready. The daily experiences of a hospitalist are not easily replicated through traditional rotations where duty-hours [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Preparing for Takeoff – Design and Implementation of a Transition-to-Practice Hospitalist Rotation

HM2015 Abstract Number: 173

Leadership – the 7Th Competency

Background:   Rigorous residency training trains residents to become competent physicians anddeliver great care to their patients.  We train residents in many aspects of the healthcare system and place significant focus on the core competencies: [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Leadership – the 7Th Competency

HM2015 Abstract Number: 174

Taking Off the Training Wheels: Developing a Hospital Medicine Elective for Residents

Background: Nationwide, internal medicine residents are increasingly interested in careers in hospital medicine. Trainees have extensive inpatient experience during residency, but their roles and experiences as residents do not necessarily correlate with the roles of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Taking Off the Training Wheels: Developing a Hospital Medicine Elective for Residents

HM2015 Abstract Number: 175

Cv for the Resident Cv. Improving Pediatric Resident Scholarship Via a Curriculum for Writing Clinical Vignettes

Background: Previous studies demonstrate that resident scholarly productivity can be improved by implementation of a formal research curriculum. 1,2 Resident physician participation in an annual institution-sponsored resident research day has been shown to correlate with [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Cv for the Resident Cv. Improving Pediatric Resident Scholarship Via a Curriculum for Writing Clinical Vignettes

HM2015 Abstract Number: 177

The Launchpad: A Professional Development Program for Academic Hospitalist Faculty and Staff

Background: Academic hospital medicine has grown rapidly in recent years. Unique challenges facing academic hospitalists (AHs) for promotion via traditional pathways include lack of senior mentorship, inability to develop sustainable non-clinical activities, and pressures to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Launchpad: A Professional Development Program for Academic Hospitalist Faculty and Staff

HM2015 Abstract Number: 184

Unit Medical Director As Career Development for Young Hospitalist

Background: Hospital Medicine as such is still a young specialty and attrition rate remains high compared to medical subspecialty and primary care. We hypothesized that getting early career hospitalists trained with leadership skills and providing [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Unit Medical Director As Career Development for Young Hospitalist

HM2015 Abstract Number: 186

Reliable Model for Managing Census Variability

Background: Unpredictable patient census is a common problem amongst hospitalist groups, especially in large academic and community hospitals. Traditionally, hospitalist groups do not have a formalized staffing mechanism to deal with census variability, which can [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Reliable Model for Managing Census Variability

HM2015 Abstract Number: 187

The Visiting Professorship in Hospital Medicine: A New Twist for a Young Specialty

Background: Academic Hospital Medicine is an emerging specialty comprised predominantly of early-career faculty.  Success, both for individuals as well as for the field, requires mentorship, collaboration, and dissemination of innovation. Purpose: The Visiting Professor in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Visiting Professorship in Hospital Medicine: A New Twist for a Young Specialty

HM2015 Abstract Number: 188

“Hospitalist Best Practice”: An Intervention to Build Consensus and Standardize Evidence-Based Practice

Background: Deriving consensus about practice around clinical issues in the hospital has many advantages: patients receive similar care, trainees and colleagues hear consistent answers to clinical questions, and implementation of process improvement is easier. However, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on “Hospitalist Best Practice”: An Intervention to Build Consensus and Standardize Evidence-Based Practice

HM2015 Abstract Number: 189

Surge-O-Matic: A Volume Responsive Staffing Solution

Background: The current climate of health care in the United States demands efficiency and productivity.  To increase productivity, hospitals and hospitalists may feel pressure to increase the number of patient encounters per physician.  This strategy is not ideal [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Surge-O-Matic: A Volume Responsive Staffing Solution

HM2015 Abstract Number: 192

Fantasy Physician Leagues? Introducing the Physician Equivalent of the Qbr (Quarterly Metric- Based Rating)

Background: Hospital medicine faculty performance is measured using a combination of process measures (ie. discharge times and length of stay) as well as outcomes including readmissions, patient satisfaction, and mortality.  Recognition and rewarding high performers [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Fantasy Physician Leagues? Introducing the Physician Equivalent of the Qbr (Quarterly Metric- Based Rating)

HM2015 Abstract Number: 222

A Pharmacist Based Intervention to Prevent Medication Errors at Discharge

Background: Medication errors at the time of hospital discharge are common and can lead to preventable adverse drug events (ADE’s).  Over 40% of all medication errors are believed to result from inadequate reconciliation during transitions [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Pharmacist Based Intervention to Prevent Medication Errors at Discharge

HM2015 Abstract Number: 226

Silencing the Noise to Improve Patient Safety: Sustained Impact of an Intervention to Reduce Unnecessary Cardiac Monitoring and Increase Responsiveness to Critical Alarms

Background: :  In an environment in which an estimated 85-99% of patient alarms are clinically insignificant or non-actionable, inappropriate utilization of physiologic monitors actually increases the probability of patient harm.  In our own large academic [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Silencing the Noise to Improve Patient Safety: Sustained Impact of an Intervention to Reduce Unnecessary Cardiac Monitoring and Increase Responsiveness to Critical Alarms

HM2015 Abstract Number: 228

Who Ya Gonna Call? (Now We Know!)

Background: Medical errors are the third leading cause of patient death in the United States. Most errors occur in the context of direct patient care or transitions of care. There is a dearth of literature [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Who Ya Gonna Call? (Now We Know!)

HM2015 Abstract Number: 230

A Resident Initiated Project to Improve Appropriate Telemetry Usage at an Academic Hospital

Background: As part of the 'Choosing Wisely' campaign, an initiative of the American Board of Internal Medicine (ABIM) Foundation, medical specialty societies are tasked with identifying and prioritizing tests or procedures that should be questioned [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Resident Initiated Project to Improve Appropriate Telemetry Usage at an Academic Hospital

HM2015 Abstract Number: 231

The Swiss Cheese Conference: Bridging the Patient Safety Chasm

Background: Attention around integrating trainees into patient safety initiatives is at an all-time high, especially in light of the ACGME’s Next Accreditation System, which focuses on the clinical learning environment. There is new interest in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Swiss Cheese Conference: Bridging the Patient Safety Chasm

HM2015 Abstract Number: 246

How to Transform Geriatric Hip Fracture Care: Application of Change Management and Human-Factors Engineering Principles

Background:  Fragmentation in geriatric hip fracture care is a growing concern in light of the aging population.  Hip fracture patients at our institution historically have been admitted to multiple different services and units, leading to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on How to Transform Geriatric Hip Fracture Care: Application of Change Management and Human-Factors Engineering Principles

HM2015 Abstract Number: 248

It Can Be As Easy As “Abc”: Standardizing and Improving Neurosurgery Patient Care Using the Abc Hospitalized Patient Checklist

Background: Hospitalists are well positioned to work with neurosurgeons to design, implement and evaluate systems improvement initiatives. To avoid, or manage, post-operative adverse events that are common in neurosurgery, providers need up-to-date and accessible information [...]

By | 2015-04-07T11:36:04-04:00 February 27th, 2015|Uncategorized|Comments Off on It Can Be As Easy As “Abc”: Standardizing and Improving Neurosurgery Patient Care Using the Abc Hospitalized Patient Checklist

HM2015 Abstract Number: 253

If You Want to Go Far, Go Together: Development of a Multi-Site Quality Improvement Collaborative

Background: Palliative care (PC) patients are among the sickest in our hospitals. Determining how best to care for these patients is imperative. Pain is a common and distressing symptom for PC and many other hospitalized [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on If You Want to Go Far, Go Together: Development of a Multi-Site Quality Improvement Collaborative

HM2015 Abstract Number: 255

Coordinating Care Across Units: A Virtual Patient Progression Board

Background: Sub-optimal patient flow is associated with poor patient outcomes including increased mortality, treatment delays, increased costs and poor patient and provider satisfaction. In 2004 the Joint Commission mandated that Hospital Systems develop plans to “mitigate [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Coordinating Care Across Units: A Virtual Patient Progression Board

HM2015 Abstract Number: 258

Utilizing Multidisciplinary Lean Methods and A3 Thinking to Streamline the Inter-Facility Transfer Process

Background: Hospitalized patients frequently require transfer to tertiary care facilities when their care needs exceed that which can be provided at local hospitals. Our Veterans Affairs (VA) hospital is a tertiary referral center for patients [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Utilizing Multidisciplinary Lean Methods and A3 Thinking to Streamline the Inter-Facility Transfer Process

HM2015 Abstract Number: 259

Alert Emails Improve Quality in a Large Academic Hospitalist Group

Background: The ongoing challenge for hospitalists in the era of value based care is how to provide high quality care without compromising efficiency.   In 2013, the Department of Medicine at Massachusetts General Hospital asked each [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Alert Emails Improve Quality in a Large Academic Hospitalist Group

HM2015 Abstract Number: 261

Sepsis Power Hour: A Nursing Driven Protocol Improves Timeliness of Sepsis Care

Background: Sepsis is the leading cause of inpatient death.  Recent literature suggests standardizing care for early sepsis prior to onset of shock may lead to improved survival.  Early sepsis treatment protocols are common in emergency [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Sepsis Power Hour: A Nursing Driven Protocol Improves Timeliness of Sepsis Care

HM2015 Abstract Number: 263

Medication Reconciliation Tool for Accuracy and Compliance – the Mr. Taco

Background: The need to improve performance in Medication Reconciliation (MR) is well recognized, but several factors can limit success:1) The process lacks a universally accepted definition and process steps2) Improvement is difficult to measure in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Medication Reconciliation Tool for Accuracy and Compliance – the Mr. Taco

HM2015 Abstract Number: 264

Glucose Control and Quality Measure Improvement in Cardiac Surgery Patients Through Physician Pharmacist Collaboration

Background: The Surgical Care Improvement Project (SCIP) is aimed at improving the quality of care for surgical patients by decreasing the incidence of several postoperative complications. In patients undergoing cardiac surgery, hyperglycemia on the first [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Glucose Control and Quality Measure Improvement in Cardiac Surgery Patients Through Physician Pharmacist Collaboration

HM2015 Abstract Number: 265

Code Blueprints: Physician and Rn Co-Leadership of “Code Blue” Improves Team Performance

Background: Teamwork between hospital care providers during in-hospital cardiac arrest resuscitation response, also known as “Code Blue”,  is complex, poorly defined, and often insufficient. Traditional “Code Blue” team structure at our institution calls for an [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Code Blueprints: Physician and Rn Co-Leadership of “Code Blue” Improves Team Performance

HM2015 Abstract Number: 268

The Institute for Healthcare Quality, Safety and Efficiency: Organizational Transformation in an Academic Medical Center

Background: The American healthcare system faces well-documented challenges in quality, safety, and costs of care. These issues often are exacerbated in academic medical centers due to dual-reporting structures, academic pressures, and presence of learners. Clinical [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Institute for Healthcare Quality, Safety and Efficiency: Organizational Transformation in an Academic Medical Center

HM2015 Abstract Number: 269

Developing Frontline Teams to Drive Health System Transformation

Background: Healthcare is shifting from a focus on volume to value. This transition requires frontline clinical leaders who can build and manage teams, care processes, and systems. Traditional health professional training does not provide necessary [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Developing Frontline Teams to Drive Health System Transformation

HM2015 Abstract Number: 270

Real-Time Monitoring and Targeted Education: A Multidisciplinary Team Approach to Improving Vte Core Measure Adherence

Background: Despite guidelines, venous thromboembolism (VTE) remains a major cause of inpatient morbidity and mortality. The Joint Commission VTE core measures aim to mitigate these complications.  Core measure adherence has become paramount, especially in light [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Real-Time Monitoring and Targeted Education: A Multidisciplinary Team Approach to Improving Vte Core Measure Adherence

HM2015 Abstract Number: 275

Using a Human Factors Approach to Improve Reported Performance for Vte Prophylaxis

Background: Venous thromboembolism (VTE) prophylaxis is a Joint Commission National Hospital Core Measure. Hospitals may use electronic records to monitor physician performance in prescribing VTE prophylaxis and provide decision support. Purpose: Our institution created a [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Using a Human Factors Approach to Improve Reported Performance for Vte Prophylaxis

HM2015 Abstract Number: 282

Cytology Ordering the Right Way

Background: Paracentesis is a commonly performed procedure in the inpatient setting.  Frequently, residents order a large number of studies on paracentesis fluid reflexively without considering cost.  Cytology is often ordered in this way, but it [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Cytology Ordering the Right Way

HM2015 Abstract Number: 283

Implementation of a Medication Management Plan for Patients Discharged to Skilled Nursing Facilities

Background: Hospitals often send multiple medication lists for patients transferred to skilled nursing facilities (SNFs) at the times of referral, acceptance, and transfer. These medication lists can have discrepancies and lack guidance for prospectively managing [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Implementation of a Medication Management Plan for Patients Discharged to Skilled Nursing Facilities

HM2015 Abstract Number: 284

The 4+1 Campaign: A Novel Approach to Prioritizing Quality Improvement Initiatives on a Teaching Service

Background: Medicine residents and academic hospitalists are encouraged to engage in quality improvement (QI) initiatives during their time on service. However, given that housestaff often train at multiple hospitals and face competing educational demands, they [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The 4+1 Campaign: A Novel Approach to Prioritizing Quality Improvement Initiatives on a Teaching Service

HM2015 Abstract Number: 289

Clinical Documentation Improvement, a Pathway to Improving Hospital Cmi and Achieving the Triple Aim

Background: Case Mix Index (CMI) is an important quality metric that is used by hospitals to assess the severity of illness (SOI) of their patients. Review of the literature showed that few residency programs adequately [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Clinical Documentation Improvement, a Pathway to Improving Hospital Cmi and Achieving the Triple Aim

HM2015 Abstract Number: 291

Residency Ward Redesign: Improving Admission Processes and Flow

Background: With changing ACGME work-hour restrictions, residency programs across the country have continued to work on optimizing admission and workflow processes.  Prior to our institution’s new inpatient service structure, nighttime medicine admissions were handled by [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Residency Ward Redesign: Improving Admission Processes and Flow

HM2015 Abstract Number: 295

Rapid Mortality Review: Transforming Mortality Review Promotes Change and Reduces Risk-Adjusted Mortality

Background: The medical profession has a long established tradition of self-evaluation of patient deaths through institutions such as mortality and morbidity conferences and peer review. Hospital mortality has likewise long been used as a measure [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Rapid Mortality Review: Transforming Mortality Review Promotes Change and Reduces Risk-Adjusted Mortality

HM2015 Abstract Number: 296

Improving Appropriate Utilization of Inpatient Cardiac Monitoring

Background:  The US is number one globally in health care spending per capita, yet ranks in the lowest quartile of OECD countries for health care outcomes. This is exacerbated by the scarcity of formal education [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Appropriate Utilization of Inpatient Cardiac Monitoring

HM2015 Abstract Number: 299

A Multi-Faceted Approach to Achieving Improved Care Through Increased Team Collaboration

Background: The Institute of Medicine goals for patient care are described by the STEEEP acronym –Safe, Timely, Effective, Efficient, Equitable and Patient-centered care.  These have become the Holy Grail of quality improvement and attainment of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Multi-Faceted Approach to Achieving Improved Care Through Increased Team Collaboration

HM2015 Abstract Number: 302

Deveopment of a Medical-Center Based Program to Support the Development, Evaluation, and Adoption of New Health Technologies

Background: As consumers, hospitals, and health systems have rapidly adopted health technology, entrepreneurs have begun to focus more in this space.  Hospitals and healthcare systems can shape entrepreneurial activities, and positively influence new technologies, by [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Deveopment of a Medical-Center Based Program to Support the Development, Evaluation, and Adoption of New Health Technologies

HM2015 Abstract Number: 303

Why Does My Patient Have a Central Line?: Leveraging Information Technology to Enhance Central Venous Catheter Management

Background: Current approaches to addressing central venous catheter (CVC) identification and discontinuation in the general medicine population remain largely ineffective. A recently published observational study reported that 26% of teaching physicians and 31% of hospitalists [...]

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HM2015 Abstract Number: 304

Quick Response Code for Value-Added Conference Presentations

Background: In academic medicine, the first presentation of a scholarly product is often a poster or oral presentation at national conferences. Only about half of these presentations are eventually published, suggesting the conference may be [...]

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HM2015 Abstract Number: 307

Tired of E-Mail: A Wiki-Based Intranet for Data Management and Collaboration in a Hospitalist Group

Background: An intranet is a private computer network that uses standard Internet protocols for communication within an organization. A recent survey found that 85% of companies, large and small, utilize an intranet. Hospital medicine groups [...]

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HM2015 Abstract Number: 311

An Innovative Approach to the ICU to Ward Transition of Care

Background: Transfers from the ICU to the medical ward pose a number of unique risks to patients recovering from critical illness. Several studies have identified communication breakdown among physicians and nurses at the time of [...]

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HM2015 Abstract Number: 312

Barriers to Planned Early Next-Day Discharges in a Tertiary Academic Medical Center

Background: The Department of Hospital Medicine (DHM) at the Cleveland manages and average census of 130 to 160 inpatients each day on four dedicated Hospital Medicine floors. A key component of our institution’s mission and [...]

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HM2015 Abstract Number: 313

An In-Hospital Discharge Protocol for Optimal Care of Patients with Chronic Obstructive Pulmonary Disease

Background: Chronic obstructive pulmonary disease (COPD) is an important cause of hospitalization in the United States, with an estimated 715,000 hospital discharges reported in 2010 (23.2 per 100,000 population).1 In hospital settings, poor adherence to [...]

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HM2015 Abstract Number: 319

Bridging Silos: San Francisco General Hospital’s Care Transitions Taskforce

Background: Complex medical and psycho-social conditions and limited resources create challenges in the transition from hospital to community for patients at San Francisco General Hospital (SFGH). SFGH is the public hospital in the San Francisco [...]

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HM2015 Abstract Number: 326

Localizing National Evidence Based Practice Guidelines to Hospitalist Clinical Practice for Antibiotic Drug Therapy Treatment Planning

Background: The Centers for Disease Control and Prevention (CDC) instituted the national strategy for prescribing antibiotics, 'Get Smart for Healthcare', in response to ample evidence of frequent unnecessary or inappropriate prescribing practices. Overprescribing antibiotics can [...]

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HM2015 Abstract Number: 329

Lose the Tube: Preventing Catheter-Associated Urinary Tract Infections

Background: With the costs of health care rising in the US, a renewed focus on decreasing unnecessary utilization is crucial. Catheter-associated urinary tract infection (CAUTI) is a common and preventable cause of morbidity and mortality [...]

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HM2015 Abstract Number: 332

Decreasing Unnecessary Transfusions: Creating a Sustainable Change in Practice

Background: It is well known that excessive blood transfusions can harm patients while not improving clinical outcomes. As such, an evidence-based restrictive blood transfusion guideline is being increasingly adopted as the standard of care on [...]

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HM2015 Abstract Number: 337

Increasing Value Across Four Hospitals Through a Hospitalist-Led Quality Improvement Program: Top-Down Support for Bottom-Up Change to Decrease Length of Stay and Cost of Care

Background: In multi-site health systems, hospitalist programs in different hospitals may not directly interact or even use the same metrics to evaluate quality of care.  This leads to high variability in both the cost and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Increasing Value Across Four Hospitals Through a Hospitalist-Led Quality Improvement Program: Top-Down Support for Bottom-Up Change to Decrease Length of Stay and Cost of Care