SMJ articles in the category "care transitions"

Original Article

The “Hand-in” Project: Jump-starting Communication Between Inpatient and Outpatient Providers

Objectives: Communication between hospitalists and primary care providers (PCPs) upon discharge has been much discussed, but the transition from outpatient to inpatient has received less attention. We questioned whether a brief, standardized e-mail from the hospitalist to the PCP upon admission could facilitate information exchange, increase communication, elucidate PCP preferences,…

Posted in: care transitions 3 hospital admission 2

Review Article

Cancer Survivor’s History and Physical

The number of cancer survivors is estimated by 2022 to increase to almost 18 million, in part because of improvements in earlier detection and cancer therapies, leading to longer-term survival of cancer patients. This growing number of survivors has presented challenges to the healthcare community, one of which is the…

Posted in: care transitions 3 provider communication 2 systems-based practice 2

Original Article

Project BOOST Implementation: Lessons Learned

Objectives: Enhancing care coordination and reducing hospital readmissions have been a focus of multiple quality improvement (QI) initiatives. Project BOOST (Better Outcomes by Optimizing Safe Transitions) aims to enhance the discharge transition from hospital to home. Previous research indicates that QI initiatives originating externally often face difficulties gaining momentum or…

Posted in: care transitions 3 hospital discharge 3 quality improvement 22 readmission 6 rehospitalization 3
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