Background: Interdisciplinary team-based care is a promising concept in hospital medicine in which healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies showed that team based care is associated with decreased length of stay (LOS).1,2Patient-Centered Approach to Health (PATH) team was a redesign of the Structured Interdisciplinary Bedside Rounding [...]

Background: In 2016, the Centers for Medicare & Medicaid Services (CMS) released a guide to preventing readmissions among diverse patient populations. According to CMS, once the health system effectively picks up the root causes and characteristics that are linked to readmissions – then a process can be initiated that focuses on addressing barriers and developing [...]

Background: Traditional readmission case review processes at our tertiary-care academic institution failed to identify obvious target processes for readmission reduction.  Looking for a more nuanced method of readmission review, we turned to our patients.   We conducted over 300 readmitted patient interviews and a focus group to learn from our patient’s experiences.   We then developed a [...]

Background: Asking patients “what matters” to them is one of the 4 evidence-based elements of care developed by the Age-Friendly Health Systems initiative to improve the care of older adults, and the question “what matters most” has been extended to other settings. We conducted a study to assess the frequency and categories of responses to [...]

Background: Evidence-based guidelines/protocols for electrolyte replacement that safely encourage oral (PO) and/or intravenous (IV) dosing attain goal levels more successfully than standard care.1-17 PO is generally more comfortable and less dangerous than IV. Between 5/2017-11/2017, Jefferson dosed ~300,000 doses of potassium (K) and magnesium (Mg), with 30% and 19% of doses being PO, respectively. Guiding [...]

Background: Patient-centered care has recently attained the spotlight in the healthcare delivery model. An essential aspect of it depends on the patient’s perception of the care the healthcare team provides, and it’s a challenge for the healthcare community to provide a high-level patient care experience. Methods: This is a prospective study conducted in a Medicine [...]

Background: In shared decision making models, decisional conflict is a measure of uncertainty and readiness and comfort level in making a decision. The literature examining decisional conflict is currently relatively immature. The act of a patient being readmitted is, in part, an effect of multiple small decisions a patient makes in the time between index [...]

Background: Inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) exposes patients to risks of discontinuity of care and remains a largely unstudied process of care. In this study, we aimed to investigate patient experiences with IHT.Methods: Interview guides were developed using themes extracted from prior research along with expert opinion and stakeholder [...]

Background: As members of the patient experience committee, we aimed to identify areas of opportunity to improve the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores. By analyzing the data through the utilization of our analytics tool provided by the patient and customer experience department, we noticed trends in the regional demographics in [...]

Background: Currently, Physical and Occupational Therapy (PT/OT) documentation dictates next site of care. PT/OT recommends how much therapy is needed upon discharge and where the therapist believes these services should be provided, which is often a Skilled Nursing Facility (SNF). This practice eliminates meaningful conversations between provider and patient regarding the patient’s wishes on next [...]