Background: Email represents an administrative burden which contributes to overall burnout. While general strategies to mitigate burnout related to email have been published (Armstrong 2017), formal clinical workplace guidelines and specifically their impact have not been described in the literature. The University of Michigan (UM) Division of Hospital Medicine (HM) developed and distributed email management [...]

Background: Hospitalized older adults are increasingly referred to skilled nursing facilities (SNFs) for post-acute care following hospitalization. However, whether hospitalized older adults are enabled to make high-quality decisions about different post-acute care options is unclear. This is important because a high-quality decision aligned with patient values and expectations may lead to a better match of [...]

Background: Hospital admissions are the majority contributor to the cost in caring for diabetes, accounting for about 40% of the costs. As most hospital reimbursements are based upon diagnosis-related groups, hospitals have strong financial incentives for quicker discharges to control length of stay and costs. This can limit the time available to develop a comprehensive [...]

Background: Research suggests correlations between career satisfaction and lower levels of burnout.(1,2) Yet, Advanced Practice Providers (APPs) are less frequently involved (< 50%) in teaching, research, QI and leadership training suggesting opportunities in these realms.(3) To bridge this gap and increase APP career satisfaction, researchers developed a novel framework L.E.A.D. Figure 1 In 2022, L.E.A.D. [...]

Background: 83.3% of Hospital Medicine (HM) groups employ Advanced Practice Providers (APPs).1 However, per a study in Journal of Hospital Medicine APPs are less frequently involved (< 50%) in teaching, research, QI and leadership training suggesting underutilization of APPs in these realms.2 Furthermore, according to 2021 NCCPA data 40.2% of PAs identified professional burnout influenced [...]

Background: Improving the quality and safety of the care provided is the some of the most essential and critical work done in hospitals today. In the current system of health care education, health care professionals are often trained on improvement methodology. Several methodologies are provided as improvement frameworks in our health care professional schools around [...]