2021
Teleneurology Comprehensive Inpatient Consultations Expedite Access to Care and Decreases Hospital Length of Stay
McCormick R, Estrada J, Whitney C, Hinrichsen M, Lee P, Cohen A, Schwamm L, Matiello M. Teleneurology Comprehensive Inpatient Consultations Expedite Access to Care and Decreases Hospital Length of Stay. The Neurohospitalist 2021, 11: 229-234. PMID: 34163548, PMCID: PMC8182406, DOI: 10.1177/19418744211000951.Peer-Reviewed Original ResearchTeleneurology serviceTertiary careConsult requestsDecrease hospital lengthPercentage of patientsRate of patientsImplementation groupConsult orderHospital lengthDischarge dispositionMedian timeMedian lengthInpatient lengthMedical recordsCommunity hospitalPerson consultationsHospital measuresConsultation databaseIndependent cohortTelestroke careStayConsultation completionPatientsCareSignificant differencesProlonged inpatient stay after upfront total laryngectomy is associated with overall survival
Jacobs D, Kafle S, Earles J, Rahmati R, Mehra S, Judson BL. Prolonged inpatient stay after upfront total laryngectomy is associated with overall survival. Laryngoscope Investigative Otolaryngology 2021, 6: 94-102. PMID: 33614936, PMCID: PMC7883619, DOI: 10.1002/lio2.441.Peer-Reviewed Original ResearchNational Cancer DatabaseTotal laryngectomyOverall survivalInpatient LOSMultivariable analysisCharlson-Deyo comorbidity scoreLong-term overall survivalPostoperative long-term mortalityMultivariable binary logistic regressionNinety-day mortalityUpfront total laryngectomyLong-term mortalityDays of diagnosisKaplan-Meier analysisBinary logistic regressionProlonged LOSComorbidity scoreWorse OSPatient ageCox regressionInpatient stayVolume centersClose surveillanceFemale sexInpatient length
2018
A Pay-for-Performance Initiative to Reduce Pediatric Psychiatric Inpatient Length of Stay
Schmutte T, Van der Heide L, Szczygiel L, Phelan A, Davidson L, Plant R. A Pay-for-Performance Initiative to Reduce Pediatric Psychiatric Inpatient Length of Stay. Psychiatric Services 2018, 70: 156-158. PMID: 30394181, DOI: 10.1176/appi.ps.201800190.Peer-Reviewed Original ResearchConceptsPsychiatric Inpatient LengthInpatient lengthMore community-based servicesP4P programApparent adverse outcomesCommunity-based servicesDays postdischargePostdischarge careInpatient stayAdverse outcomesNonsignificant decreaseService useStayPerformance initiativesAdditional researchAverage lengthReadmissionPostdischarge
2016
Variation in Resource Utilization for Patients With Hip and Pelvic Fractures Despite Equal Medicare Reimbursement
Samuel AM, Webb ML, Lukasiewicz AM, Basques BA, Bohl DD, Varthi AG, Lane JM, Grauer JN. Variation in Resource Utilization for Patients With Hip and Pelvic Fractures Despite Equal Medicare Reimbursement. Clinical Orthopaedics And Related Research® 2016, 474: 1486-1494. PMID: 26913512, PMCID: PMC4868172, DOI: 10.1007/s11999-016-4765-8.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overDiagnosis-Related GroupsFee-for-Service PlansFemaleFracture FixationHealth ResourcesHip FracturesHospital CostsHumansIntensive Care UnitsLength of StayMaleMedicarePatient Care BundlesPelvic BonesProcess Assessment, Health CareRegistriesRespiration, ArtificialRetrospective StudiesTime FactorsTrauma CentersTreatment OutcomeUnited StatesConceptsIntensive care unitDiagnosis-related groupsPelvic fracturesHip fractureInpatient lengthAcetabulum fracturesVentilator timeICU lengthHospital factorsVentilation timePelvis fracturesIntensive care unit stayNational Trauma Data BankTotal inpatient lengthTrue hospital costsMechanical ventilation timeInpatient resource utilizationHigh-energy traumaTrauma Data BankIncidence of fracturesNonoperative fracturesUnit stayTrauma patientsCare unitPelvic trauma
2013
The Safe Patient Flow Initiative: A Collaborative Quality Improvement Journey at Yale-New Haven Hospital
Jweinat J, Damore P, Morris V, D’Aquila R, Bacon S, Balcezak TJ. The Safe Patient Flow Initiative: A Collaborative Quality Improvement Journey at Yale-New Haven Hospital. The Joint Commission Journal On Quality And Patient Safety 2013, 39: 447-ap9. PMID: 24195198, DOI: 10.1016/s1553-7250(13)39058-8.Peer-Reviewed Original ResearchConceptsYale-New Haven HospitalAdult emergency departmentEmergency departmentPostanesthesia care unitAcademic medical centerPhysician/providerCare unitInpatient lengthFlow of patientsMedical CenterFiscal year 2008Operating roomPatient flowPatientsStayHospitalVisual controlSteering CommitteeDepartmentAverage lengthImprovement effortsFY 2011Days
2004
Comparison of Hospitalists and Nonhospitalists in Inpatient Length of Stay Adjusting for Patient and Physician Characteristics
Rifkin W, Holmboe E, Scherer H, Sierra H. Comparison of Hospitalists and Nonhospitalists in Inpatient Length of Stay Adjusting for Patient and Physician Characteristics. Journal Of General Internal Medicine 2004, 19: 1127-1132. DOI: 10.1111/j.0884-8734.2004.30415.x.Peer-Reviewed Original ResearchAverage length of stayLength of stayMedical school graduatesHospitalist patientsInpatient lengthPhysician graduatesAdmission volumeMedical schoolsObserved length of stayRandom intercept logistic regression modelProvider-level variablesYear of patient ageInpatient length of stayPatient ageSchool graduatesCoronary care unitCare unitLogistic regression modelsMedical intensive care unitPhysician characteristicsPhysician genderRetrospective cohort studyVolume statusDepartment of MedicineHospital effectsComparison of hospitalists and nonhospitalists in inpatient length of stay adjusting for patient and physician characteristics
Rifkin W, Holmboe E, Scherer H, Sierra H. Comparison of hospitalists and nonhospitalists in inpatient length of stay adjusting for patient and physician characteristics. Journal Of General Internal Medicine 2004, 19: 1127-1132. PMID: 15566442, PMCID: PMC1494784, DOI: 10.1111/j.1525-1497.2004.1930415.x.Peer-Reviewed Original ResearchConceptsAverage length of stayInpatient length of stayLength of stayMedical school graduatesHospitalist patientsPhysician graduatesInpatient lengthAdmission volumeMedical schoolsObserved length of stayRandom intercept logistic regression modelProvider-level variablesYear of patient agePatient ageSchool graduatesCoronary care unitCare unitLogistic regression modelsMedical intensive care unitPhysician characteristicsPhysician genderRetrospective cohort studyVolume statusDepartment of MedicineHospital effects
2000
Relationship Between Climate and Psychiatric Inpatient Length of Stay in Veterans Health Administration Hospitals
Federman E, Drebing C, Boisvert C, Penk W, Binus G, Rosenheck R. Relationship Between Climate and Psychiatric Inpatient Length of Stay in Veterans Health Administration Hospitals. American Journal Of Psychiatry 2000, 157: 1669-1673. PMID: 11007722, DOI: 10.1176/appi.ajp.157.10.1669.Peer-Reviewed Original ResearchConceptsVeterans Health Administration hospitalsLength of stayVHA hospitalsAdministration HospitalInpatient psychiatric lengthPsychiatric hospitalization costsPsychiatric Inpatient LengthHealth care utilizationLonger lengthInpatient psychiatric servicesHigh clinical costsCare utilizationHospitalization costsInpatient lengthPsychiatric lengthHospital utilizationMedical CenterPsychiatric servicesHospital levelStayHospitalClinical costsMean lengthSignificant correlationShorter length
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