Background: The buzzword of the decade for hospital medicine is geography. Geographic ACUs have been in existence for years at our institution on non-teaching floors. The ACUs have improved overall throughput, quality and patient experience. Our hospitalists have embraced the ACU philosophy due to ease of rounding, interdisciplinary approach to patient care and its 7on/7off [...]

Background: Geographic hospitalist staffing and interdisciplinary rounding has been shown to improve staff communication, patient communication, and reduce length of stay. Communication between hospitalist and nurses also play a crucial role in patient safety and hospital throughput. Despite its importance, maintaining geography is difficult and communication between physicians and nurses are often sub-optimal and fragmented. [...]

Background: A hospitalist “triagist” physician assesses patients for admission and supports the transition of patients from the outpatient to inpatient setting [1]. Active bed management and triaging by hospitalists have been reported to improve emergency room (ER) patient flow and ER to ICU throughput, while hospitalist-directed transfer and admission of stable ER patients may shorten [...]

Background: Identifying COVID-19 patients at risk for long lengths of stay (LOS) may help hospitals anticipate resource limitations. There are no large representative studies from US hospitals assessing factors associated with LOS. This information is vital for resource allocation for the current and potential future pandemics. In this study, we examine factors associated with longer [...]

Background: With the COVID-19 pandemic overwhelming the hospital systems rapidly, our Manhattan hospital was no exception. Supplies were in high demand, donning and doffing was taking precious time from patient care. We implemented geographic teams on several units to prevent the spread of COVID-19, decrease supply usage and time spent outside the patients’ rooms. When [...]