Background: With increasing integration of technology in healthcare, understanding factors influencing older adults’ willingness to adopt mobile health (mHealth) applications is crucial. This study aims to investigate the demographic, clinical, and behavioral factors associated with willingness to try an mHealth app among older adults. Methods: We conducted a mixed methods study at a large tertiary [...]

Background: High-value care (HVC) education is crucial for developing cost- and quality-conscious physicians. This study assesses the impact of a first-year HVC course on experiences in longitudinal ambulatory clerkship (LAC), examining changes with time and gender. Methods: This prospective study lasting from 2021-2024 included first and second-year medical students (n=265) in LAC. Students were divided [...]

Background: Physical activity is crucial for the health and well-being of older adults. This study aims to investigate physical activity goals, expectations, and barriers among older adult patients to improve interventions and health outcomes. Methods: We conducted a mixed methods study at a large tertiary academic medical center from July to August 2024. We screened [...]

Background: Sleep in hospitalized adults is impaired due to several reasons. Non-pharmacological approaches should be attempted first before considering medications to treat insomnia. Environmental noise levels in the hospital are also a major culprit that might result in disturbed sleep. While limiting any disturbance or sound during sleeping hours is crucial, it might not be [...]

Background: Hospital admissions among nursing home residents with Alzheimer’s Disease and related dementias (ADRD) are burdensome, expensive, and provide limited clinical benefits. Compared to other patients, those with ADRD are more likely to experience adverse events, such as delirium, urinary infections, pneumonia, and functional decline. Research on nursing home residents has focused on the consequences [...]

Background: Effective communication affects cancer management and outcomes and is particularly essential in the last year of life when medical complexity peaks. In the last decade, adoption of telemedicine and other advances may have affected patient experience and communication effectiveness. The purpose of this study is to assess racial disparities and trends in patient experience [...]

Background: Oropharyngeal dysphagia (OD) is a common syndrome in hospitalized patients with Alzheimer’s disease and related dementias (ADRD). Although modified barium swallow study (MBSS) is considered the reference standard test for OD diagnosis and classifying OD severity, it is not routinely used in clinical practice. The objective of our study was to determine whether the [...]

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 [...]