Background: Hospital-at-Home (HaH) is a safe and effective alternative to high-cost, traditional hospitalization in patients with a range of medical conditions, such as non-severe community-acquired pneumonia (CAP). The COVID-19 pandemic created a unique situation with favorable policy changes, hospital resource constraints, and a clearly defined patient population that helped to increase HaH program deployment and [...]

Background: In utero opioid exposure can result in neonatal abstinence syndrome (NAS). NAS is a serious condition characterized by central nervous system hyperirritability and autonomic nervous system and gastrointestinal tract dysfunction. Newborns with NAS may require pharmacological management, have increased hospital costs, and have a prolonged hospital length of stay (LOS). NAS incidence has increased [...]

Background: Imagine opening your patients’ electronic medical record (EMR) and seeing their stories, as told by them. Would that help you understand your patients better, both their resilience and the barriers they have faced? Systemic structures of oppression and health provider unconscious bias are root causes of racial, gender and class-based health disparities. Storytelling is [...]

Background: The benefits of breastfeeding for infants and women are well established with the recommendation from the American Academy of Pediatrics to breastfeed for at least 1 year. However, balancing clinical responsibilities with the mental, physical, and time load for breastfeeding physician mothers returning from parental leave proves extremely difficult and contributes to gender disparities [...]

Background: It is estimated that 3-5 falls occur per 1000 patient days in the US and UK(1). According to a study looking at National Database of Nursing Quality Indicators (NDNQI), established by the American Nurses Association, 26% of falls result in injury with 1 in 20 causing serious injuries(1). This poses a serious threat to [...]

Background: As of 2017, 11.8% of US households reported being food insecure at some point during the year. Food insecurity has been linked to poor glycemic control and hypertension. Despite this, screening for food insecurity lags behind screening for other social determinants of health.1 Our team identified an opportunity as there was no standardized process [...]

Background: The period immediately following discharge from a hospital admission is a vulnerable time for patients. Preventable adverse outcomes occur here for various reasons: discontinuity between hospitalists and primary care physicians, changes to medication regimens, and complex discharge instructions [1]. Many of these precipitating factors can be avoided by effective exchange of health information and [...]

Case Presentation: A four-year-old previously healthy, vaccinated female presented with severe, acute-onset ataxia. She was in her usual state of health until the day prior to presentation, when she was picked up from school and reported feeling like she was going to fall. She continued to develop progressive unsteadiness and experienced several falls throughout the [...]

Case Presentation: An 88-year-old woman with past medical history of atrial fibrillation (on apixaban), CVA, glaucoma, and HTN presented to the ED after a witnessed cardiac arrest at home (downtime ~28 minutes) with ROSC achieved by EMS. As per the daughter, the patient was recently treated for a UTI with cephalexin and had been notified [...]

Case Presentation: A 49-year-old man with known history of class III obesity (body mass index 43), hypertension, hyperlipidemia, and insulin dependent diabetes presented to the emergency department with bilateral lower extremity swelling and dyspnea on exertion of two weeks duration. Pertinent vitals included blood pressure 161/74 mmHg, heart rate 99 beats per minute, and saturation [...]