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Patients age 70 or older are at greater risk of unanticipated hospital admission within 30 days of ambulatory surgery

Improved Care Transitions Needed Post Ambulatory Surgery

Age independently associated with hospital admission
Insurance companies should consider reviewing coverage policies to include situations where primary care physicians provide important and cost-saving inpatient consulting

AAFP: Pay Primary Care Doctors for Inpatient Consulting

Primary care physicians often provide important, cost-saving consulting, which should be covered
More infants are being treated in neonatal intensive care units at many U.S. hospitals

Neonatal Intensive Care May Be Overused

Newborns admitted to NICUs bigger, less premature than in prior years
Many U.S. hospitals overestimate their ability to provide fast delivery of tissue plasminogen activator to stroke patients

Adherence to Stroke Guidelines Overestimated by Hospitals

Study shows delivery of tissue plasminogen activator is often later than staff believes
The divide between outpatient and inpatient medicine seems to be growing

Care Transitions Increasingly Important for Outpatient Doctors

Primary care physicians have important role in preventing transition gaps for hospitalized patients
A hospitalist-driven intervention to improve appropriate use of telemetry can reduce length of stay and costs

Intervention Can Improve Appropriateness of Telemetry Use

Hospitalist-driven intervention can reduce length of stay and decrease costs
Failed communication attempts are associated with readmission among Medicare beneficiaries with congestive heart failure

Failed Communication Associated With Readmission

But, after adjustment for other variables, link not significant
For pediatric patients hospitalized for urological procedures

Hospital Volume Impacts Peds Post-Urologic Op Complications

Risk of postoperative complications increased for pediatric patients at non-high volume hospitals
The estimated facility cost for low-risk childbirths varies among hospitals by nearly $10

Facility Costs of Hospital Birth Vary by Nearly $10K Across U.S.

Evaluation of hospital practices may offer opportunities for cost reduction
Internal medicine attendings and housestaff disagree on the impact of electronic health records on the quality of progress notes

Housestaff, Attendings Disagree on Quality of Progress Notes

Also disagree on the impact of EHR on note quality, but agree on purpose of progress notes