Background: Health-related social needs (HRSN) exacerbate poor health in patients with chronic medical conditions. The population of frequently hospitalized patients is heterogeneous, but many have unmet health related social needs. Multidisciplinary programs for this population emphasize longitudinal patient-provider relationships and intensive case management. Studies of these interventions have failed to demonstrate improved readmissions outcomes but [...]

Background: Academic health systems must balance caring for patients in their community with their role as referral centers for more profitable tertiary quaternary (T/Q) care. Hospital Medicine services, which admit patients largely from the emergency department, often have the lowest proportion of T/Q care and may thus be under pressure to demonstrate their value to [...]

Background: Social determinants of health (SDoH) are the conditions in which people are born, work, and live that affect about 80% of their health outcomes (1,2). Gaps in addressing SDoH contribute to health disparities and inequities which disproportionately harm racial and ethnic minorities (3). Addressing SDoH needs with interventions such as housing, nutritional, or income [...]

Case Presentation: A 73-year-old male with history of type 2 diabetes and one-month prior admission for acute renal failure in the setting of stage IV chronic kidney disease presented with symptomatic anemia found to have splenomegaly. A renal biopsy revealed features of membranoproliferative glomerulonephritis and necrotizing crescentic lesions with IgM kappa deposition, suspicious for cryoglobulinemic glomerulonephritis. Immunofixation [...]

Background: Peer feedback facilitates clinician growth, but obtaining feedback is challenging in inpatient settings where provider teams switch frequently. Often supervisors only hear of extremely positive or negative behaviors. Currently, there is no validated evaluation tool for hospitalist faculty. Historically, our group’s method for soliciting peer evaluations for 180+ staff resulted in 30-40 completed evaluations [...]

Background: Physician communication scores within the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) directly impacts a hospitals STAR rating. Provider engagement is essential in improving clinical outcomes, quality of care and overall efficiency. There is a high rate of physician burnout and disengagement post pandemic. When physicians are disengaged the hospitals do not [...]

Background: We created a website to serve as a central information relay for our local community in East Flatbush during the height of the COVID-19 pandemic in New York City. We launched COVIDBrooklyn.com in March 2020 to provide a current and easy to understand resource on COVID-19. East Flatbush is a predominantly African American community, [...]

Background: A patient’s inpatient experience often correlates with patient satisfaction scores. These scores are measured via the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, which collects data on patient satisfaction and perception of their hospital experience using three questions.As a tertiary academic care center, we have seen a decline in the “Medicine [...]

Background: The division of the hospital medicine at the University of Florida has 52 attending hospitalist physicians with an average daily census of 200 patients. On any given day, one physician carries 16 patients and practices direct care services. This includes chart review, placing orders, answering pages, coordinating with case managers, requesting consultations, rounding on [...]

Background: Background: The UNC Meet My Loved One (MMLO) project was implemented during the early stages of the COVID-19 pandemic. As COVID-19 surged, patients and healthcare workers experienced unique factors that diminished recognition of patient personhood and increased healthcare worker (HCW) burnout. Adapted from the University of Alabama’s MMLO initiative, the UNC Palliative Care team [...]