Background: Cardiovascular disease remains the leading cause of death in the United States. Approximately every 40 seconds, an American will have a myocardial infarction. The aim of this project is to assess the progress of the prevention and management of myocardial infarction by using the National Inpatient Sample (NIS) data. Methods: This is a retrospective […]

Background: Care transitions occur between providers on a single team, between teams on a service, and between services. They also occur between inpatient and ambulatory providers. As this discontinuity introduces potential for error, care transitions are a major focus for education and quality improvement. Most published interventions target transitions during hospitalization, specifically handoffs. Purpose: To […]

Background: The Hospital Readmissions Reduction Program (HRRP) incentivizes acute care hospitals to decrease their preventable readmissions by putting hospitals at risk of reduced Medicare reimbursements. There exist many sources of heterogeneity in the actual incentives individual hospitals face each year. The HRRP applies the same methodology to hospitals regardless of their share of Medicare patients, […]

Case Presentation: A 38‐year‐old man presented with sudden‐onset fever and a rash on his face and shoulders that rapidly progressed to his trunk, arms, and lower extremities within a few hours. He denied recent illness, travel, or medications. He reported a 2‐week history of binge drinking and daily use of injection and intranasal cocaine. Initial […]

Case Presentation: A 68‐year‐old man with history of remote ischemic stroke, diabetes, and tobacco abuse presented to a community hospital with a complaint of ataxia. He had fallen to the floor after arising from sleep on the morning of admission. He had poorly described visual complaints of 1–2 days' duration and had felt unsteady on […]

Background: Whether or not a specialty medical center provides better patient outcomes and lower cost compared to a general hospital is controversial. In addition, few studies have focused on the specialty orthopaedic centers. The objective of our study is to evaluate if hospital length of stay (LOS) and cost were improved after the building of […]