Background: Large hospital systems receiving transfer from other facilities constantly experience bed shortage and need to have real time awareness of all its’ facilities capacity, capability, and services currently available. Our hospital system receives about 150 inter-hospital transfer requests daily and complete about 60 each day. We have a centralized transfer center where our Transfer [...]

Background: In 2019, Banner Health innovated by launching Cultivating Happiness in Medicine (CHIM), which was Banner’s commitment to supporting physician and APP well-being and reducing burnout. The CHIM strategy is evidence-based, physician and APP driven, and holistic, supporting clinicians from individual wellness and organizational workplace environment perspectives. The six dimensions of the strategy include the [...]

Background: Patient experience is critical in the quality of care delivered in hospitals and is closely linked to better clinical outcomes and patient satisfaction. Hospitalized patients under the care of hospitalists often face challenges related to communication, understanding their plan of care, and feeling connected to their healthcare team. Enhancing patient experience in this setting [...]

Background: As a strategy to improve throughput and efficiency, Vanderbilt University Hospital implemented geographic localization across several Hospital Medicine (HM) teams and units. This large-scale structural change presents an opportunity to not only improve efficiency and quality metrics, but to improve other patient-centered outcomes including patient experience. Purpose: To assess the impact of a hospital [...]

Background: Patient experience is a key indicator of healthcare quality, influencing both satisfaction and outcomes. Despite ongoing efforts to improve care, many patients continue to report unmet needs or concerns, particularly in the late afternoon and evening hours. Addressing these concerns before the end of the day is essential to enhancing overall patient experience. Purpose: [...]

Background: Hospitalized patients often report that they lack the opportunity to share their priorities, and currently there is no standard protocol for hospitalists to elicit their patients’ priorities. Additionally, changes in 2025 to CMS reimbursement rules will require hospitals to have protocols for eliciting what matters to admitted patients, further necessitating the development of an [...]

Background: International medical graduates (IMGs) are vital members of the United States (US) healthcare landscape, making up 24.7% of physicians nationally.[1] Despite this, IMGs face numerous challenges in matching and transitioning to US residencies. One hurdle is adapting to the Western value of relationship-centered care (RCC), which emphasizes patient autonomy, shared decision-making, and interpersonal communication [...]

Background: Length of stay is an ongoing challenge for hospitals across USA. Large number of medically stable patients continue to remain in the hospital. There are multiple barriers including social, financial, and poor communication between team members. This delays discharge leading to poor patient care, burnout of team members, reduced bed capacity and access. Purpose: [...]

Background: Physician and nursing teamwork is instrumental in delivering high quality, safe and reliable patient care. Sub-optimal teamwork contributes to poor nursing morale and increased burnout. Physicians and nurses often are unaware of each other’s workflows. Building team collaboration through trust, respect, communication and mutual understanding may lead to improved quality of care and staff [...]

Background: Prior studies have shown that miscommunication between providers and families with a non-English language preference (NELP) has been associated with medication errors, inadequate follow-up, increased ED usage, and hospital readmissions. They have also noted barriers to providing translated instructions, such as difficulty with translation, limited resources, and inconsistent use of services. Specifically, our institution [...]