Transition of Care

/Tag:Transition of Care

Abstract Number: 426

OPTIMIZING DISCHARGE SUMMARIES: A MULTI-SPECIALTY, MULTI-CENTER SURVEY OF OUTPATIENT PROVIDERS

Background: Hospital discharge is a complex and dangerous process. The emergence and rapid growth of the Hospitalist specialty with the simultaneous decline of traditional practice models complicates discharges. In light of the discontinuity, it is [...]

By | 2019-03-11T14:26:08-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on OPTIMIZING DISCHARGE SUMMARIES: A MULTI-SPECIALTY, MULTI-CENTER SURVEY OF OUTPATIENT PROVIDERS

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: 402

MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE

Background: Medication discrepancies are prevalent at various transitions of care including hospital discharge. Medication changes at hospital discharge may be misunderstood by the patient or not conveyed throughout the healthcare system. Most outpatient pharmacy medication [...]

By | 2019-03-11T14:25:31-04:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE

Abstract Number: 401

COMPARISON OF THE SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY READMISSION USING LAB VALUES AT ADMISSION OR AT DISCHARGE

Background: The simplified HOSPITAL score is an easy-to-use prediction model that accurately identifies patients at high-risk of 30-day unplanned readmission before hospital discharge. The predictors include the last available hemoglobin and sodium levels at discharge. [...]

By | 2019-03-11T14:25:30-04:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on COMPARISON OF THE SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY READMISSION USING LAB VALUES AT ADMISSION OR AT DISCHARGE

HM2018 Abstract Number: 329

HOMECOMING: PATIENT CENTRIC NEXT SITE OF CARE RECOMMENDATIONS

Background: Currently, Physical and Occupational Therapy (PT/OT) documentation dictates next site of care. PT/OT recommends how much therapy is needed upon discharge and where the therapist believes these services should be provided, which is often [...]

By | 2018-03-19T15:44:27-04:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on HOMECOMING: PATIENT CENTRIC NEXT SITE OF CARE RECOMMENDATIONS

HM2018 Abstract Number: 311

EFFECTIVENESS OF COMMUNICATION DURING ICU TO WARD TRANSFER: PREVALENCE OF A SHARED MENTAL MODEL

Background: Previous studies demonstrate patient readmissions to the Medical Intensive Care unit (MICU) from the ward are potentially associated with worse outcomes due to breakdowns in communication during ICU-ward transfer. Though previous work highlights the [...]

By | 2018-03-19T13:24:28-04:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on EFFECTIVENESS OF COMMUNICATION DURING ICU TO WARD TRANSFER: PREVALENCE OF A SHARED MENTAL MODEL

HM2018 Abstract Number: 317

TOC ROUNDS: THE RIGHT RECIPE FOR REDUCING LENGTH OF STAY

Background: The 2001 Institute of Medicine Report Crossing the Quality Chasm cited a lack of care coordination as a contributing factor to the “chasm” between evidence-based and delivered care and suggests team-based models of care [...]

By | 2018-03-19T13:04:42-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on TOC ROUNDS: THE RIGHT RECIPE FOR REDUCING LENGTH OF STAY

HM2018 Abstract Number: 286

AN ELECTRIFYING EFFECT: TARGETED WORKFLOW REWIRING IMPROVED RATES OF ELECTRONIC PRESCRIBING AT DISCHARGE

Background: Electronic prescribing (eRx) at discharge enhances safety and quality of care transitions. It results in improved medication adherence and a decreased chance of readmission. Stage 3 Meaningful Use goals include discharge eRx rates of [...]

By | 2018-03-19T12:58:32-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on AN ELECTRIFYING EFFECT: TARGETED WORKFLOW REWIRING IMPROVED RATES OF ELECTRONIC PRESCRIBING AT DISCHARGE

HM2018 Abstract Number: 323

IMPROVING TRANSITIONS IN CARE SURROUNDING DOCUMENTATION OF TESTS PENDING AT DISCHARGE FROM THE HOSPITALIST SERVICE

Background: Effective communication and care coordination between inpatient and outpatient teams are essential for safe care transitions. Currently there is infrequent communication between PCPs and Hospitalists around the time of discharge. Often, the PCPs are [...]

By | 2018-03-19T12:58:00-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on IMPROVING TRANSITIONS IN CARE SURROUNDING DOCUMENTATION OF TESTS PENDING AT DISCHARGE FROM THE HOSPITALIST SERVICE

HM2018 Abstract Number: 335

IMPACT OF POST-DISCHARGE COMMUNICATION OF CARE ON CLINIC FOLLOW-UP AND HOSPITAL READMISSION RATES

Background: Recurrent hospitalizations are responsible for considerable health care costs. This retrospective observational study was undertaken to determine whether timely communication of care (COC), such as direct phone call or voicemail notice, following a hospitalization [...]

By | 2018-03-19T12:54:07-04:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on IMPACT OF POST-DISCHARGE COMMUNICATION OF CARE ON CLINIC FOLLOW-UP AND HOSPITAL READMISSION RATES