Background: The availability of beds within healthcare systems has been stressed during each wave of the COVID-19 pandemic. Healthcare systems with tertiary hospitals have had increasing patient volumes and face limitations of specialized urgent (e.g., ECMO) and routine (e.g., Percutaneous Coronary Intervention) functions during critical inpatient surge volumes. Reserving the limited capacity at a tertiary [...]

Background: Most large academic medical centers across the United States have been facing hospital-capacity strain and hospital census fluctuations for years, though these fluctuations of inpatient census have significantly increased with the COVID-19 pandemic. Hospitalists and hospital leaders are uniquely capable of identifying innovations to improve patient flow. Prior research has been insufficient to consistently [...]

Background: The number of hospitalized patients varies significantly throughout the year. Fine prediction of the number of hospitalized patients is essential to provide adequate staffing and quality care. We aimed to identify the factors affecting the number of hospitalized patients and develop a prediction model. Methods: Daily number of hospitalized patients on the medical floor [...]

Background: A challenge facing many hospital medicine programs is matching provider staffing to daily patient volumes. Staffing models and clinical work schedules are typically built weeks or months in advance, with limited ability to flex up or down in real time based on actual patient volumes. Patient volumes can vary significantly on a daily or [...]

Background: The availability of beds within healthcare systems has been stressed during each wave of the COVID-19 pandemic. Healthcare systems with tertiary hospitals have had increasing patient volumes and face limitations of specialized urgent (e.g., ECMO) and routine (e.g., Percutaneous Coronary Intervention) functions during critical inpatient surge volumes. Reserving the limited capacity at a tertiary [...]