Background: Despite the growing emphasis on high-quality HCT, there remains a paucity of evidence to guide inpatient providers in transitioning adolescents to adult medical care. An inter-professional team at our institution created a video incorporating Self-Determination Theory (SDT) concepts as the educational construct emphasizing key elements of HCT.   The objectives were to determine the effect [...]

Background: Improved outcomes in pediatric to adult-oriented HCT especially for children with special health care needs (SHCN) are a national objective of Healthy People 2020, with only 40% of adolescents with SHCN currently meeting the national core outcomes in pediatric to adult-oriented HCT. Despite the potential of hospitalized AYA being higher utilizers of the health [...]

Background: Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-center quality improvement collaborative aiming to improve hospital to home transitions. As part of this project, providers attempt to schedule follow-up visits prior to discharge and conduct post-discharge phone calls. Objective: 1.Determine relationship between scheduling post-discharge follow-up visits and 30-day reutilization rates 2. Characterize patients [...]

Background: 　 There is increasing recognition that high quality transitions of care are essential to ensuring patient safety.　While no universal standard has been identified, using available literature and data from provider surveys, Project Impact identified key elements for acute care discharge education.  However, no studies have focused on the parent perspective.　 Objective: To determine parental [...]

Background: Effective patient handoffs during care transitions are crucial in the skilled nursing home setting where physician providers may not round on a daily basis, and the healthcare facility staff has shift changes on a daily basis. Currently, many critical communications regarding patients are shared via private phone calls, text messages, emails and log books. [...]

Background: The Veterans Health Administration (VHA) is undergoing a national effort to improve access for its patients so that veterans can get the right care, in the right place, at the right time. National benchmarks suggest a time period of two weeks is adequate for non-acute specialty care follow-up, yet our hospital typically averages third [...]

Background: Failures in communication among healthcare personnel are known threats to patient safety. Communication is particularly vulnerable to error when patient care responsibility is transferred from one provider to another (i.e., handoff). In this study we implemented a web-based handoff tool and provider training, and evaluated the impact on preventable adverse events (AEs). Methods: We [...]

Background: Patients discharged to post-acute care facilities are at higher risk for re-admissions compared to those discharged home. Mount Sinai Hospital (MSH) discharges a significant number of patients to Terence Cardinal Cooke Health Care Center (TCC), a post-acute care nursing facility in Manhattan. In 2013, MSH discharges by the hospitalist service to TCC had an average [...]

Background: Inpatient service handoffs have been recognized as a vulnerable time during a patients’ hospitalization. Prior studies have suggested the need for more systematic, team-based, and patient-centered handoff models. We hypothesized that performing the service handoff at the patients’ bedside may more efficiently transfer patient information between physicians, while further integrating the patient into their [...]