Background: Providing patient centered care is a core value of all healthcare systems in our nation. However, having a code status discussion with patients and their families continues to be a challenging endeavor due to multiple factors such as competing priorities and time constraints, especially in the hospital setting. To improve code status discussion and [...]

Background: Despite 80 years of documentation of the “evil sequellae”(1) of immobility for inpatients, lack of ambulation remains prevalent and deleterious. Hospitalized patients have been shown to spend an average of 83% of their stay in bed(2), leading to complications including loss of independence in activities of daily living, higher rates of discharge to facility, [...]

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 [...]