Built from the Bedside
Observations on discharge coordination, case management, and hospital operations.
You Can't Fix a People Problem With Technology
Hospital discharge is human work, and a tool that pretends otherwise deserves the eye-roll. But 'it's a people process' is not a reason to leave it alone. Here is what changes the numbers.
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Why Hospitals Can't Hire Their Way Out of Discharge Delays
Hospitals spent roughly a third more on labor per discharge since 2019, and patients left slower. The constraint on throughput is coordination architecture, not headcount.
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Let AI Do the Dishes. You Run the Kitchen.
The most useful question about AI in the hospital is not how much it can do. It is what it should do. Here is the line we draw in discharge.
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The Compounding Revenue Hit of Discharge Delays
Six financial pressures are converging on hospital discharge coordination. The revenue hit is compounding, and most hospitals aren't ready.
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How CMS TEAM Will Create New Gaps in Hospital Discharge Economics
The Transforming Episode Accountability Model makes hospitals financially responsible for 30 days after discharge. Most don't have the infrastructure to manage that risk.
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What Case Managers Actually Need from Discharge Technology
After 200+ interviews and hundreds of hours on hospital floors, here's what case managers say they actually need - and what technology keeps getting wrong.
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The Hidden Cost of Discharge Delays
Avoidable days cost hospitals thousands per patient. But the cost that compounds is losing the people who hold discharge coordination together.
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What I Learned Watching 200 Case Managers Advocate for Their Patients
I interviewed 200+ case managers and shadowed discharge teams on hospital floors. Here is what discharge coordination actually looks like.
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