Background: Poor coordination between hospital and outpatient care worsens health outcomes, and increases preventable hospitalization and health care expenditures, especially for socioeconomically disadvantaged populations. Evidence of the effects of current programs to improve care coordination is mixed, and there is little data on how their impact may differ for hospitalizations for ambulatory care-sensitive conditions (ACSCs) [...]

Background: Ten to twenty percent of U.S. hospitalizations are avoidable, driven by clinical uncertainty, social factors, or lack of access to ambulatory care [1-3]. These unnecessary admissions result in significant human and financial costs, including in-hospital errors, wasteful spending, and medical debt [4-7]. With hospital occupancy reaching critical levels, we designed and launched the Olive [...]

Background: Poor coordination between hospital and outpatient care worsens health outcomes, and increases preventable hospitalization and health care expenditures, especially for socioeconomically disadvantaged populations. Evidence of the effects of current programs to improve care coordination is mixed, and there is little data on how their impact may differ for hospitalizations for ambulatory care-sensitive conditions (ACSCs) [...]

Background: Ten to twenty percent of U.S. hospitalizations are avoidable, driven by clinical uncertainty, social factors, or lack of access to ambulatory care [1-3]. These unnecessary admissions result in significant human and financial costs, including in-hospital errors, wasteful spending, and medical debt [4-7]. With hospital occupancy reaching critical levels, we designed and launched the Olive [...]

Background: We created a generative artificial intelligence chatbot (“VLRChat”) that draws from a comprehensive curricular resource (the 480-page Vanderbilt Housestaff Handbook) to answer point-of-care clinical questions by hospitalists and inpatient clinical teams. Time constraints and cognitive overload frequently prevent hospitalist faculty and learners from determining the optimal, most current answers to clinical questions: as many [...]

Background: Large hospital systems receiving transfer from other facilities constantly experience bed shortage and need to have real time awareness of all its’ facilities capacity, capability, and services currently available. Our hospital system receives about 150 inter-hospital transfer requests daily and complete about 60 each day. We have a centralized transfer center where our Transfer [...]

Background: In 2019, Banner Health innovated by launching Cultivating Happiness in Medicine (CHIM), which was Banner’s commitment to supporting physician and APP well-being and reducing burnout. The CHIM strategy is evidence-based, physician and APP driven, and holistic, supporting clinicians from individual wellness and organizational workplace environment perspectives. The six dimensions of the strategy include the [...]

Case Presentation: An 80-year-old female with a past medical history of breast cancer status post bilateral mastectomy and hepatocellular carcinoma status post radiation therapy presented with chest pain and progressive shortness of breath. The Computed tomography (CT) chest revealed a mass in the right ventricle extending into the main pulmonary artery with flattening of the [...]

Case Presentation: A 40-year-old woman with a history of bipolar disorder and cannabis use disorder presented with four days of headache, dizziness, and vomiting. Initial examination revealed no focal neurological deficits except inconsistent orientation to time and cognitive slowing. She was treated symptomatically and planned for discharge. As she attempted to leave the ED, she [...]

Background: The benefits of palliative care for hospitalized cancer patients are well known and have become a hallmark of high-quality oncologic care. This evolution in cancer treatment has led to a growing demand for palliative care services, and to questions about how to most effectively integrate this specialty into patient care. Furthermore, the field of [...]