Background: Hospitalized patients often require post-acute care (PAC) after discharge ranging from long-term acute care hospitals (LTACH) to home health services. However, patients waiting for discharge to PAC are at risk for delayed discharges [1], which can increase in-hospital complications, increase costs, and decrease access to hospital care for other patients. [2, 3] Disposition prediction [...]

Background: Bed-rest is considered essential to recovery. Functional decline in older patients is an often-overlooked riskfactor during hospitalizations. Older patients have higher 30-day readmission rates, more complications,and longer lengths of stay. Increasing the amount of walking in the hospital has been identified as a potentialsolution, with 900 steps per day identified as a target to [...]

Background: Hospital immobility is highly prevalent and known to cause various complications including deconditioning, pressure injuries, venous thromboembolism, readmissions and mortality(1). Due to the known consequences of immobility, there has been an increased emphasis on identifying patients at highest risk of immobilization and focusing efforts on maintaining function. Increasing patient mobilization has the potential to [...]

Background: Early and sustained mobilization of patients throughout admission is a goal we all strive to achieve. Inpatient immobility leads to the development of medical complications such as pressure ulcers, acute venous thrombosis, nosocomial infections, decreased muscle mass, and overall functional decline. Additionally, patients become deconditioned from their baseline and require potentially preventable additional services [...]

Background: Lack of mobility amongst inpatients is prevalent and deleterious. Hospitalized patients have been shown to spend an average of 83% of their stay in bed, leading to complications including loss of independence in activities of daily living, lower rates of discharge to home, worsening length of stay, and increased mortality. Programs to increase inpatient [...]

Background: Functional status plays a major role in determining discharge disposition in hospitalized adults such as need for nursing care facility vs home. (1-4) No specific diagnosis codes exist to capture functional status, limiting our ability to study its impact further. Some clinicians document functional status components in their clinical notes. Large language models (LLMs) [...]

Background: Patient-reported measures including health confidence correlate with health outcomes, such as hospital utilization and post-acute care (PAC) needs within research settings. A more recent approach has been to develop learning health systems (LHS) with these measures to incorporate research findings into clinical care at a rapid rate. We have found that a measure of [...]