scholarly journals REFERRAL PATTERNS FOR PULMONARY EMBOLISM (PE) PATIENTS AT A TERTIARY ACADEMIC MEDICAL CENTER: INSIGHTS INTO PULMONARY EMBOLISM RESPONSE TEAM (PERT) UTILIZATION AND PATIENT OUTCOMES

2020 ◽  
Vol 75 (11) ◽  
pp. 2263
Author(s):  
Robert Zilinyi ◽  
Alexander Murphy ◽  
Danial Saleem ◽  
Mahesh Madhavan ◽  
Shayan Nabavi Nouri ◽  
...  
2015 ◽  
Vol 5 (1) ◽  
pp. 34
Author(s):  
Randy Wexler ◽  
Jennifer Lehman ◽  
Mary Jo Welker

Background: Primary care is playing an ever increasing role in the design and implementation of new models of healthcare focused on achieving policy ends as put forth by government at both the state and federal level. The Patient Centered Medical Home (PCMH) model is a leading design in this endeavor.Objective: We sought to transform family medicine offices at an academic medical center into the PCMH model of care with improvements in patient outcomes as the end result.Results: Transformation to the PCMH model of care resulted in improved rates of control of diabetes and hypertension and improved prevention measures such as smoking cessation, mammograms, Pneumovax administration, and Tdap vaccination. Readmission rates also improved using a care coordination model.Conclusions: It is possible to transform family medicine offices at academic medical centers in methods consistent with newer models of care such as the PCMH model and to improve patient outcomes. Lessons learned along the way are useful to any practice or system seeking to undertake such transformation.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Merilyn S Varghese ◽  
Jordan B Strom ◽  
Sarah Fostello ◽  
Warren J Manning

Introduction: COVID-19 has significantly impacted hospital systems worldwide. The impact of statewide stay-at-home mandates on echocardiography volumes is unclear. Methods: We queried our institutional echocardiography database from 6/1/2018 to 6/13/2020 to examine rates of transthoracic (TTE), stress (SE), and transesophageal echocardiograms (TEE) prior to and following the COVID-19 Massachusetts stay-at-home order on March 15, 2020. Results: Among 36,377 total studies performed during the study period, mean weekly study volume dropped from 332 + 3 TTEs/week, 30 + 1 SEs/week, and 21 + 1 TEEs/week prior to the stay-at-home order (6/1/2018-3/15/2020) to 158 + 13 TTEs/week, 8 + 2 SEs/week, and 8 + 1 TEEs/week after (% change, -52%, -73%, and -62% respectively, all p < 0.001 when comparing volume prior to March 15 versus after). Weekly TTEs correlated strongly with hospital admissions throughout the study period (r = 0.93, 95% CI 0.89-0.95, p < 0.001) ( Figure ). Outpatient TTEs declined more than inpatient TTEs (% change, -74% vs. -39%, p <0.001). As of 3 weeks following the cessation of the stay-at-home order, TTE, SE, and TEE weekly volumes have increased to 73%, 66%, and 81% of pre-pandemic levels, respectively. Conclusions: Echocardiography volumes fell precipitously following the Massachusetts stay-at-home order, strongly paralleling declines in overall hospitalizations. Outpatient TTEs declined more than inpatient TTEs. Despite lifting of the order, echocardiography volumes remain substantially below pre-pandemic levels. The impact of the decreased use of echocardiographic services on patient outcomes remains to be determined.


2020 ◽  
Vol 102 (8) ◽  
pp. 654-663
Author(s):  
Gregory Glauser ◽  
Benjamin Osiemo ◽  
Stephen Goodrich ◽  
Scott D. McClintock ◽  
Kristy L. Weber ◽  
...  

2013 ◽  
Vol 4 (9) ◽  
pp. 204253331348982 ◽  
Author(s):  
Patrick H Sweet ◽  
Theodore Armstrong ◽  
John Chen ◽  
Eliezer Masliah ◽  
Peter Witucki

CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A311
Author(s):  
James Salonia ◽  
Avinash Singh ◽  
David Steiger ◽  
Janet Shapiro ◽  
Jason Filopei ◽  
...  

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