SHM Converge Scientific Abstract ePoster Gallery-What Matters Most to You Today? An Innovation to Elicit Hospitalized Patients' Priorities

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The project introduced a hospital-wide innovation to make “What matters most to you today?” (WMMTYT) a daily standard question asked by hospitalists during rounds. The goal was to better identify and address hospitalized patients’ priorities, since these are often missed in routine inpatient care.<br /><br />Launched in July 2024, the intervention used a multi-pronged approach: marketing materials placed in workrooms, patient rooms, and virtual meeting spaces; brief presentations at weekly divisional meetings; and in-person check-ins with hospitalists. The team measured progress through twice-weekly electronic surveys to hospitalists, along with qualitative feedback from both hospitalists and patients.<br /><br />Results showed 211 hospitalist survey responses, representing 802 patients cared for on direct-care medicine services. Overall, there was a positive trend in the frequency with which hospitalists asked WMMTYT. Feedback from both patients and clinicians was broadly favorable. Hospitalists reported that the question helped open meaningful conversations about care goals, while patients said it improved trust, communication, and their sense of being well cared for.<br /><br />The main barriers to wider adoption were not fully detailed, but the team noted that sustaining and expanding the practice will likely require sharing strategies from successful adopters, offering more flexibility in the wording of the question, and collecting patient-experience outcome data.<br /><br />Overall, the initiative showed that a simple daily question can support more patient-centered inpatient care and strengthen the relationship between patients and their care teams.

Asset Subtitle

Ashish Gandhi

Meta Tag

Author List Amir Yekani, Ashish Gandhi, Chiamaka K. Onwuli, Daniela Rodriguez, Dayann Leal, Ilsa Siddiqui, James D. Harrison, Molly A. Kantor, Rachel Luke, Sajan Patel, Syed Salman Ali

Category Innovations

Concept 4Ms

Concept Hospitalized Patient Priorities

Concept Patient-Centered Care

Concept Hospitalist

Concept Inpatient Rounds

Distinguished Non-Finalist

Presenter Organization University of California, San Francisco

Presenting Author Ashish Gandhi

Track Communication

Keywords

hospital innovation

patient-centered care

daily rounds question

hospitalists

inpatient care

patient priorities

communication

trust

clinical workflow

quality improvement

4Ms

Hospitalized Patient Priorities

Patient-Centered Care

Hospitalist

Inpatient Rounds