Implementing and Evaluating a Discharge Before Noon Initiative in a Large Tertiary Care Urban Hospital.

Background: Discharging clinically ready patients before noon on their discharge day may influence overall discharge process quality, emergency department (ED) boarding times, and length of stay (LOS). This study evaluated the effectiveness of a discharge before noon (DBN) initiative.

Methods: Many DBN components were refined or added during a pilot, including incorporating the DBN process into daily rounds, an electronic tracking system, and other elements for possible DBN patients such as a car service when appropriate and expedited lab results and physical therapy consults.

Relationship between Patient Experience Scores and Health Insurance.

(1) Background: the patient experience may be a performance indicator in value-based reimbursement. Accordingly, providers have an incentive to understand factors that affect their patients’ experiences. This study evaluated the relationship between health insurance type and patient experience ratings.

Predictors of Food Insecurity for Hospitals' Patients and Communities: Implications for Establishing Effective Population Health Initiatives.

As food insecurity interventions are incorporated into hospitals' population health initiatives, addressing the needs of hospitals' patients and communities through the same interventions may be ineffective if the groups vary and have different needs. This study examined whether food insecurity predictors were different in the general population compared to individuals with hospital discharges, and also whether food-insecure hospital patients differed from food-insecure community members. National data were extracted from the 2016 Medical Expenditures Panel Survey.