Background: Professional Advancement Models (PAM) have been researched and implemented at large academic institutions as a solution to provide structure and support for career advancement for Advancement Practice Providers (APPs).1,2 Many of these programs fail to appreciate the nuances of inpatient vs outpatient providers. Given the inherent differences of these practice settings, we aim to investigate [...]

Background: Increased hospital capacity causes significant strain on medical institutions. Patients who are clinically ready for discharge but “stuck” awaiting post-acute resources are thought to contribute to this capacity strain. Here, we aim to provide a clinically relevant measurement of the prevalence (proportion of patients) and weight (proportion of days) for patients who have spent [...]

Background: Point of Care Ultrasound (POCUS) has been used to improve diagnostic accuracy and provide earlier and more focused treatment intervention. Although hospital-based clinicians are prime candidates for utilizing this skill, very few regularly integrate POCUS into their clinical practice after completing a training course. This study sought out to identify the facilitators and barriers [...]

Background: Anti-Black racism is embedded in American healthcare, (1) with roots in the structure and curriculum of medical education. (2) Dismantling racism in health care demands that medical education promote racial justice at all levels, from pre-clinical curriculum to clinical training and beyond. (3) However, there are significant barriers to teaching anti-racism content in the [...]

Background: To date, there are limited reports around the use of well-designed information technology tools to enhance communication during interdisciplinary rounds (IDRs). Computer supported cooperative work (CSCW) is a field that studies the integration of information technology into the workflow of healthcare teams. In collaboration with our technology innovations center, we developed a Microsoft Teams [...]

Background: In November 2021, we initiated a project to improve our length of stay (LOS) and plan of care for patients with a LOS of ≥6 days. We created the Complex Cases Rounds (CCRs) for all patients hospitalized under the hospital medicine service in our community hospital, Emory Johns Creek Hospital. Purpose: CCRs provide a [...]

Background: Hospitals are facing increasing pressure to optimize throughput in order to reduce excess length of stay and improve emergency department (ED) boarding times. Improving coordination and throughput in complex organizations with multiple care sites can be particularly challenging. Health systems have implemented numerous initiatives to improve hospital throughput, but these efforts have mainly been [...]