Length of Stay

/Tag:Length of Stay

Abstract Number: Plenary

DECREASING ADMISSIONS, READMISSIONS AND LENGTH OF STAY WHILE IMPROVING PATIENT SAFETY FOR ALCOHOL WITHDRAWAL SYNDROME

Background: There were nearly 33,000 admissions to Department of Veterans Affairs hospitals for alcohol withdrawal syndrome (AWS) in fiscal year 2017. Symptom-triggered management is the standard of care and, when employed effectively, the number of [...]

By | 2019-03-12T15:33:25+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Plenary Presentations, Quality Improvement|Comments Off on DECREASING ADMISSIONS, READMISSIONS AND LENGTH OF STAY WHILE IMPROVING PATIENT SAFETY FOR ALCOHOL WITHDRAWAL SYNDROME

Abstract Number: 454

ASSOCIATION OF ATRIAL FIBRILLATION WITH IN-HOSPITAL OUTCOMES AND 30-DAY READMISSION RATE FOLLOWING HOSPITALIZATION FOR SEPSIS IN THE ELDERLY PATIENTS

Background: The annual incidence of sepsis is about 1.7 million in the United States and about 270,000 Americans die as a result of sepsis each year. Atrial fibrillation is the most common arrhythmia seen in [...]

By | 2019-03-11T14:26:49+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on ASSOCIATION OF ATRIAL FIBRILLATION WITH IN-HOSPITAL OUTCOMES AND 30-DAY READMISSION RATE FOLLOWING HOSPITALIZATION FOR SEPSIS IN THE ELDERLY PATIENTS

Abstract Number: 450

ANALYSIS OF UPPER GASTROINTESTINAL BLEED AND WEEKEND EFFECT ON LENGTH OF STAY IN A TERTIARY REFERRAL ACADEMIC HOSPITAL

Background: The “weekend effect” is a term to define worse outcomes among patients that present to the hospital on weekends. For upper gastrointestinal bleed (UGIB) some of these outcomes include increased mortality and increased length [...]

By | 2019-03-11T14:26:44+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on ANALYSIS OF UPPER GASTROINTESTINAL BLEED AND WEEKEND EFFECT ON LENGTH OF STAY IN A TERTIARY REFERRAL ACADEMIC HOSPITAL

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: 332

A SEPSIS ALERT SYSTEM WITH EARLY INTERVENTION BY A HOSPITALIST RAPID RESPONSE PROVIDER REDUCES MORTALITY AND LENGTH OF STAY IN THE SEPSIS POPULATION

Background: Sepsis is a leading cause of death in US hospitals, and is a major contributor to hospital mortality and length of stay. Much has been done in hospitals nationwide to identify and treat sepsis [...]

By | 2019-03-11T14:23:51+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A SEPSIS ALERT SYSTEM WITH EARLY INTERVENTION BY A HOSPITALIST RAPID RESPONSE PROVIDER REDUCES MORTALITY AND LENGTH OF STAY IN THE SEPSIS POPULATION

Abstract Number: 325

INPATIENT DIABETES MANAGEMENT SERVICE, LENGTH OF STAY AND 30-DAY READMISSION RATE OF PATIENTS WITH DIABETES AT A COMMUNITY HOSPITAL.

Background: Diabetes mellitus is common among hospitalized patients. An inpatient diabetes management service (IDMS) was implemented at a community hospital in suburban Maryland to provide better glycemic control for inpatients.Purpose: To analyze the length of [...]

By | 2019-03-11T14:23:40+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on INPATIENT DIABETES MANAGEMENT SERVICE, LENGTH OF STAY AND 30-DAY READMISSION RATE OF PATIENTS WITH DIABETES AT A COMMUNITY HOSPITAL.

Abstract Number: 282

ACCOUNTABLE CARE UNIT: AN INPATIENT STRUCTURE FOR SUSTAINED IMPROVEMENT

Background: Financial incentives motivate hospitals to focus on improving patient experience, quality indicators, and efficiency metrics. Efforts to geographically staff hospitalists have renewed the focus on quality improvement efforts at the inpatient unit level. However, [...]

By | 2019-03-11T14:22:37+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ACCOUNTABLE CARE UNIT: AN INPATIENT STRUCTURE FOR SUSTAINED IMPROVEMENT

Abstract Number: 257

THE OBESITY PARADOX AND ACUTE KIDNEY INJURY (AKI) IN ORTHOPEDIC SURGERY PATIENTS

Background: The Obesity Paradox postulates that obesity is a protective factor against mortality in certain chronic conditions such as chronic kidney disease (CKD) and congestive heart failure. Although this paradox is established in CKD, few [...]

By | 2019-03-11T14:22:03+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on THE OBESITY PARADOX AND ACUTE KIDNEY INJURY (AKI) IN ORTHOPEDIC SURGERY PATIENTS

Abstract Number: 202

LENGTH OF STAY OUTLIERS: A CASE-CONTROL RETROSPECTIVE STUDY OF INPATIENT ADMISSIONS TO A GENERAL INTERNAL MEDICINE SERVICE

Background: Length of stay (LOS) outliers are a focus of cost and resource utilization for hospitals in the United States. Limited research has been done to characterize outliers, risk factors, and barriers to discharge.Methods: We [...]

By | 2019-03-11T14:20:36+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on LENGTH OF STAY OUTLIERS: A CASE-CONTROL RETROSPECTIVE STUDY OF INPATIENT ADMISSIONS TO A GENERAL INTERNAL MEDICINE SERVICE

Abstract Number: 184

COMPARISON OF OUTCOMES FOR ADULT INPATIENTS WITH SICKLE CELL DISEASE CARED FOR BY HOSPITALISTS VS. HEMATOLOGY SPECIALISTS

Background: Sickle cell disease (SCD) and its vasoocclusive sequela are significant causes of morbidity and mortality as well as acute care utilization throughout the United States, with an estimated 92,880 hospital admissions totaling $759 million [...]

By | 2019-03-11T14:20:10+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on COMPARISON OF OUTCOMES FOR ADULT INPATIENTS WITH SICKLE CELL DISEASE CARED FOR BY HOSPITALISTS VS. HEMATOLOGY SPECIALISTS

Abstract Number: 63

RESIDENT AND FACULTY PERCEPTIONS OF MULTIDISCIPLINARY ROUNDS (MDR) INSTITUTED AT A COMMUNITY-BASED HOSPITAL TO REDUCE INPATIENT LENGTH OF STAY (LOS).

Background: Multidisciplinary (MDR) team rounds were established at Halifax hospital as daily, dedicated interactions between varying members of the care team on each inpatient floor. Members of the care team include physicians, nurses, physical therapists, [...]

By | 2019-03-11T14:17:24+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on RESIDENT AND FACULTY PERCEPTIONS OF MULTIDISCIPLINARY ROUNDS (MDR) INSTITUTED AT A COMMUNITY-BASED HOSPITAL TO REDUCE INPATIENT LENGTH OF STAY (LOS).

Abstract Number: 52

CREATING A PLATFORM FOR DISCHARGE PLANNING WITHIN THE ELECTRONIC MEDICAL RECORD FOR MULTIDISCIPLINARY COMMUNICATION

Background: Discharge delays occur because of inconsistent communication among all clinicians and providers. Inefficient utilization of resources also contributes to delays. Effective communication among the patient care team is a foundation of creating an effective [...]

By | 2019-03-11T14:17:11+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on CREATING A PLATFORM FOR DISCHARGE PLANNING WITHIN THE ELECTRONIC MEDICAL RECORD FOR MULTIDISCIPLINARY COMMUNICATION

Abstract Number: 40

EIC TO DC: EARLY INTERVENTION COMMITTEES (EIC) HELP DISCHARGE (DC) LONG LENGTH OF STAY PATIENTS

Background: In the throughput arena, one of the most challenging groups of hospitalized patients is the long length of stay (LLOS) patients. Although representing a minority of inpatients, this LLOS population contributes to the majority [...]

By | 2019-03-11T14:16:56+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on EIC TO DC: EARLY INTERVENTION COMMITTEES (EIC) HELP DISCHARGE (DC) LONG LENGTH OF STAY PATIENTS

HM2018 Abstract Number: Top 15 Research & Innovations

IMPACT OF INDIVIDUALIZED METRICS AND MOBILE DELIVERY ON HOSPITALIST ENGAGEMENT AND OUTCOMES

Background: Inpatient margins and hospital reimbursement have become increasingly dependent upon improving key metrics, such as length of stay and 30-day readmissions. Hospitalists typically lack access to credible, timely, and insightful metrics that inform their [...]

By | 2018-03-29T15:34:53+00:00 March 29th, 2018|Hospital Medicine 2018, Top 15 Research and Innovation Oral Abstracts|Comments Off on IMPACT OF INDIVIDUALIZED METRICS AND MOBILE DELIVERY ON HOSPITALIST ENGAGEMENT AND OUTCOMES

HM2018 Abstract Number: 5

MOVING THE BAR, EVEN IF YOU CAN’T MOVE THE BED

Background: The Institute for Healthcare Improvement tells us that successful discharge planning starts at admission; however, when that admission occurs to a closed Intensive Care Unit (ICU), traditional discharge planning can be delayed until the [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Other, Research, Uncategorized|Comments Off on MOVING THE BAR, EVEN IF YOU CAN’T MOVE THE BED

HM2018 Abstract Number: 120

ASSOCIATION BETWEEN STEROID MODALITY AND LENGTH OF STAY IN ACUTE COPD EXACERBATIONS

Background: Chronic obstructive pulmonary disease (COPD) is associated with significant morbidity, mortality, and cost with the greatest proportion incurred treating acute exacerbations of COPD (AECOPD). While guidelines recommend oral steroids for the treatment of AECOPD, [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on ASSOCIATION BETWEEN STEROID MODALITY AND LENGTH OF STAY IN ACUTE COPD EXACERBATIONS

HM2018 Abstract Number: 184

THE ASSOCIATION OF DISCHARGE BEFORE NOON AND LENGTH OF STAY IN PEDIATRIC PATIENTS

Background: Many hospitals set targets for discharging patients before noon in efforts to optimize patient throughput. However, discharge before noon (DCBN) has been associated with increased length of stay (LOS) in an adult population. The [...]

By | 2018-03-19T13:17:28+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on THE ASSOCIATION OF DISCHARGE BEFORE NOON AND LENGTH OF STAY IN PEDIATRIC PATIENTS

HM2018 Abstract Number: 114

RISK-STRATIFICATION WITH PROCALCITONIN PREDICTS LENGTH OF STAY IN HOSPITALIZED PATIENTS

Background: Procalcitonin (PCT) is a precursor peptide to calcitonin produced by the thyroid parafollicular cells, and the intestinal and lung neuroendocrine cells. PCT is a proinflammatoy marker specific to bacterial infections, and was initially used [...]

By | 2018-03-19T13:16:48+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on RISK-STRATIFICATION WITH PROCALCITONIN PREDICTS LENGTH OF STAY IN HOSPITALIZED PATIENTS

HM2018 Abstract Number: 268

NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A FOR-PROFIT COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING COST OR LENGTH OF STAY

Background: Opening new residency programs in community hospitals is one strategy to address physician shortage. Previous reports showed better outcomes in university based hospitals. However, less is known about teaching community hospitals. Disrupting well- established [...]

By | 2018-03-19T13:11:59+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A FOR-PROFIT COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING COST OR LENGTH OF STAY

HM2018 Abstract Number: 206

BATTLING HOSPITAL DELIRIUM: A STANDARDIZED INTERDISCIPLINARY MODEL FOR THE TREATMENT OF HOSPITAL-ACQUIRED DELIRIUM.

Background: The prevalence of delirium among hospitalized patients ranges up to 56% and results in increased hospital mortality and duration of hospitalization. Symptoms of delirium may be subtle in early stages and may present clinically [...]

By | 2018-03-19T13:07:12+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on BATTLING HOSPITAL DELIRIUM: A STANDARDIZED INTERDISCIPLINARY MODEL FOR THE TREATMENT OF HOSPITAL-ACQUIRED DELIRIUM.

HM2018 Abstract Number: 37

The Impact of Multidisciplinary Team Based Patient Care in a Geographically Positioned Hospital Medicine Unit at a Large Academic Medical Center

Background: Multidisciplinary team-based care is a novel concept in hospital medicine where, healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies have shown that team-based care is associated with [...]

By | 2018-03-19T13:03:24+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on The Impact of Multidisciplinary Team Based Patient Care in a Geographically Positioned Hospital Medicine Unit at a Large Academic Medical Center

HM2018 Abstract Number: 14

FAST TRACK DIALYSIS: IMPROVING EMERGENCY DEPARTMENT AND HOSPITAL THROUGHPUT FOR PATIENTS REQUIRING HEMODIALYSIS

Background: Many end stage renal disease (ESRD) patients present with complaints related to missed or incomplete hemodialysis (HD). Inpatient HD units often are not credentialed for outpatient use which results in extra cost and consumes [...]

By | 2018-03-22T15:13:54+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on FAST TRACK DIALYSIS: IMPROVING EMERGENCY DEPARTMENT AND HOSPITAL THROUGHPUT FOR PATIENTS REQUIRING HEMODIALYSIS

HM2017 Abstract Number: 288

CONSULTATION TO A CARDIOLOGIST PRIOR TO LOW RISK PROCEDURES SIGNIFICANTLY INCREASES INPATIENT LENGTH OF STAY WITHOUT AFFECTING OUTCOMES

Background: The healthcare system in the United States is often times costly and inefficient. Some estimates suggest that 20-34% of healthcare dollars are spent ineffectively. Despite efforts such as the Choosing Wisely Campaign to limit [...]

By | 2017-04-25T22:22:44+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on CONSULTATION TO A CARDIOLOGIST PRIOR TO LOW RISK PROCEDURES SIGNIFICANTLY INCREASES INPATIENT LENGTH OF STAY WITHOUT AFFECTING OUTCOMES

HM2017 Abstract Number: 279

INPATIENT PALLIATIVE CARE CONSULTATIONS AND THE IMPACT ON LENGTH OF STAY

Background: Reducing LOS promotes value, and when aligned with patient preferences, can improve care. Patients referred for palliative care (PC) generally have longer length of stay (LOS) due to their serious illness, multiple complex management [...]

By | 2017-04-26T01:09:38+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on INPATIENT PALLIATIVE CARE CONSULTATIONS AND THE IMPACT ON LENGTH OF STAY

HM2017 Abstract Number: 275

HOW MANY OUTPATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA BECOME INPATIENTS? A U.S. HEALTH INSURANCE CLAIM ANALYSIS FROM 2011-2015

Background: Approximately 1-2% of the U.S. population gets community-acquired pneumonia (CAP) annually in the U.S. and CAP is associated with substantial mortality, morbidity and costs.  While the incidence of CAP is well-defined, the incidence of [...]

By | 2017-04-26T01:14:27+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on HOW MANY OUTPATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA BECOME INPATIENTS? A U.S. HEALTH INSURANCE CLAIM ANALYSIS FROM 2011-2015

HM2017 Abstract Number: F

EFFECTIVENESS OF MULTIPLE OBSERVATION UNITS IN REDUCING LENGTH OF STAY

Background:   Observation care has evolved significantly since its original inception by the Centers for Medicare and Medicaid Services (CMS).  Originally intended to span less than 48 hours in the majority of cases, the Office of [...]

By | 2017-04-26T03:19:59+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on EFFECTIVENESS OF MULTIPLE OBSERVATION UNITS IN REDUCING LENGTH OF STAY

HM2017 Abstract Number: 107

ASSOCIATIONS BETWEEN TELEMETRY USE AND MORTALITY RISK, HOSPITAL LENGTH OF STAY AND READMISSION RATES IN PATIENTS WITH RESPIRATORY ILLNESS: A RETROSPECTIVE ANAYSIS OF 765 PATIENTS

Background: Advancements in technology have expanded accessibility to telemetry via remote monitoring and resulted in increased application in hospitalized patients. The American Heart Association (AHA) telemetry guidelines restrict use to patients with sepsis, severe electrolyte [...]

By | 2017-04-20T19:20:03+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on ASSOCIATIONS BETWEEN TELEMETRY USE AND MORTALITY RISK, HOSPITAL LENGTH OF STAY AND READMISSION RATES IN PATIENTS WITH RESPIRATORY ILLNESS: A RETROSPECTIVE ANAYSIS OF 765 PATIENTS

HM2017 Abstract Number: 97

OUTCOME OF TIMELY PALLIATIVE CARE CONSULTATION ON ICU PATIENTS WITH SEVERE SEPSIS/SEPTIC SHOCK

Background: In 2011, sepsis accounted for more than $20 billion (5.2%) of total US hospital costs.  The CDC estimates that hospitalizations for sepsis or septicemia increased from 621,000 to 1,141,000 in 2000 and 2008 respectively. [...]

By | 2017-04-20T19:05:41+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on OUTCOME OF TIMELY PALLIATIVE CARE CONSULTATION ON ICU PATIENTS WITH SEVERE SEPSIS/SEPTIC SHOCK

HM2017 Abstract Number: 69

A COMPARISON OF OUTCOMES OF PATIENTS WITH CONGESTIVE HEART FAILURE AND PNEUMONIA AMONG TEACHING AND NONTEACHING SERVICES

Background:   Congestive heart failure (CHF) and pneumonia are amongst the leading causes of hospitalization in the United States.  Although a growing number of hospitals use both teaching and nonteaching hospitalist services for patient care, [...]

By | 2017-04-20T19:12:08+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on A COMPARISON OF OUTCOMES OF PATIENTS WITH CONGESTIVE HEART FAILURE AND PNEUMONIA AMONG TEACHING AND NONTEACHING SERVICES

HM2016 Abstract Number: 385

Sustainability of a Hospitalist Led Intervention to Reduce Length of Stay on Telemetry

Background: As part of the Choosing Wisely campaign, the Society of Hospital Medicine highlights use of telemetry monitoring as one of the top interventions that physicians and patients should use judiciously.  While telemetry is invaluable [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Sustainability of a Hospitalist Led Intervention to Reduce Length of Stay on Telemetry

HM2016 Abstract Number: 228

Rethinking Quality Programs: Near-Perfect Compliance with the Joint Commission’s Scip-9 Had No Effect on Catheter Utilization, Urinary Tract Infections, or Urinary Retention at a Major Academic Medical Center

Background: The Joint Commission’s Surgical Care Improvement Project (SCIP)-9 recommended removing indwelling urinary catheters (IUC) before postoperative day 2 to decrease urinary infection (UTI) risk. Our center implemented a best practice alert (BPA) in the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Rethinking Quality Programs: Near-Perfect Compliance with the Joint Commission’s Scip-9 Had No Effect on Catheter Utilization, Urinary Tract Infections, or Urinary Retention at a Major Academic Medical Center

HM2016 Abstract Number: 66

Acute Efficacy and Safety of Sodium Zirconium Cyclosilicate (Zs-9) in Patients with Moderate or Severe Hyperkalemia: A Pooled Analysis from Two Phase 3 Trials

Background:   Hyperkalemia (HK; serum K+ ≥5.0mEq/L) is a common electrolyte imbalance, associated with an increase in all-cause mortality and hospitalization.  Moderate to severe HK (K + levels ≥5.5mEq/L) is often managed in the emergency [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Acute Efficacy and Safety of Sodium Zirconium Cyclosilicate (Zs-9) in Patients with Moderate or Severe Hyperkalemia: A Pooled Analysis from Two Phase 3 Trials