Background: Traditional measures of workload such as wRVUs may not be adequate to understand the impact of work design on key patient, workforce, and organizational outcomes. In this study, we developed a workforce application to capture clinician perception of workload and environment and then paired this data with electronic workload measures in the EHR in [...]

Background: The majority of medical students indicate that the health policy and health systems education they receive is insufficient, even though they will face barriers to practicing care at the systems level. In addition, there is little uniformity or evaluation of pedagogical approaches to health policy in undergraduate medical education, especially in connecting health policy [...]

Background: Prolonged hospitalizations of patients who are medically ready for discharge are highly prevalent in the current acute care environment.1 Patients who remain in the hospital beyond resolution of their acute medical needs often have high medical, social and psychiatric complexity and are poorly served remaining in an environment that is not designed for their [...]

Background: Hospital systems are increasingly focusing on health equity, including identifying and addressing social drivers of health and healthcare disparities. Conventional quality improvement (QI) approaches have been used to address disparities with varying success. In our health system, using QI to increase use of interpreters has been the primary intervention for improving outcomes in patients [...]

Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a post-discharge survey which captures patient experience during and after hospitalization (1). Previous studies have demonstrated that high quality discharge communication is vital for patient safety, with poor communication leading to decreased medication adherence, unplanned readmissions, and poorer health outcomes—important implications for both [...]