Background: The care management and discharge planning of psychiatric patients experiencing homelessness (PPEH) is an area of debate. Due to the lack of research on best practices and community resources available, there are currently insufficient actionable guidelines in place to properly assist PPEH in their psychiatric care post-discharge, leading to high rates of readmission. Though […]

Background: The social determinants of health (SDOH) are widely recognized as having an important impact on health and mortality with up to 80% of health outcomes shaped by SDOH domains ( the conditions in which people are born, grow, work, live, and age). There is strong evidence that addressing unmet social needs can lower healthcare […]

Background: Case Managers (CM) are now a standard presence in emergency departments (ED) of large hospitals, partnering with ED and Hospital Medicine providers to improve care. They are integral in improving hospital throughput and reducing unnecessary hospital admissions and readmissions. Case Managers generally identify high-risk patients using a manual chart review process or by provider […]

Case Presentation: A 57-year-old African American man with a past medical history of alcohol use disorder, treatment naive chronic hepatitis C infection, and epilepsy presented with left flank pain without urinary symptoms. A non-contrast abdominal CT scan did not show renal pathology but showed compression fracture the L1 vertebra with paravertebral soft tissue and stranding. […]