Self-reflection as a Tool to Increase Hospitalist Participation in Readmission Quality Improvement

Rana, Vipulkumar; Thapa, Bipin; Saini, Sumanta Chaudhuri; Nagpal, Pooja; Segon, Ankur; Fletcher, Kathlyn E.; Lamb, Geoffrey C.

doi:10.1097/qmh.0000000000000111

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…In the United States, for example, the Centers for Medicaid and Medicare Services reduce reimbursements to hospitals that have high rates of readmission ( 35 ). Hospitalist services have been shown to reduce readmissions ( 36 - 38 ). In our study, various benefits of the hospitalist group were shown, which may have contributed to the short LOS and comparatively low rate of readmission.…”

Section: Discussionmentioning

confidence: 99%

Efficiency of the Japanese Hospitalist System for Patients with Urinary Tract Infection: A Propensity-matched Analysis

2023

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Objective The hospitalist system in the United States has been considered successful in terms of the quality of care and cost effectiveness. In Japan, however, its efficacy has not yet been extensively examined. This study examined the impact of the hospitalist system on the quality of care and healthcare economics in a Japanese population using treatment of urinary tract infection as an example. Methods We analyzed 271 patients whose most resource-consuming diagnosis at admission was urinary tract infection between April 2017 and March 2019. Propensity-matched analyses were performed to compare health care economics and the quality of care between the hospitalist system and the conventional system. Results In matched pairs, care by the hospitalist system was associated with a significantly shorter length of stay than that by the conventional system. The quality of care (oral antibiotics switch rate, rate of appropriate antibiotics change based on urine or blood culture results, detection rate of urinary tract infection etiology and the number of laboratory tests) was also considered to be favorably impacted by the hospitalist system. Although not statistically significant, hospital costs tended to be lower with the hospitalist system than with the conventional system. The mortality rate and 30-day readmission were also not significantly different between the groups. Conclusion The hospitalist system had a favorable impact on the quality of care and length of stay without increasing readmission in patients with urinary tract infection. This study is further evidence of the strong potential for the positive impact of an implemented hospitalist system in Japan.

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Section: Discussionmentioning

confidence: 99%

Efficiency of the Japanese Hospitalist System for Patients with Urinary Tract Infection: A Propensity-matched Analysis

2023

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Better medical care quality in weekday daytime schedule with gastrointestinal hospitalists than conventional care teams

Ra,

Lee,

Park

et al. 2023

Hospital Practice

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Self-reflection as a Tool to Increase Hospitalist Participation in Readmission Quality Improvement

Abstract: A facilitated reflective practice intervention increased hospitalist participation and awareness in the mission to reduce readmissions and this intervention resulted in a nonsignificant trend in readmission reduction.

Cited by 2 publications

References 24 publications

Efficiency of the Japanese Hospitalist System for Patients with Urinary Tract Infection: A Propensity-matched Analysis

Efficiency of the Japanese Hospitalist System for Patients with Urinary Tract Infection: A Propensity-matched Analysis

Better medical care quality in weekday daytime schedule with gastrointestinal hospitalists than conventional care teams

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