Readmission

/Tag:Readmission

Abstract Number: Oral

DERIVATION AND VALIDATION OF A COPD READMISSION RISK PREDICTION TOOL

Background: Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of hospital readmissions in America. Over one-third of patients admitted for COPD exacerbations are readmitted within 90 days, with readmissions costing $15 billion. Medicare [...]

By | 2019-03-12T15:46:24-04:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Research, Technology in Hospital Medicine|Comments Off on DERIVATION AND VALIDATION OF A COPD READMISSION RISK PREDICTION TOOL

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 | 2019-03-12T15:33:25-04:00 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: Oral

THE PREVALENCE OF DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days), but little is known about their frequency and characteristics. We performed structured chart review of [...]

By | 2019-03-12T15:50:33-04:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Patient Safety, Research|Comments Off on THE PREVALENCE OF DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

Abstract Number: 414

A HOSPITALIST-RUN PROCEDURE SERVICE AS A TOOL FOR TRANSISTIONS OF CARE

Background: Procedures are often an integral component of a patient’s care plan. Delays in procedures may lead to increased length of stay and decreased quality of care. For instance, prompt paracenteses in hospitalized patients with [...]

By | 2019-03-11T14:25:51-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on A HOSPITALIST-RUN PROCEDURE SERVICE AS A TOOL FOR TRANSISTIONS OF CARE

Abstract Number: 308

UTILIZING IDEA BOARD WEEKLY MEETINGS TO REDUCE READMISSIONS

Background: Readmission rate at UMASS Memorial Hospital medicine division is high at 15.5%. Majority of patients are admitted to Hospitalist service. Given the challenges in obtaining real time readmission data, physician engagement is poor. Etiology [...]

By | 2019-03-11T14:23:16-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on UTILIZING IDEA BOARD WEEKLY MEETINGS TO REDUCE READMISSIONS

Abstract Number: 167

WHAT ARE THE RATES AND COSTS OF READMISSIONS AND SUBSEQUENT EMERGENCY DEPARTMENT VISITS AMONG HOSPITALIZED PATIENTS WITH MAJOR DEPRESSIVE DISORDER AND SUICIDAL IDEATION OR SUICIDE ATTEMPT?

Background: Patients hospitalized for major depressive disorder (MDD) with suicidal ideation (SI) or suicide attempt (SA) may have a high risk for hospital readmission. This study evaluated readmission/subsequent emergency department (ED) visit rates and the [...]

By | 2019-03-11T14:19:45-04:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on WHAT ARE THE RATES AND COSTS OF READMISSIONS AND SUBSEQUENT EMERGENCY DEPARTMENT VISITS AMONG HOSPITALIZED PATIENTS WITH MAJOR DEPRESSIVE DISORDER AND SUICIDAL IDEATION OR SUICIDE ATTEMPT?

Abstract Number: 162

POST-DISCHARGE RESOURCE USE AND 30-DAY UNPLANNED HOSPITAL READMISSIONS IN PATIENTS ADMITTED FOR HEART FAILURE

Background: Research on post-discharge outpatient care often focuses on single types of encounters, such as primary care in-person appointments or primary care phone calls. However, patients interact with the healthcare system following discharge using a [...]

By | 2019-03-11T14:19:39-04:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on POST-DISCHARGE RESOURCE USE AND 30-DAY UNPLANNED HOSPITAL READMISSIONS IN PATIENTS ADMITTED FOR HEART FAILURE

Abstract Number: 153

IMPACT OF CARDIOLOGIST CONSULTATION ON READMISSIONS FOR GENERAL MEDICINE PATIENTS WITH SECONDARY DIAGNOSIS OF HEART FAILURE

Background: Involvement of a cardiologist in the care of hospitalized patients with a primary diagnosis of heart failure (HF) has been shown to improve outcomes and may affect their readmission rates. However, less is known [...]

By | 2019-03-11T14:19:23-04:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IMPACT OF CARDIOLOGIST CONSULTATION ON READMISSIONS FOR GENERAL MEDICINE PATIENTS WITH SECONDARY DIAGNOSIS OF HEART FAILURE

HM2018 Abstract Number: 309

Exploring patient and clinic staff members’ experiences with transitional care services: A case study approach

Background: Patients, particularly the elderly and those who have chronic illnesses, often experience adverse events when transitioning from the hospital to home. An estimated 20% of all discharged patients suffer a preventable adverse event (e.g., [...]

By | 2018-03-19T15:44:36-04:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on Exploring patient and clinic staff members’ experiences with transitional care services: A case study approach

HM2018 Abstract Number: 176

CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

Background: Inconsistent transitions of care from the inpatient to outpatient setting may lead to preventable readmissions. Critical processes completed at discharge shown to reduce readmissions at our institution include admission and discharge medication reconciliation, clinically [...]

By | 2018-03-19T15:44:36-04:00 March 19th, 2018|Pediatrics, Research, Uncategorized|Comments Off on CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

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 | 2018-03-19T13:16:48-04:00 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: 218

What to Expect That You’re Not Expecting – Video Education to Improve Patient Self-Efficacy Surrounding Discharge Medication Barriers

Background: Preventable hospital readmissions are a common problem for medical centers in the United States. Recent studies have focused on what patients perceive as causes for their return to the hospital. One factor driving readmissions [...]

By | 2018-03-19T13:15:21-04:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on What to Expect That You’re Not Expecting – Video Education to Improve Patient Self-Efficacy Surrounding Discharge Medication Barriers

HM2018 Abstract Number: 325

DEVELOPMENT OF A MODEL TO CONTEXTUALIZE AND MANAGE THE HOSPITAL ADMISSION PROCESS

Background: Both inappropriate hospital admissions and inappropriate discharges from the ED are associated with adverse patient outcomes. Little is known about the accuracy (sensitivity and specificity) of the hospital admission triage process. Purpose: We sought [...]

By | 2018-03-19T13:09:17-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on DEVELOPMENT OF A MODEL TO CONTEXTUALIZE AND MANAGE THE HOSPITAL ADMISSION PROCESS

HM2018 Abstract Number: 326

The Healthcare Hug: Utilizing the Readmission Review Team While Expanding the Continuum of Care

Background: In 2014, the organization created the RRT, a multidisciplinary team that reviews care of frequently admitted patients, strategizes how to help these patients, and coordinates care to develop a treatment plan. Of the patients [...]

By | 2018-03-19T13:04:44-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on The Healthcare Hug: Utilizing the Readmission Review Team While Expanding the Continuum of Care

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 | 2018-03-19T13:03:24-04:00 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: 139

CHARACTERIZING AN ADMITTED PATIENT POPULATION WITH SUSPECTED INFECTION THROUGH CLINICAL AND ADMINISTRATIVE DATA

Background: Sepsis research is limited by heterogeneity and inaccuracy of patient identification. An ideal identification algorithm would broadly define a population with suspected infection to optimize discrimination and provide real-time identification of high-risk populations for [...]

By | 2018-03-19T12:54:01-04:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on CHARACTERIZING AN ADMITTED PATIENT POPULATION WITH SUSPECTED INFECTION THROUGH CLINICAL AND ADMINISTRATIVE DATA

HM2018 Abstract Number: 236

THE IMPACT OF A HOSPITALISTS READMISSIONS REVIEW TOOL ON PERSPECTIVES CONCERNING READMISSION PREVENTABILITY AND READMISSION RATES

Background: Readmissions continue to be a significant burden on health systems and in 2017 nearly 80% of all hospitals face financial penalties for 30-day readmissions. There are limited examples of standardized processes for notifying discharging [...]

By | 2018-03-19T12:53:38-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on THE IMPACT OF A HOSPITALISTS READMISSIONS REVIEW TOOL ON PERSPECTIVES CONCERNING READMISSION PREVENTABILITY AND READMISSION RATES

HM2018 Abstract Number: 321

USE OF STRUCTURED CARE COORDINATION ROUNDS AND A DISCHARGE HUDDLE TO REDUCE READMISSIONS

Background: Care Coordination Rounds (CCR) provide an opportunity for members of the multidisciplinary health care team to communicate as a group regarding the care and discharge planning of hospitalized patients. The use of CCR has [...]

By | 2018-03-19T12:53:09-04:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on USE OF STRUCTURED CARE COORDINATION ROUNDS AND A DISCHARGE HUDDLE TO REDUCE READMISSIONS

HM2016 Abstract Number: 336

Evaluation of the Yale New Haven Readmission Risk Score for Pneumonia in a General Hospital Population

Background: Pneumonia readmission rates are publicly reported and included as quality indicators in Medicare Value-Based Purchasing programs. The Yale New Haven Readmission Risk Score (YNHRRS) for Pneumonia is a tool that uses 25 variables including [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Evaluation of the Yale New Haven Readmission Risk Score for Pneumonia in a General Hospital Population

HM2016 Abstract Number:

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

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

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Improving Pediatric Centered Care Transitions: Use of Teachback for Discharge Education Decreases Hospital Reulitization and Improves Parental Comfort and Understanding