Background: Alcohol withdrawal is a common reason for admission to acute care hospitals. The American Society of Addiction Medicine (ASAM) has proposed that prescription of medications for alcohol use disorder (AUD) and timely outpatient follow-up are important quality measures for inpatient detoxification, but few studies report the frequency of AUD medications and subsequent follow-up for [...]

Background: There are over 35 million discharges from inpatient hospitalizations annually in the US. During these transitions of care, patients are at risk for adverse events. It is crucial for patient safety to have accurate communication between the inpatient physician and the provider assuming care.The main conduit for this communication is the hospital discharge summary. [...]

Background: Post-discharge phone calls to hospitalized patients have been associated with reduced 30-day readmissions.[1,2] But their impact during the COVID-19 pandemic is unknown. Further, whether the 30-day readmission metric is an accurate surrogate for care utilization remains a concern.[3-5] Since 2012, national all-cause readmissions have decreased while emergency department (ED) visits and observation status have [...]

Background: Healthcare institutions have chronic bed shortages and a medically and socially complex patient population that makes optimal management of post-discharge care especially important. Effective and timely follow up post-hospitalization can improve clinical outcomes by delivering transitional care when patients are the most vulnerable. We developed a multimodal design that delivers education to patients and [...]

Background: Our healthcare institution serves a large low-income, minority, and historically underserved population. The shortage of primary care physicians (PCPs) in our city and the high complexity of patients that are cared for by our organization is a challenge. Patients are in need of transitional care our institution and need help to connect to other [...]