Background: After discharge from an acute care hospitalization, cancer patients may choose to pursue rehabilitative care in a skilled nursing facility (SNF). Our objective was to examine receipt of anti-cancer therapy, death, readmission, and hospice use of cancer patients who discharge to a SNF compared to those who discharge home or home with home health […]

Background: At this 328‐bed hospital there were 8 hospitalists rounding on up to 9 units per day. This prevented efficient and effective communication with nurses, patients, and families. Physicians spent more than 30 minutes of travel time per day. Length of stay and census per physician were high; patient satisfaction was low. With a deadline […]

Background: Physical (PT) and Occupational therapy (OT) are valuable entities, but are overused in hospitals. There is limited published literature on the appropriate utilization of PT and OT evaluations in hospitals. Analysis of all PT/OT referrals for 2018 at NewYork Presbyterian Weill Cornell showed that PT/OT orders were part of the admit order set. These […]

Case Presentation: A 59‐year‐old man with a history of hypertension, hyperlipidemia, and type II diabetes mellitus presented with chest tightness, palpitations, and dizziness. He has a family history of premature coronary disease and sudden death. Physical examination was unremarkable. EKG suggests left ventricular hypertrophy and precordial T‐wave inversions. Cardiac biomarkers were negative and nonsustained ventricular […]

Case Presentation: A 53‐year‐old woman with a history of HIV, chronic obstructive pulmonary disease was admitted for diffuse abdominal pain. She had profound diarrhea of 2 days. Eight weeks ago, she was treated for pneumonia with levofloxacin and piperacillin/tazobactam. On examination, patient was well oriented, looked dehydrated, hypotensive (88/50 mm Hg) and tachycardic (120 bpm). […]

Background: Medically complex patients discharged from hospitals to skilled nursing facilities (SNFs) are at high risk for unintentional errors, re-hospitalization, and mortality. Commonly reported transitional care errors include poor communication of critical information, limited access to medical records, and lack of clarity as to follow-up plans or patients care goals. Telehealth is increasingly used in […]