Background: Patient experience is increasingly recognized as a measure of healthcare quality and patient-centered care. However, there is insufficient understanding of patient expectations during hospitalization, and of how these are perceived by physicians, nurses, and administrators. The best way to apply the HCAHPS ratings remain elusive due to variability in practice environments, patient and clinician [...]

Background: The healthcare workforce suffers from high levels of burnout, disengagement, and perceived isolation due to constant and unpredictable stresses. While multifactorial, the extent to which clinicians’ experience wellness and maintain resilience in a complex work environment is in part driven by connection to purpose and consciousness of elements of everyday activities that give joy. [...]

Background: Control over work hours and schedule flexibility are important predictors of clinicians’ career satisfaction, work-life balance, and burnout, which are in turn linked to quality of patient care, recruitment, and retention. Additionally, several recent editorials questioned the “7-on/7-off scheduling.” In a rapidly expanding academic hospital medicine group with 63 physicians, the scheduling process is [...]

Background: The after-visit-summary (AVS) is an essential tool used by providers to explain discharge instructions and ensure appropriate post discharge follow up. Studies have shown that post discharge follow up within 7 days is associated with substantially lower risk of readmission, an organizational priority for us (1). However, many patients were not following up within [...]

Background: As patient turnover increases, inpatients and providers may feel pressure during discharge preparation. Hospitals emphasize early daily discharge to improve throughput and decrease length of stay. At our academic center, providers often report feeling rushed in the 24 hours before discharge. Increased work intensity may contribute to burnout for the interdisciplinary team. Few studies [...]

Background: Patient experience is increasingly recognized as a measure of healthcare quality and patient-centered care. However, there is insufficient understanding of patient expectations during hospitalization, and of how these are perceived by physicians, nurses, and administrators. The best way to apply the HCAHPS ratings remain elusive due to variability in practice environments, patient and clinician [...]