Background: Clinical documentation integrity (CDI), a process by which documentation is optimized to be both congruent with Centers for Medicare and Medicaid (CMS) terminology and reflect patient severity of illness, is widely used in healthcare to ensure appropriate coding for hospital reimbursement and improve accuracy of research and quality outcomes. CDI optimization is often performed [...]

Background: Intubation is both an important outcome measure along the spectrum of all respiratory illnesses and a marker of disease severity. Time of intubation (TOI) is an important point to identify in the electronic health record (EHR) as it allows researchers to study the association of pre and post-intubation variables with mortality and other relevant [...]

Background: Triaging patients from the emergency room, an outside hospital or a service-line within your institution can be a challenging endeavor regardless of the size of your group. The Ohio State University Wexner Medical Center Division of Hospital Medicine (DoHM) faculty are the primary attendings for 21 unique service-lines each day across five hospitals. The [...]

Background: Anywhere from 20-50% of all hospitalized adult patients are impacted by malnourishment on admission. Although malnutrition has a worldwide impact on patient outcomes, it is frequently under documented. This proves detrimental to patient outcomes as the average length of stay is 1.5 times greater than those not affected by malnutrition. This is further exemplified [...]