Background: Gamification and social incentives, such as family/peer engagement in goal-setting and feedback, are increasingly used by employers and health plans to promote physical activity and lose weight in outpatient settings but these approaches have not been used to improve mobility and reduce hospital-associated functional decline after hospital discharge. Methods: 12-week randomized, controlled trial of […]

Background: Medication discrepancies, defined as unexplained differences in documented medication regimens across different sites of care, are prevalent and an important contributor to adverse drug events among hospitalized and recently discharged patients. In November 2011, we implemented a Web‐based discharge module, including a new tool to reconcile medications at discharge. The goal of this study […]

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 […]