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: It is challenging for care teams to learn about hospitalized older adults with Alzheimer’s Disease and other related dementias (ADRD). Life stories – interventions that collect patient’s personal narratives, histories, likes and dislikes and share them with care teams – are one innovation developed to enhance person-centered care. Few studies have explored the implementation [...]

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 [...]

Background: Tobacco use remains a major public health issue in the United States as it is linked to a broad spectrum of serious diseases. Although intensive inpatient tobacco treatment programs have shown success, the impact of prescription of smoking cessation medications alone on hospital readmissions has not been thoroughly studied. This study aims to assess [...]

Background: Caregivers of Children with Medical Complexity (CCMC) are essential to their child’s care during hospital admissions. Prior research suggests that prolonged hospitalization of their child negatively impacts the emotional, physical and psychosocial well-being of CCMC. However, there is a paucity of data regarding caregivers’ perspectives on potential effective solutions to improve their own wellness [...]

Case Presentation: We present the case of a 41-year-old male with a history of latent syphilis and recently diagnosed (about 10 days before admission) human immunodeficiency virus (HIV) and Mpox who presented to the ER with malaise, lethargy, and worsening cutaneous lesions. Clinical exam was notable for widespread skin lesions and purulent drainage from a [...]