Background: Research on post-discharge outpatient care often focuses on single types of encounters, such as primary care in-person appointments or primary care phone calls. However, patients interact with the healthcare system following discharge using a range of communication methods. This study seeks to examine the role of different types of post-discharge encounters on unplanned hospital [...]

Background: In a learning healthcare system, data collected as part of routine care is used to fuel innovation and improvement. Predictive models for post-discharge adverse events have relied on data that is available prior to hospital discharge. Post-discharge care (e.g. appointments, phone calls) can be collected from electronic health records and may impact patient risk [...]

Background: The period immediately following discharge from a hospital admission is a vulnerable time for patients. Preventable adverse outcomes occur here for various reasons: discontinuity between hospitalists and primary care physicians, changes to medication regimens, and complex discharge instructions [1]. Many of these precipitating factors can be avoided by effective exchange of health information and [...]

Background: Within 3 weeks of hospital discharge, about 19% of patients experience an adverse event, with 66% of these being an adverse drug event. During a patient’s transition from hospital to home, pharmacists have identified and resolved medication discrepancies. Inappropriate continuation or discontinuation of medications post-hospital discharge often stems from medication list complexity, inconsistent or [...]