Background: Inpatient hematology and oncology treatments continue to advance rapidly, now with the routine use of Chimeric Antigen Receptor T-Cell (CAR-T), Bispecific T-Cell Engager (BiTE), Tumor Infiltrating Lymphocytes (TIL) therapies, immunotherapy and targeted therapy These advanced therapies can be associated with potentially life-threatening toxicities such as cytokine release syndrome, neurotoxicity, capillary leak syndrome and other [...]

Background: Pediatric Acute Hospital at Home (PAHaH) is an emerging care model and as programs begin to care for inpatient children at home, it is important to gauge caregiver’s opinion of the model. This insight will aid in refining processes, innovating equipment, and modifying service delivery to maximize care quality in a patient centric manner. [...]

Background: Hospitalists operate in an ever more complex ecosystem of local policies, procedures, specialty services, facilities and governmental regulations. This knowledge base that a hospitalist needs to function effectively can include both informal know-how and formalized documentation that is spread across myriad resources (1). In many institutions, there is a gap in providing this know-how, [...]

Background: Increased mobility is a well-established predictor of health and recovery outcomes; however, decreased mobility continues to be a challenge in the hospital setting. Technology driven platforms promoting activity and mobility are increasingly being integrated into patient care models; however, evidence remains limited regarding patient engagement with such platforms and their ability to meaningfully increase [...]

Background: Missed diagnoses in clinical documentation leads to increased coding queries for providers, skews crucial quality metrics such as mortality and readmission indices, and ultimately has significant financial and reputational impacts for hospitals. A substantial opportunity exists to improve documentation precision to accurately capture diagnoses that reflect severity of patient illness and complexity upon admission. [...]

Background: The classic process for admitting patients from the Emergency Department (ED) to inpatient services relies on inefficient phone calls, often leading to communication breakdowns, delays, and inconsistent documentation of critical patient needs, such as telemetry requirements and appropriate specialty unit placement. At our large, community hospital, this negatively impacted patient safety, throughput, and provider [...]

Background: Manual patient-to-team assignment for Hospital Medicine (HM) at a tertiary care academic center is performed by nocturnists at the end of their shift, introducing risk for misassignment and contributing to burnout. Evidence shows standardized workflows can reduce errors by up to 25% with extrapolation to reduce medical errors. Purpose: To design and validate a [...]

Background: Accurate capture of patient severity of illness (SOI) and risk of mortality (ROM) is essential for institutional quality reporting, financial integrity, and performance on key metrics such as the Vizient Observed-to-Expected (O:E) mortality ratio. Traditional documentation relies heavily on manual provider entry and downstream Clinical Documentation Improvement (CDI) queries, creating delays, increasing administrative burden, [...]

Background: Physicians obtain answers to less than half of the clinical questions they ask at bedside and on rounds (1,2). Generative AI holds the potential to narrow this gap, but few AI tools have been trained to address authentic clinical questions by hospitalists and their teams. We created VLRChat, a custom AI application that draws [...]

Background: During the COVID-19 pandemic, our institution successfully used an adult hospital at home (AHaH) program to expand capacity. Our Pediatric Hospital Medicine (PHM) department faces a similar capacity challenge, spending 90% of 2024 at or exceeding capacity. While pediatric acute hospital at home (PAHaH) is used internationally for some acute care, US pediatric medicine [...]