Population Health and Care Transitions

Maternal health (MH) racial and ethnic inequities persistently contribute to the rise in maternal mortality (MM) from 20.1 in 2019 to 32.9 in 2021. The financial burden totaled $32.3 billion in 2019 and continues to rise. There is a significant...
As our healthcare system evolves so should the way we treat our patients and engage with physicians. We cannot move the needle in our value-based care performance without prioritizing patients in the strategies we develop. Our diverse patient panels require...
Recently implemented care transition program called ED Follow Up Program through the Social Work Department at Elmhurst Hospital targets patients who screen positive for social determinants of health and have frequent Emergency Department (ED) utilization rates. 90-day program provides social...
This is a quality improvement project to identify best practices for collaboration between hospitals and birth centers/midwives to decrease transfer times and improve maternal and neonatal outcomes. Interprofessional training, provider pre- and post- surveys, and a new transfer process based...
General Inpatient Hospice care provides hospitalized patients and their families additional support at the end-of-life. But, a lack of explicit criteria delineating when a hospice referral should be considered results in qualified patients not receiving beneficial services. Additionally, patients that...
Smoking cessation education is often looked over and brushed aside in the emergency department setting due to many factors. This affects population negatively since many patients utilize the emergency department as their primary care provider. Optimizing the effectiveness of smoking...
Every minute that passes by when someone is having a stroke, 1.9 million brain cells are being lost. Recognition of stroke signs and symptoms and calling 911 is the key to minimizing long term affects of stroke and death; therefore...
Expired
An unprecedented level of urgency regarding equity issues is spurring conversations across society, and healthcare is no exception. There’s an awareness of the need to address social determinants of health, but implementing initiatives and programs that have concrete results in...
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