READMISSIONS

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Abstract Number: 300

DOES EHR EFFICIENCY AFFECT QUALITY OF CARE FOR HOSPITAL MEDICINE PHYSICIANS?

Background: Hospitalists balance efficiency and quality in their daily practice. How a physician’s time management affects care quality is unknown. Accordingly, we aimed to compare the EHR efficiency of hospitalists, as measured by their time [...]

By | 2019-03-18T17:55:39-04:00 March 18th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DOES EHR EFFICIENCY AFFECT QUALITY OF CARE FOR HOSPITAL MEDICINE PHYSICIANS?

Abstract Number: 410

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

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

By | 2019-03-11T14:25:45-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on RIDING ON THE TIGER: A HOSPITAL AND COMMUNITY CO-MANAGEMENT MODEL TO PREVENT RE-ADMISSIONS

Abstract Number: 404

READMISSIONS: DO PATIENT PERCEPTIONS OF HEALTH AND CARE IMPACT HOSPITAL READMISSION RATES?

Background: Unplanned hospital readmissions are a burden on patients and cost taxpayers tens of billions of dollars each year in the United States1. Multi-component interventions have been the most effective at readmission reduction.2. But with [...]

By | 2019-03-11T14:25:34-04:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on READMISSIONS: DO PATIENT PERCEPTIONS OF HEALTH AND CARE IMPACT HOSPITAL READMISSION RATES?

Abstract Number: 331

HEALTH LITERACY AND SOCIOECONOMIC STATUS ROLE IN 30-DAY READMISSIONS

Background: Health literacy (HL) is the measure of a person’s ability to obtain, process and understand basic health information and services to make appropriate health decisions. Previous studies note positive correlation between high HL and [...]

By | 2019-03-11T14:23:49-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on HEALTH LITERACY AND SOCIOECONOMIC STATUS ROLE IN 30-DAY READMISSIONS

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 | 2019-03-11T14:23:40-04:00 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: 306

PRECISION ‘MEDICINE’: AN INDIVIDUALIZED APPROACH TO THE HIGHEST UTILIZERS OF HOSPITAL-BASED CARE

Background: Nationally, a minority of patients with complex medical and psychosocial needs consume a disproportionate amount of healthcare. In the U.S. in 2015, the top 1% of the population accounted for 23% of all healthcare [...]

By | 2019-03-11T14:23:13-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on PRECISION ‘MEDICINE’: AN INDIVIDUALIZED APPROACH TO THE HIGHEST UTILIZERS OF HOSPITAL-BASED CARE

Abstract Number: 263

USING QUALITY IMPROVEMENT METHODOLOGIES TO REDUCE HEART FAILURE READMISSIONS

Background: Heart failure (HF) is one of the most common discharge diagnoses for Medicare beneficiaries. As part of the Affordable Care Act, the Center for Medicare and Medicaid Services initiated the Hospital Readmission Reduction Program [...]

By | 2019-03-11T14:22:12-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on USING QUALITY IMPROVEMENT METHODOLOGIES TO REDUCE HEART FAILURE READMISSIONS

Abstract Number: 239

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

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

By | 2019-03-11T14:21:34-04:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

Abstract Number: 215

NOVEL APPLICATION OF STRUCTURED CASE REVIEW TO IDENTIFY 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). A single prior study of early readmissions applied a binary (yes/no) metric to assess for [...]

By | 2019-03-11T14:20:59-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on NOVEL APPLICATION OF STRUCTURED CASE REVIEW TO IDENTIFY DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

Abstract Number: 180

30-DAY HOSPITAL READMISSION IS A PREDICTOR OF HIGHER ALL-CAUSE MORTALITY FOR UP TO TWO YEARS

Background: Readmissions within 30 days of discharge is used as a quality metric for the care of hospitalized patients. However, its prognostic value for patient outcomes has not been examined. We hypothesized that patients who [...]

By | 2019-03-11T14:20:04-04:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on 30-DAY HOSPITAL READMISSION IS A PREDICTOR OF HIGHER ALL-CAUSE MORTALITY FOR UP TO TWO YEARS

Abstract Number: 135

THIRTY-DAY POST-DISCHARGE MORTALITY AMONG BLACK AND WHITE SENIORS UNDER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM

Background: Black seniors have historically had higher readmission rates than white seniors, and hospitals that treat more black seniors have been disproportionately penalized the Medicare Hospital Readmissions Reduction Program (HRRP). Consequently, the policy could exacerbate [...]

By | 2019-03-11T14:18:59-04:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on THIRTY-DAY POST-DISCHARGE MORTALITY AMONG BLACK AND WHITE SENIORS UNDER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM

Abstract Number: 103

EXAMINING HOSPITALRELATED OUTCOMES FOR HOSPICE ELIGIBLE ELDERLY PATIENTS WITH SOLID TUMORS, DOES HOSPICE ENROLLMENT MAKE A DIFFERENCE?

Background: Although Hospice has been associated with improved symptom management, quality of life, lower costs and length of survival in terminally ill patients, it is underutilized. The primary outcome of this study was to examine [...]

By | 2019-03-11T14:18:14-04:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on EXAMINING HOSPITALRELATED OUTCOMES FOR HOSPICE ELIGIBLE ELDERLY PATIENTS WITH SOLID TUMORS, DOES HOSPICE ENROLLMENT MAKE A DIFFERENCE?

Abstract Number: 24

IS YOUR PATIENT IN SHAPE FOR DISCHARGE?

Background: A fifth of older adults discharged from the hospital require readmission within 30 days. Readmissions impose an enormous burden on both patients and the healthcare system. Previous investigations have found that less than half [...]

By | 2019-03-18T14:01:18-04:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on IS YOUR PATIENT IN SHAPE FOR DISCHARGE?

HM2018 Abstract Number: 33

Collaboration is Key

Background: Hospital readmissions continue to remain prevalent despite their negative impact on patient outcomes and economic cost. One in five Medicare beneficiaries is expected to be readmitted within 30 days. As a result, strategies to [...]

By | 2018-03-19T13:16:17-04:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on Collaboration is Key

HM2018 Abstract Number: 216

REDUCING HOSPITAL READMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A QUALITY IMPROVEMENT PROJECT

Background: COPD exacerbations are among the leading causes of hospital readmissions. According to the COPD Foundation, in 2013, 22% patients admitted for COPD exacerbation required readmission within 30 days of discharge. This represents a significant [...]

By | 2018-03-19T13:12:03-04:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on REDUCING HOSPITAL READMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A QUALITY IMPROVEMENT PROJECT

HM2018 Abstract Number: 144

ECONOMIC BENEFIT FOR ACUTE-CARE HOSPITALS THROUGH USING BETRIXABAN FOR EXTENDED-DURATION VTE PROPHYLAXIS OVER 35-42 DAYS

Background: Venous thromboembolism (VTE) in hospitalized medically ill patients is a leading preventable cause of morbidity and mortality in the United States. About half of VTE events occur following discontinuation of standard-duration in-hospital prophylaxis and [...]

By | 2018-03-19T13:10:12-04:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on ECONOMIC BENEFIT FOR ACUTE-CARE HOSPITALS THROUGH USING BETRIXABAN FOR EXTENDED-DURATION VTE PROPHYLAXIS OVER 35-42 DAYS

HM2018 Abstract Number: 324

THE IMPACT OF HEALTH LITERACY ON 30-DAY READMISSIONS AT A TERTIARY CARE ACADEMIC MEDICAL CENTER

Background: Health literacy (HL) is the measure of a person’s ability to obtain, process and understand basic health information and services to make appropriate health decisions.1 Previous studies note positive correlation between high HL and [...]

By | 2018-03-19T13:08:09-04:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on THE IMPACT OF HEALTH LITERACY ON 30-DAY READMISSIONS AT A TERTIARY CARE ACADEMIC MEDICAL CENTER

HM2018 Abstract Number: 315

HEALTH OPTIMIZATION PROGRAM FOR ELDERS (HOPE) – IMPROVING TRANSITIONS FROM HOSPITAL TO SKILLED NURSING FACILITY

Background: Many patients are discharged from the hospital to post-acute rehab in a skilled nursing facility (SNF). These care transitions can be error-prone, hampered by inadequate patient preparation for rehabilitation and insufficient communication between care [...]

By | 2018-03-19T13:02:30-04:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on HEALTH OPTIMIZATION PROGRAM FOR ELDERS (HOPE) – IMPROVING TRANSITIONS FROM HOSPITAL TO SKILLED NURSING FACILITY

HM2018 Abstract Number: 307

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

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

By | 2018-03-19T12:59:24-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on THE DEVELOPMENT OF AN INNOVATIVE PATIENT JOURNEY TIMELINE TO IDENTIFY TRANSITION GAPS FOR A MULTI-HEALTH SYSTEM COLLABORATIVE QUALITY INITIATIVE: INTEGRATED MICHIGAN PATIENT-CENTERED ALLIANCE IN CARE TRANSITIONS (I-MPACT)

HM2018 Abstract Number: 9

READMISSION AND MORTALITY TRENDS AFTER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM AT PENALIZED AND NON-PENALIZED HOSPITALS

Background: Higher rates of 30-day readmissions are associated with lower quality hospital care, and readmissions may put patients at risk for worse health outcomes including death. Historically, 20% of hospitalized Medicare beneficiaries were readmitted within [...]

By | 2018-03-22T15:45:08-04:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Patient Safety, Research|Comments Off on READMISSION AND MORTALITY TRENDS AFTER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM AT PENALIZED AND NON-PENALIZED HOSPITALS

HM2018 Abstract Number: 7

AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): A PRAGMATIC RANDOMIZED CONTROLLED TRIAL

Background: Despite years of intense focus, inpatient and observation readmission rates remain high and largely unchanged. Little robust evidence exists to guide hospitals in the selection of interventions effective at reducing 30 day readmissions in [...]

By | 2018-03-22T15:45:08-04:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Outcomes Research, Research|Comments Off on AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): A PRAGMATIC RANDOMIZED CONTROLLED TRIAL

HM2017 Abstract Number: 250

ARE YOUR PATIENTS BEING READMITTED ELSEWHERE? INSIGHTS FROM THE NATIONAL READMISSIONS DATABASE

Background: Financial readmission penalties hold hospitals responsible for 30-day readmissions regardless of whether the patient was readmitted to another hospital.  Emerging evidence suggests patients readmitted to non-index hospitals may experience higher mortality rates.  Hospitals with [...]

By | 2017-04-26T02:40:24-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ARE YOUR PATIENTS BEING READMITTED ELSEWHERE? INSIGHTS FROM THE NATIONAL READMISSIONS DATABASE

HM2017 Abstract Number: 266

IMPROVING TRANSITIONS FOR ELDERS FROM THE HOSPITAL TO SKILLED NURSING FACILITIES THROUGH HOPE (HEALTH OPTIMIZATION PROGRAM FOR ELDERS)

Background: Transitioning patient care between hospitals and skilled nursing facilities (SNFS) brings many challenges.  Patient and family anxiety, unfamiliarity and even misinformation about SNFs increase the opportunity for unsatisfactory outcomes and readmissions to the hospital..  [...]

By | 2017-04-20T17:50:47-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on IMPROVING TRANSITIONS FOR ELDERS FROM THE HOSPITAL TO SKILLED NURSING FACILITIES THROUGH HOPE (HEALTH OPTIMIZATION PROGRAM FOR ELDERS)