Background: Typical solutions to incorporating provider input into discharge planning often rely on one-way communication mechanisms and data entry that is not dynamic (i.e. providers estimate day of discharge in advance). We are designing a discharge readiness tool to be integrated into our current electronic health record (EHR), Epic Systems-Verona Wisconsin, that allows providers to [...]

Background: Unplanned hospital readmissions are a burden on patients and cost taxpayers tens of billions of dollars each year in the United States1. Multi-component interventions have been the most effective at readmission reduction.2. But with hospital resources spread thin, it may not be necessary or even feasible to provide a multicomponent intervention for all discharging [...]