Transitions of Care

/Tag:Transitions of Care

Abstract Number: 638

A TALE OF TWO CITIES … DIVIDED BY A GEOPOLITICAL BORDER

Case Presentation: The logistical complexity of hospital-to-hospital transfer of care in the United States is well-documented. However, little is known about the processes involved in cross-border hospital transfer. This case illustrates the challenges and complexities [...]

By | 2019-03-18T18:55:25+00:00 March 18th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A TALE OF TWO CITIES … DIVIDED BY A GEOPOLITICAL BORDER

Abstract Number: 428

IMPROVING SIGN OUT AMONG HOSPITALISTS FOR IN-PATIENT CARE (I-SHINE)

Background: End of shift sign out is a major part of inpatient care and occurs multiple times for each patient on a Hospital Medicine service. Sign out guidelines recommend specific elements of the written sign [...]

By | 2019-03-11T14:26:11+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on IMPROVING SIGN OUT AMONG HOSPITALISTS FOR IN-PATIENT CARE (I-SHINE)

Abstract Number: 423

CAN CONDITION-SPECIFIC EDUCATIONAL VIDEOS ACTIVATE PATIENTS PREPARING FOR DISCHARGE?

Background: Hospital discharge is a vulnerable time: patients are at risk for readmission, adverse events, and death. Activated patients–those with the knowledge, confidence, and skills to engage in activities that promote self-management–are more likely to [...]

By | 2019-03-11T14:26:03+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CAN CONDITION-SPECIFIC EDUCATIONAL VIDEOS ACTIVATE PATIENTS PREPARING FOR DISCHARGE?

Abstract Number: 417

UNDERSTANDING AND IMPROVING THE INTERHOSPITAL TRANSFER TRIAGE PROCESS

Background: Interhospital transfer is a necessary part of patient care in an increasingly complex healthcare environment. However, it is an ill-defined process that has been associated with increased mortality, cost, and length of stay, even [...]

By | 2019-03-11T14:25:55+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on UNDERSTANDING AND IMPROVING THE INTERHOSPITAL TRANSFER TRIAGE PROCESS

Abstract Number: 413

PRESSURE POINTS: AN OBSERVATIONAL STUDY USING LEAN METHODOLOGY TO UNDERSTAND INTERDISCIPLINARY FRONTLINE PROVIDER EXPERIENCE ON DAY OF DISCHARGE

Background: As patient turnover increases, inpatients and providers may feel pressure during discharge preparation. Hospitals emphasize early daily discharge to improve throughput and decrease length of stay. At our academic center, providers often report feeling [...]

By | 2019-03-11T14:25:49+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PRESSURE POINTS: AN OBSERVATIONAL STUDY USING LEAN METHODOLOGY TO UNDERSTAND INTERDISCIPLINARY FRONTLINE PROVIDER EXPERIENCE ON DAY OF DISCHARGE

Abstract Number: 406

INPATIENT CROSS-COVER EXPERT CONSENSUS GUIDELINES FOR MEDICAL AND SURGICAL RESIDENTS: A DELPHI ANALYSIS

Background: Cross-cover is defined as caring for hospitalized patients for whom one is not the primary provider. This is a common, daily practice for residents and hospitalists. It has been demonstrated that the primary intern [...]

By | 2019-03-11T14:25:37+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on INPATIENT CROSS-COVER EXPERT CONSENSUS GUIDELINES FOR MEDICAL AND SURGICAL RESIDENTS: A DELPHI ANALYSIS

Abstract Number: 405

USING COGNITIVE LOAD THEORY TO IMPROVE POST-HOSPITALIZATION FOLLOW-UP VISITS

Background: Cognitive load (CL) is increasing in healthcare leading to provider frustration and poor performance. Human factors design principles like cognitive load theory (CLT) may mitigate the negative impacts of CL. This study examined the [...]

By | 2019-03-11T14:25:35+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on USING COGNITIVE LOAD THEORY TO IMPROVE POST-HOSPITALIZATION FOLLOW-UP VISITS

Abstract Number: 400

PICCS IN SNFS: PATTERNS OF PICC USE IN PATIENTS DISCHARGED TO SKILLED NURSING FACILITIES

Background: Peripherally inserted central catheters (PICCs) are often used as devices to extend intravenous treatment for hospitalized patients in post-acute settings. Variation between hospitals, indications for use, device characteristics, and outcomes for patients who receive [...]

By | 2019-03-11T14:25:28+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PICCS IN SNFS: PATTERNS OF PICC USE IN PATIENTS DISCHARGED TO SKILLED NURSING FACILITIES

Abstract Number: 397

CAREGIVER EXPERIENCES OF CARE COORDINATION FOR RECENTLY-DISCHARGED PATIENTS: A QUALITATIVE METASYNTHESIS

Background: In response to a national movement toward increasing value in health care, hospitals are seeking to better support patients after discharge. Older patients with functional limitations are frequently referred to receive home health care [...]

By | 2019-03-11T14:25:24+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CAREGIVER EXPERIENCES OF CARE COORDINATION FOR RECENTLY-DISCHARGED PATIENTS: A QUALITATIVE METASYNTHESIS

Abstract Number: 310

A STANDARDIZED HOSPITALIST APPROACH TO ACUTE PAIN CRISES IN SICKLE CELL DISEASE PATIENTS

Background: Vaso-occlusive acute pain crises are the leading cause for hospitalization in adult sickle cell patients. For our academic hospitalist group at a quaternary care center in New York, acute pain crises in 2017 accounted [...]

By | 2019-03-11T14:23:19+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A STANDARDIZED HOSPITALIST APPROACH TO ACUTE PAIN CRISES IN SICKLE CELL DISEASE PATIENTS

Abstract Number: 301

‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

Background: Persons with opioid use disorder (OUD) represent an estimated 4-11% of hospitalized patients and are increasingly admitted for opioid-related complications. In response to the opioid epidemic, national organizations have recommended hospitals develop protocols to [...]

By | 2019-03-11T14:23:05+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

Abstract Number: 229

TESTS PENDING AT TRANSITION FROM EMERGENCY DEPARTMENT TO INPATIENT ADMISSION: A SYSTEMS SOLUTION TO INCONSISTENT COMMUNICATION

Background: Tests Pending at Discharge (TPAD) is a common patient safety concern at transitions of care due to provider discontinuity, suboptimal communication, and lack of ownership. A significant proportion of inpatients, up to 70%, are [...]

By | 2019-03-11T14:21:18+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on TESTS PENDING AT TRANSITION FROM EMERGENCY DEPARTMENT TO INPATIENT ADMISSION: A SYSTEMS SOLUTION TO INCONSISTENT COMMUNICATION

Abstract Number: 78

FINDING SUPPORT ON THE WARDS: INTRODUCTION OF A DISCHARGE LIAISON TO REDUCE WORK COMPRESSION AND IMPROVE TRAINEE EDUCATION AND WELLNESS IN INPATIENT INTERNAL MEDICINE

Background: At academic centers the work of discharge planning has historically fallen on housestaff. The medical education community’s efforts to improve the trainee experience have led to an iterative process of duty hour reform and [...]

By | 2019-03-11T14:17:43+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on FINDING SUPPORT ON THE WARDS: INTRODUCTION OF A DISCHARGE LIAISON TO REDUCE WORK COMPRESSION AND IMPROVE TRAINEE EDUCATION AND WELLNESS IN INPATIENT INTERNAL MEDICINE

Abstract Number: 51

THE COMPLEX CARE PLAN FOR FREQUENTLY HOSPITALIZED PATIENTS: A TOOL TO IMPROVE COMMUNICATION IN CARE TRANSITIONS

Background: Frequently hospitalized patients represent a vulnerable population due to discontinuity between episodes of inpatient, outpatient, and specialty care. This discontinuity puts patients at risk for unnecessary over-treatment, dangerous under-treatment, medication errors, and loss of [...]

By | 2019-03-11T14:17:10+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on THE COMPLEX CARE PLAN FOR FREQUENTLY HOSPITALIZED PATIENTS: A TOOL TO IMPROVE COMMUNICATION IN CARE TRANSITIONS

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

Abstract Number: 23

USING ELECTRONIC HEALTH RECORD PHENOTYPIC DATA TO PREDICT DISCHARGE DESTINATION

Background: Discharge to post-acute care settings (PACs), such as skilled nursing facilities (SNFs), requires significant, complex discharge planning which often needs to be started early during hospitalization to be complete by time of discharge. This [...]

By | 2019-04-17T09:33:02+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Research, Transitions of Care, Winners|Comments Off on USING ELECTRONIC HEALTH RECORD PHENOTYPIC DATA TO PREDICT DISCHARGE DESTINATION

HM2018 Abstract Number: Top 15 Research & Innovations

THE TIP OF THE ICEBERG, ANTIBIOTIC STEWARDSHIP AND FLUOROQUINOLONE USE AT HOSPITAL DISCHARGE: A MULTI-HOSPITAL COHORT STUDY

Background: Inpatient antibiotic stewardship programs often use pre-prescription approval (PPA) or prospective audit and feedback (PAF) to reduce fluoroquinolone prescribing. Whether these stewardship strategies targeting inpatient fluoroquinolone use also influence prescribing at discharge is unknown. [...]

By | 2018-03-29T15:34:57+00:00 March 29th, 2018|Hospital Medicine 2018, Top 15 Research and Innovation Oral Abstracts|Comments Off on THE TIP OF THE ICEBERG, ANTIBIOTIC STEWARDSHIP AND FLUOROQUINOLONE USE AT HOSPITAL DISCHARGE: A MULTI-HOSPITAL COHORT STUDY

HM2018 Abstract Number: 314

EMR based sign-out: A tool that improves efficiency and satisfaction

Background: Transitions of care are critical to maintaining patient safety and decreasing adverse events, but they remain a complex process with many pitfalls. Electronic Medical Record (EMR) based handoffs can enhance communication by centralizing content [...]

By | 2018-03-19T15:44:20+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on EMR based sign-out: A tool that improves efficiency and satisfaction

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+00:00 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: 174

IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

Background: Advances in technology and life-sustaining interventions afford patients access to a wider network of subspecialized care through inter-facility transfers. Implicit in these transfers are multiple complex steps that leave patients vulnerable to adverse events. [...]

By | 2018-03-19T15:44:42+00:00 March 19th, 2018|Innovations, Patient Safety, Uncategorized|Comments Off on IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

HM2018 Abstract Number: 336

THE IMPACT OF A STANDARDIZED TOOL ON THE QUALITY OF END-OF-ROTATION HANDOFFS AMONG MEDICINE HOUSESTAFF.

Background: Medical housestaff must participate in a handoff process when transitioning between rotations on hospital services. During this time, a new team of residents assumes care for multiple patients. A prior study demonstrated that this [...]

By | 2018-03-19T13:18:33+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on THE IMPACT OF A STANDARDIZED TOOL ON THE QUALITY OF END-OF-ROTATION HANDOFFS AMONG MEDICINE HOUSESTAFF.

HM2018 Abstract Number: 322

3-IN-1: MEETING THE NEEDS OF PATIENTS, RESIDENTS, AND THE INSTITUTION DURING HOSPITAL DISCHARGE

Background: High quality discharges improve patients’ health outcomes and experience and are a vital component of resident education. Our internal medicine residency program has had challenges in sustaining our efforts to improve discharge planning and [...]

By | 2018-03-19T13:10:05+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on 3-IN-1: MEETING THE NEEDS OF PATIENTS, RESIDENTS, AND THE INSTITUTION DURING HOSPITAL DISCHARGE

HM2018 Abstract Number: 318

Written Signout Tool based on I-PASS: Does it PASS the Test?

Background: Transitions of care are known to be high-risk times in healthcare, largely due to communication errors between providers. Prior studies have shown a direct relationship between poor signout practices and adverse events. Verbal handoff [...]

By | 2018-03-19T13:08:11+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on Written Signout Tool based on I-PASS: Does it PASS the Test?

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+00:00 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: 287

ENGAGEMENT WITH A NOVEL PATIENT-FACING MOBILE HEALTH APPLICATION AMONG PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

Background: Mobile health applications have the potential to support patients via improved engagement and self-management. While the use of this technology has been developed for patients with chronic diseases, there is limited evidence to guide [...]

By | 2018-03-19T13:02:14+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on ENGAGEMENT WITH A NOVEL PATIENT-FACING MOBILE HEALTH APPLICATION AMONG PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

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+00:00 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: 57

TRANSITIONS OF CARE CURRICULUM FOR THIRD YEAR MEDICAL STUDENTS

Background: Medical errors commonly occur during transitions of care, but medical trainees receive little formal education in how to recognize and address those patients most at risk. Teaching third year medical students to identify risk [...]

By | 2018-03-19T12:58:42+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on TRANSITIONS OF CARE CURRICULUM FOR THIRD YEAR MEDICAL STUDENTS

HM2018 Abstract Number: 332

BARRIERS AND FACILITATORS TO IMPLEMENTING AN ELECTRONIC PILLBOX INTERVENTION DURING CARE TRANSITIONS

Background: Adverse drug events are common during transitions of care and often due to patient misunderstanding of the medication regimen or non-adherence. Challenges exist that may influence the ability of new interventions to address this [...]

By | 2018-03-19T12:57:56+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on BARRIERS AND FACILITATORS TO IMPLEMENTING AN ELECTRONIC PILLBOX INTERVENTION DURING CARE TRANSITIONS

HM2018 Abstract Number: 310

NURSING PERCEPTIONS OF INDEPENDENT PHARMACY BEDSIDE MEDICATION DELIVERY SERVICE

Background: Bedside medication delivery (BMD) and teaching by pharmacy is gaining popularity as an important component of safe hospital discharge. Having medications in hand at time of discharge and education with home medications has been [...]

By | 2018-03-19T12:55:05+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on NURSING PERCEPTIONS OF INDEPENDENT PHARMACY BEDSIDE MEDICATION DELIVERY SERVICE

HM2018 Abstract Number: 188

FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

Background: Discharge education is a key component of safe transition from inpatient to outpatient care in the pediatric population. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement project developed to improve [...]

By | 2018-03-19T12:54:48+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

HM2018 Abstract Number: 175

VARIATION BETWEEN OBSERVATION, DOCUMENTATION, AND CAREGIVER PERCEPTION OF TEACH-BACK DURING PEDIATRIC HOSPITAL DISCHARGE EDUCATION

Background: Transition from the inpatient to outpatient setting presents a safety risk to pediatric patients. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement collaborative developed to improve the hospital to home [...]

By | 2018-03-19T12:53:26+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on VARIATION BETWEEN OBSERVATION, DOCUMENTATION, AND CAREGIVER PERCEPTION OF TEACH-BACK DURING PEDIATRIC HOSPITAL DISCHARGE EDUCATION

HM2018 Abstract Number: 143

Resuming warfarin following upper gastrointestinal bleeding among patients with nonvalvular atrial fibrillation – a microsimulation analysis

Background: Warfarin and other anticoagulants increase the risk of hemorrhagic complications, including upper gastrointestinal hemorrhages (UGIB). Warfarin is commonly used in the management of atrial fibrillation to reduce the risk of ischemic stroke, and frequently [...]

By | 2018-03-19T12:53:22+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Resuming warfarin following upper gastrointestinal bleeding among patients with nonvalvular atrial fibrillation – a microsimulation analysis

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+00:00 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

HM2018 Abstract Number: 165

INTER-PROFESSIONAL QUALITY IMPROVEMENT PROJECT TO IMPROVE THE SAFETY OF DISCHARGE MEDICATION RECONCILIATION PROCESS FOR HOSPITALIZED PATIENTS

Background: Accurate medication reconciliation during transitions of care can decrease medication related adverse drug events. The Joint Commission has prioritized medication reconciliation as one of the national patient safety goals. Effective pharmacist-physician-patient collaboration can improve [...]

By | 2018-03-19T12:53:02+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on INTER-PROFESSIONAL QUALITY IMPROVEMENT PROJECT TO IMPROVE THE SAFETY OF DISCHARGE MEDICATION RECONCILIATION PROCESS FOR HOSPITALIZED PATIENTS