Optimization of Patient Progression in a New Era: A Comprehensive Framework

Laura E. Smith, MD, is Senior Medical Director of Clinical Operations, Department of Care Continuum Management, Office of the Chief Operating Officer, Brigham and Women's Hospital (BWH), Boston, MA.

Trancy Escobar, CMAC, MBA, is Executive Director, Complex Care and Post Acute Strategy, Department of Care Continuum Management, BWH, Boston, MA.

Andrea McCabe, MHA, BSN, RN, is Nurse Director, Department of Care Continuum Management, BWH, Boston, MA.

James Grafton, MSN, MHA, RN, CCM, is Director of Care Continuum Management, Department of Care Continuum Management, Brigham and Women's Faulkner Hospital, Boston, MA.

Margaret Higgins, MSN, RN, is Associate Chief Nursing Officer, Department of Care Continuum Management, BWH, Boston, MA.

Melissa Littlefield, MBA, is Senior Administrative Director of Care Continuum Management, Department of Care Continuum Management, BWH, Boston, MA.

Soumi Ray, PhD, MS, is Senior Data Analyst, Department of Analytics, Planning, Strategy and Improvement, BWH, Boston, MA.

Peggy Leung, MS, is Director, Analytics and Reporting, Department of Analytics, Planning, Strategy and Improvement, BWH, Boston, MA.

Alexander Fiksdal, PhD, MA, is Lead Clinical Data Scientist, Department of Analytics, Planning, Strategy and Improvement, BWH, Boston, MA.

Roaa M. Khinkar, PharmD, CPPS, CPHQ, is Assistant Professor, Department of Pharmacy Practice, Quality Improvement and Patient Safety Specialist, King Abdulaziz University, Jeddah, Saudi Arabia.

Reg B. Wilcox III, DPT, MS, PT, is Executive Director of Rehabilitation Services, Department of Rehabilitation Services, BWH, MA.

Carolyn Yuse, DPT, is Clinical Supervisor of Rehabilitation Services, Department of Rehabilitation Services, BWH, MA.

Katie Fillipon, DNP, RN, NEA-BC, is Deputy Chief Nursing Officer; Associate Chief Nursing Officer for Oncology and Medicine, Office of the Chief Nursing Officer, BWH, Boston, MA.

Thomas Walsh, MBA, is Vice President, Inpatient Operations and Analytics, Planning, Strategy and Improvement, Department of Analytics, Planning, Strategy and Improvement, BWH, Boston, MA.

Charles A. Morris, MD, MPH, is Chief Medical Officer and Vice President of Medical Affairs, Office of the Chief Medical Officer, BWH, Boston, MA.

Shelly Anderson, MPM, is Executive Vice President and Chief Operating Officer, Department of Care Continuum Management, Office of the Chief Operating Officer, BWH, Boston, MA.

Madelyn Pearson, DNP, RN, NEA-BC, is Senior Vice President of Patient Care Services and Chief Nursing Officer, Department of Care Continuum Management, Office of the Chief Operating Officer, BWH, Boston, MA.

Mallika L. Mendu, MD, MBA, is Vice President of Clinical Operations and Care Continuum Management, Department of Care Continuum Management, Office of the Chief Operating Officer, BWH, Boston, MA.

Address correspondence to Laura E. Smith, MD, Division of Hospital Medicine, Department of Medicine, Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115 ([email protected]).

Conflicts of Interest: Dr. Laura Smith serves on the advisory board for New England Life Care, not relevant to the contents of this article. For the remaining authors none are declared.

The authors report no conflicts of interest.

Authors' Contributions: Dr. Smith had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Concept and design: Smith, Pearson, Escobar, Mendu; Acquisition, analysis, or interpretation of data: Smith, Escobar, Grafton, Ray, Leung, Fiskdal, Walsh; Drafting of the manuscript: Smith, Mendu; Critical revision of the manuscript for important intellectual content: Smith, Escobar, McCabe, Grafton, Higgins, Littlefield, Ray, Leung, Fiksdal, Khinkar, Wilcox III, Yuse, Fillipon, Walsh, Morris, Anderson, Pearson, Mendu; Statistical analysis: Smith, Ray, Leung, Mendu; Administrative, technical, or material support: Morris, Pearson, Anderson, Mendu; Supervision: Pearson, Anderson, Mendu.

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