Background: Mortality is the first quality metric reported by CMS, and historically a key measure for evidence based medicine since the 1800’s. THINK:  John Snow removing the handle from the Broad street well pump to reduce cholera deaths  Ignaz Semmelweis demonstrating washing hands reduced puerperal fever and death. Mortality rates are risk adjusted [...]

Background: Opening new residency programs in community hospitals is one strategy to address physician shortage. Previous reports showed better outcomes in university based hospitals. However, less is known about teaching community hospitals. Disrupting well- established workflows in community hospitals is feared to cause an increased cost and possibly a slide in quality of care. Our [...]