Background: Patients who complete a primary care provider (PCP) follow-up visit within 7 days of hospital discharge have lower odds of 14-day readmission (p=0.002) OR= 0.45 (95% CI: 0.27 – 0.73) compared to patients who do not at our academic institution. However, only 44% of patients complete this visit. Patients who were scheduled with their [...]

Background: Critical to any health system’s mission is ensuring patients receive timely access to care. Continuity of care has been shown to decrease rates of ED utilization and hospitalizations and to improve patient satisfaction [1]. Providing patients with quick access to care following a hospital stay is a tenet of high-quality health care. A growing [...]

Background: Patients are often discharged from the hospital with active medical issues needing outpatient follow-up (AINF) – including recommended labs, imaging, procedures, follow-up appointments, and follow-up of incidental findings – but patients and their outpatient providers often fail to complete these recommended workups [1]. Primary care physicians strongly recommend that discharging providers include a brief [...]