Background: Observation status was designed to reduce health care costs for patients in need of short hospital stays. CMS suggests that observation care should typically require less than 24 hours, and only rarely last more than 48 hours. However, studies suggest that length of stay for observation patients is often longer than CMS guidance.[1,2] An [...]

Background: Older adults commonly lose mobility during hospitalization. This loss of mobility may be preventable if it is identified and addressed early in a patient’s hospital course. However, currently there is no systematic method to identify these patients early, and current practices are guided by physician experience and intuition. To this end, we used machine [...]

Background: Clinical reasoning is a core component of medical training yet learners receive very little formative feedback on their clinical reasoning documentation. We hypothesize that this is related to the lack of a shared assessment rubric and faculty time constraints. Purpose: Here we describe the process of developing a machine learning algorithm for feedback on [...]