Development and Acceptance of a Visual Menu for Non-English Speaking Acute Care Patients in an Academic Medical Center

2016 ◽  
Vol 116 (9) ◽  
pp. A48
Author(s):  
B. Atkinson ◽  
M. Nordlund ◽  
B. Pullar ◽  
C. Felix ◽  
A. Shah ◽  
...  
Keyword(s):  
Acute Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
English Speaking

Acute Care Nurse Practitioners: Creating and Implementing a Model of Care for an Inpatient General Medical Service

2002 ◽  
Vol 11 (5) ◽  
pp. 448-458 ◽  
Author(s):  
Jill N. Howie ◽  
Mitchel Erickson
Keyword(s):  
Acute Care ◽  
Nurse Practitioners ◽  
Medical Service ◽  
Medical Center ◽  
Academic Medical Center ◽  
Public Funding ◽  
General Medical Service ◽  
Care Nurse ◽  
Insurance Reimbursement ◽  
Academic Medical

Changes in medical education and healthcare reimbursement are recent threats to most academic medical centers’ dual mission of patient care and education. Financial pressures stem from reduced insurance reimbursement, capitation, and changes in public funding for medical residency education. Pressures for innovation result from increasing numbers of patients, higher acuity of patients, an aging population of patients with complex problems, and restrictions on residency workloads. A framework for addressing the need for innovation in the medical service at a large academic medical center is presented. The framework enables acute care nurse practitioners to provide inpatient medical management in collaboration with a hospitalist. The model’s development, acceptance, successes, pitfalls, and evaluation are described. The literature describing the use of nurse practitioners in acute care settings is reviewed.

scholarly journals Physician Workforce Response to the COVID-19 Pandemic at an Academic Medical Center

2020 ◽  
pp. 1-4
Author(s):  
Laurie G. Jacobs ◽  
Jason A. Korcak ◽  
Marygrace Zetkulic
Keyword(s):  
Acute Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Care Physician ◽  
Physician Workforce ◽  
Acute Hospital Care ◽  
Face To Face ◽  
Personal Risk ◽  
Academic Medical ◽  
Training Compensation

ABSTRACT Objectives: The aim of this study was to describe the planning, implementation, and outcome of an acute care physician supplemental workforce during the local coronavirus disease 2019 (COVID-19) surge at a 771-bed academic medical center, from March 25 to May 5, 2020, in New Jersey, United States. Methods: The Department of Medicine sought participation by “independent” and redeployed “employed” physicians to provide acute hospital care, as well as assistance with occupational health and family communication. Plans addressed training, compensation, clinical privileges, malpractice, and collaboration with the existing hospitalist service. Results: Redeployed employed physicians (81% internists) selected either acute care (n = 68; median age, 52 y [range, 32-72 y]; 28% female) or non-face-to-face supportive roles (n = 69; median age, 52 y [range, 32-84 y]; 28% female). The redeployed physician group totaled 474 twelve-h daytime shifts typically caring for 10 patients per day. Six employed physicians refused redeployment, and only 3 independent physicians participated (all acute care). Of note, COVID-19 infection occurred in 10 hospitalists and intensivists, and in several redeployed physicians. Conclusions: Successful physician workforce staffing for medical disasters, such as the COVID-19 pandemic, requires consideration of personal risk, as well as medicolegal, financial, and clinical competency issues.

Deprescribing Medications Among Older People to Reduce Polypharmacy at a Comprehensive Academic Medical Center

2021 ◽  
Vol 36 (4) ◽  
pp. 208-216
Author(s):  
Stella Ye ◽  
Sarah Boyko ◽  
Melissa Patel ◽  
Kruti Shah ◽  
Sara Turbow ◽  
...  
Keyword(s):  
Older People ◽  
Acute Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
The Elderly ◽  
Control Group ◽  
Control Groups ◽  
Care For The Elderly ◽  
Academic Medical ◽  
And Control

OBJECTIVE: To evaluate deprescribing of select high-risk medications (HRMs) in an Acute Care for the Elderly (ACE) unit with pharmacist involvement compared with usual care in older people. DESIGN: Retrospective, single-center case-control study. SETTING: Medical-surgical units at an urban academic medical center. PARTICIPANTS: Patients 65 years of age and older admitted April-June 2019, with 1 or more of the following target HRMs prior to admission were included in the study: acid suppressants, antipsychotics, or insulin. Patients admitted to the ACE unit were included in the case group; all other patients were randomly matched by HRMs in a 2:1 ratio into the control group. INTERVENTIONS: The Acute Care for the Elderly pharmacist reviewed patients' medications to identify and deprescribe select HRMs. Deprescribing was defined as discontinuation, dose or frequency reduction. RESULTS: A total of 47 patients with 56 HRMs and 89 patients with 126 HRMs were included in the case and control groups, respectively. The primary outcome of HRMs deprescribed were similar between the case and control groups (21.4% and 25.4%; P = 0.56). Among the HRMs deprescribed (discontinued, dose or frequency reduced), 83.2% were complete discontinuations in case patients and 34.4% were complete discontinuations in control patients.

scholarly journals Physical Therapists Make Accurate and Appropriate Discharge Recommendations for Patients Who Are Acutely Ill

2010 ◽  
Vol 90 (5) ◽  
pp. 693-703 ◽  
Author(s):  
Beth A. Smith ◽  
Christina J. Fields ◽  
Natalia Fernandez
Keyword(s):  
Acute Care ◽  
Physical Therapists ◽  
Discharge Planning ◽  
Medical Center ◽  
Academic Medical Center ◽  
Patient Discharge ◽  
Limited Information ◽  
Academic Medical ◽  
Discharge Location ◽  
The Impact

BackgroundAcute care physical therapists contribute to the complex process of patient discharge planning. As physical therapists are experts at evaluating functional abilities and are able to incorporate various other factors relevant to discharge planning, it was expected that physical therapists’ recommendations of patient discharge location would be both accurate and appropriate.ObjectiveThis study determined how often the therapists’ recommendations for patient discharge location and services were implemented, representing the accuracy of the recommendations. The impact of unimplemented recommendations on readmission rate was examined, reflecting the appropriateness of the recommendations.DesignThis retrospective study included the discharge recommendations of 40 acute care physical therapists for 762 patients in a large academic medical center. The frequency of mismatch between the physical therapist's recommendation and the patient's actual discharge location and services was calculated. The mismatch variable had 3 levels: match, mismatch with services lacking, or mismatch with different services. Regression analysis was used to test whether mismatch status, patient age, length of admission, or discharge location predicted patient readmittance.ResultsOverall, physical therapists’ discharge recommendations were implemented 83% of the time. Patients were 2.9 times more likely to be readmitted when the therapist's discharge recommendation was not implemented and recommended follow-up services were lacking (mismatch with services lacking) compared with patients with a match.LimitationsThis study was limited to one facility. Limited information about the patients was collected, and data on patient readmission to other facilities were not collected.ConclusionsThis study supports the role of physical therapists in discharge planning in the acute care setting. Physical therapists demonstrated the ability to make accurate and appropriate discharge recommendations for patients who are acutely ill.

Fast Track Pathway for Acute Care Surgery at an Academic Medical Center

2019 ◽  
Vol 229 (4) ◽  
pp. e115
Author(s):  
Amanda Fazzalari ◽  
Shruthi Srinivas ◽  
Natalie Pozzi ◽  
Reeti Sheoran ◽  
Joseph Sabato ◽  
...  
Keyword(s):  
Acute Care ◽  
Fast Track ◽  
Medical Center ◽  
Academic Medical Center ◽  
Acute Care Surgery ◽  
Academic Medical ◽  
Care Surgery

Acute Care Surgery Program At An Academic Medical Center

2011 ◽  
Vol 165 (2) ◽  
pp. 332
Author(s):  
M. Georgiades ◽  
A. Schwartzman ◽  
B. Stahura ◽  
M. Zenilman
Keyword(s):  
Acute Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Acute Care Surgery ◽  
Academic Medical ◽  
Care Surgery

Falls in Acute Care: An Academic Medical Center Six-Year Review

2005 ◽  
Vol 1 (4) ◽  
pp. 208-214 ◽  
Author(s):  
Myra Enloe ◽  
Thelma Joan Wells ◽  
Jane Mahoney ◽  
Mary Pak ◽  
Ronald E Gangnon ◽  
...  
Keyword(s):  
Acute Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical

Gender differences in career progress and satisfaction in an academic medical center

2002 ◽  
Vol 2 (3) ◽  
pp. 95-104 ◽  
Author(s):  
JoAnn Manson ◽  
Beverly Rockhill ◽  
Margery Resnick ◽  
Eleanor Shore ◽  
Carol Nadelson ◽  
...  
Keyword(s):  
Gender Differences ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Career Progress
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