Background: Accurate attribution of quality metrics to individual hospitalists is crucial for quality improvement and value-based care initiatives. However, the collaborative nature of inpatient care with frequent patient handoffs makes fair attribution challenging. The current understanding of variation in hospitalist quality metrics comes primarily from studies using attribution methods based on who oversaw the majority [...]

Background: In 2023, the Accreditation Council for Graduate Medical Education (ACGME) proposed changes to Pediatric Residency programs allowing for greater individualization of resident experiences and increased ambulatory care time. The ACGME changes may lead some institutions to expand pediatric hospital medicine (PHM) services to provide coverage of hospitalized children previously cared for by residents. We [...]

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: 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: 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 [...]

Background: Pediatric Hospital Medicine (PHM) is one of the newest subspecialties and was recognized by the American Board of Medical Specialties in 2016, with its first fellowship programs accredited in 2020. While research barriers in academic medical practice have been identified in prior studies, the facilitators and barriers to research productivity for PHM faculty in [...]

Background: Overdose-related deaths in adolescents have increased, making recognition and treatment of substance use (SU) an issue of critical importance. However, pediatricians are failing to screen and manage SU withdrawal among hospitalized adolescents. Driving factors include no standard process, addiction specialists’ discomfort in treating pediatrics, and discomfort in inpatient providers in managing addiction. Through this [...]

Background: Prior studies of routine blood culture (BC) testing in uncomplicated community acquired pneumonia (CAP), skin and soft tissue infections (SSTI), and urinary tract infections (UTI) have demonstrated low utility given similar rates of pathogen versus contaminant detection and little effect on clinical management. Understanding patterns and outcomes of BC testing can identify opportunities to [...]

Background: Point-of-care ultrasound (POCUS) is a growing interest in pediatric hospital medicine, however few Pediatric Hospital Medicine (PHM) fellowships incorporate POCUS training formally into their curriculum. POCUS can expedite treatment and improve care for patients in resource-limited settings or when specialists are not immediately available. POCUS can also help PHM fellows bring residents back to [...]

Background: Geographic localization is the practice of assigning physician and advanced practice provider teams to patients located in the same inpatient unit. Poor localization of hospital medicine teams at our institution was identified as a top cause of increased Emergency Department boarding and Length Of Stay (LOS). The purpose of our process improvement project is [...]