Background: The buzzword of the decade for hospital medicine is geography. Geographic ACUs have been in existence for years at our institution on non-teaching floors. The ACUs have improved overall throughput, quality and patient experience. Our hospitalists have embraced the ACU philosophy due to ease of rounding, interdisciplinary approach to patient care and its 7on/7off [...]

Background: Geographic hospitalist staffing and interdisciplinary rounding has been shown to improve staff communication, patient communication, and reduce length of stay. Communication between hospitalist and nurses also play a crucial role in patient safety and hospital throughput. Despite its importance, maintaining geography is difficult and communication between physicians and nurses are often sub-optimal and fragmented. [...]