Background: The traditional role of hospitalists is to provide care to patients hospitalized with acute medical conditions. Over the past few years, this has evolved to improve care transitions and stewardship of hospital resources. Many hospitals may embed hospitalists in the Emergency Department (ED) to improve patient flow into the hospital; however, there are sparse [...]

Background: The traditional role of hospitalists is to provide care to patients hospitalized with acute medical conditions. Over the past few years, this has evolved to improve care transitions and stewardship of hospital resources. Many hospitals may embed hospitalists in the Emergency Department (ED) to improve patient flow into the hospital; however, there are sparse [...]

Background: Patients experiencing unsheltered homelessness are at extreme risk for worse outcomes, including increased mortality 10 times that of the general population and an average life expectancy of 53 (over 20 yrs less than general population). Transitions of care pose unique difficulties for this vulnerable population, with numerous barriers to ongoing care and resulting readmission [...]

Background: In the US, the increase in pre-existing maternal conditions and aging of the maternal population has resulted in a shift towards indirect causes of maternal morbidity and mortality. Indirect causes of morbidity and mortality result from previous existing disease or disease that developed during pregnancy and which were not due to direct obstetric causes, but which were [...]

Background: Professional Advancement Models (PAM) have been researched and implemented at large academic institutions as a solution to provide structure and support for career advancement for Advancement Practice Providers (APPs).1,2 Many of these programs fail to appreciate the nuances of inpatient vs outpatient providers. Given the inherent differences of these practice settings, we aim to investigate [...]

Background: Kaiser Permanente Roseville Medical Center is a 340 bed facility in Northern California.  Reducing readmissions has been a focus, and the current observed over expected rate is 0.77.  Starting from this relatively low readmission rate, our focus has been optimizing care for patients at high risk of readmission. A retrospective review of all patients [...]

Background: Rapid response system (RRS) was developed in recent decades for the timely identification and treatment of clinically deteriorating patients. Appropriate use of RRS will decrease the incidence of cardiac arrest and mortality. Although efficacy of RRS was reported mostly in an inpatient setting, there were very limited data in an outpatient setting. The aim [...]

Background: There are an estimated 3.5 million people in the United States living with Hepatitis C virus (HCV); 75-85% of those will develop a chronic infection that can result in liver complications. It is crucial to identify positive infections immediately to ensure linkage to a provider and prevent the advancement of HCV. Initial face-to-face contact [...]

Background: Postpartum Depression can have a negative impact on the physical, cognitive, and behavioral development of children. In the most extreme cases, it can be associated with the cause of death for mothers and their children. Some risk factors that can lead to Postpartum Depression are teenage pregnancy, late or lack of prenatal care, food/housing [...]

Background: The possibility of outpatient evaluation of suspected transient ischemic attack has previously been considered in studies, and some have suggested that outpatient evaluation of suspected TIA may be safe and cost-effective in patients at lower risk of stroke as measured by the ABCD2 score. However, no consensus has been reached on the optimal strategy [...]