Background: The fragmented US healthcare system leads to high rates of errors, especially for older patients. In 2017, multiple health institutions collaborated to create an age-friendly framework, named the 4Ms. To help ensure reliable care, the 4Ms framework consists of what matters, medications, mentation and mobility (1). Beginning in 2025, CMS will require hospital reporting [...]

Background: The South Bronx has the highest overdose death rate in New York City, exceeding the city’s overall rate, with fentanyl implicated in approximately 80% of cases. In 2018, the New York City Health and Hospitals (NYCHH) started a new initiative called Consult for Addiction Treatment and Care in Hospitals (CATCH) to create health promotion [...]

Background: Hospital length of stay (LOS) is an important metric for evaluating a healthcare system’s quality of patient care, patient experience and outcomes, efficiency of practice, and resource management. The COVID-19 pandemic led to a significant increase in the average hospital LOS in the United States. Hospital LOS has continued to remain high due to [...]

Background: Cocaine use disorders are a significant public health challenge, contributing to cardiovascular, neurological, and psychiatric complications. Chronic use exacerbates these risks and increases addiction rates. This study evaluates global, regional, and national trends in the burden of cocaine use disorders from 1990 to 2019 to inform targeted intervention strategies. Methods: Using the Global Burden [...]

Background: Alcohol poses a significant public health concern, contributing to acute and chronic health complications, including organ damage, neurological impairments, and increased mortality. Excessive alcohol consumption can result in poisoning. This study analyzed trends and disparities in mortality rates due to toxic effects of alcohol among different demographics and geographical regions from 1999 to 2020 [...]

Background: Guidelines recommend symptom triggered therapy for management of alcohol withdrawal. The most commonly use assessment scale is the Clinical Institute Withdrawal Assessment, Revised (CIWA-Ar). CIWA-Ar has been criticized however for relying on patient self-report, and alternative scales have been developed that incorporate vital signs to be more objective, including the Minnesota Detoxification Scale (MINDS) [...]

Background: Excellent onboarding processes can promote employee engagement, satisfaction and retention (1), yet there is minimal research about optimal practices for onboarding hospitalists (2). With potential PHM workforce challenges looming, it is essential to understand the current landscape of onboarding in PHM. Methods: We surveyed leaders of PHM groups about their onboarding practices. The survey, [...]

Background: Physician burnout is associated with negative outcomes for physicians, patients, and organizations. In our urban, academic medical center, 32% of hospitalist faculty report experiencing burnout at least once weekly. Clinical practice as a hospitalist involves dealing with medical acuity, diagnostic and therapeutic uncertainty, and complex interpersonal interactions, all of which may contribute to emotional [...]

Background: Growth of physician owned hospitals (POH) in the United States has been restricted since the 2010 passage of the Affordable Care Act (ACA). Federal policy makers wanted to restrict POH, due to concerns that POH may cherry pick healthier patients, treat fewer Medicaid patients, and have higher service utilization. Data has shown an unclear [...]

Background: Hospitalist models have grown significantly since their inception in the mid-1990s. However, despite their widespread presence, hospitalists’ optimal workflows remain poorly studied and defined. This gap is particularly concerning given the increasing complexity of hospitalized patients. Without a clear understanding of optimal hospitalist work design, clinicians face an increased risk of unsafe workloads and [...]