Terminology
This term refers to the transfer of patient information and responsibility
What is Handoff
What is the NYP Program that facilitates post hospital care?
Transitions of Care (ToC)
What term refers to differences in health that harm disadvantaged communities
Health disparities
What does medicine equal?
A TEAM SPORT
What is the term for preparing a pt’s anticipated health care needs after they leave the hospital?
Discharge planning
What does EMR stand for?
Electronic Medical Record
Name one example of a community based organization we discussed
Lenox Hill, Life story club, Etc.
Name one of the SDOH examples listed on the slide
Polluted water, Gun violence/unemployment, Food deserts
What did the Children's National Hospital study evaluate?
Telemed for post discharge
How much does hospital readmissions cost the healthcare system a year (within one sig fig)?
This term refers to the care provided after patients are released from the hospital (e.g., after surgery)
Post acute care
What percent of patients (nearest 10) 1+ unintentional medication discrepancy during internal hospital transfer
What is 60% (62%)?
Name 4/5 broad categories of SDOH
Education, Econ stability, Neighborhood, Healthcare, Social/Community context
Name two barriers to telemedicine for ToC
No appointment details, email, fear of billing, language barrier
What proportion of Medicare pts are readmitted within 30 days
1 in 5
This term involves 30, 60, 90 day benchmarks to evaluate quality of hospital care
Hospital readmissions
What are the clinicians that coordinate post hospital care called?
Care Transition Coordinators (CTC)
What is the NIH program to increase underrepresented populations in biomedical research?
All of US
What percent/proportion did the NUMC care transition team reduce readmission?
18%->9% (by half)
What are two types of community based organizations?
Faith based, State based, Non-profit