Background: In the South Bronx, 30% of the population lives with heart failure. CHF readmission andmortality rates surpass the national average in the Bronx. Our hospital serves anethnically diverse population, predominantly Hispanic and African American, many ofwho have a low socioeconomic status. Despite multiple interventions including educating patients about CHF Action Plan, ensuring all eligible [...]

Background: SIBR originated from a multi-pronged initiative to improve value and outcomes for our patients. On the Oncology floor where the complexity of care is high and patients have several consultants involved in their care, it is very easy to have fragmentation of care and lose the patient’s trust. Our objective was to engage the [...]