Evidence map›Paper›PMID 24448050›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2014

The Hospital Medicine Reengineering Network (HOMERuN): a learning organization focused on improving hospital care.

Andrew D Auerbach, Mitesh S Patel, Joshua P Metlay, Jeffrey L Schnipper, Mark V Williams, Edmondo J Robinson, Sunil Kripalani, Peter K Lindenauer

Abstract read
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed.

  1. Article
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  5. Reimagining Hospital Medicine for Long-Term Sustainability.Journal of general internal medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrew D AuerbachDr. Auerbach is professor of medicine, University of California, San Francisco Division of Hospital Medicine, San Francisco, California. Dr. Patel is resident physician, Perelman School of Medicine, University of Pennsylvania, Section of Hospital Medicine, Philadelphia, Pennsylvania. Dr. Metlay is professor of medicine, Perelman School of Medicine, University of Pennsylvania, Section of Hospital Medicine, Philadelphia, Pennsylvania. Dr. Schnipper is associate professor of medicine, Division of General Medicine, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts. Dr. Williams is professor of medicine, Northwestern University Feinberg School of Medicine, Division of Hospital Medicine, Chicago, Illinois. Dr. Robinson is physician in chief and associate chief medical officer, Christiana Care Health System, Wilmington, Delaware. Dr. Kripalani is associate professor, Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, Nashville, Tennessee. Dr. Lindenauer is associate professor of medicine, Tufts University School of Medicine, Boston, Massachusetts, and director, Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts.
Mitesh S Patel
Joshua P Metlay
Jeffrey L Schnipper
Mark V Williams
Edmondo J Robinson
Sunil Kripalani
Peter K Lindenauer

Funding

Neighborhood level determinants of pneumococcal disease transmissionK24AI073957 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI METLAY, JOSHUA P · 2008 to 2012
$1.0M
Improving management of cardiovascular medications during hospitalizationK24HL098372 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AUERBACH, ANDREW D · 2010 to 2014
$887k
NHLBI NIH HHS K24 HL098372NHLBI NIH HHS K24HL098372NIAID NIH HHS K24 AI073957NIAID NIH HHS K24AI073957
6 · The paper itself

Abstract

Converting the health care delivery system into a learning organization is a key strategy for improving health outcomes. Although the collaborative learning organization approach has been successful in neonatal intensive care units and disease-specific collaboratives, there are few examples in general medicine and none in adult medicine that have leveraged the role of hospitalists nationally across multiple institutions to implement improvements. The authors describe the rationale for and early work of the Hospital Medicine Reengineering Network (HOMERuN), a collaborative of hospitals, hospitalists, and multidisciplinary care teams founded in 2011 that seeks to measure, benchmark, and improve the efficiency, quality, and outcomes of care in the hospital and afterwards. Robust and timely evaluation, with learning and refinement of approaches across institutions, should accelerate improvement efforts. The authors review HOMERuN's collaborative model, which focuses on a community-based participatory approach modified to include hospital-based staff as well as the larger community. HOMERuN's initial project is described, focusing on care transition measurement using perspectives from the patient, caregiver, and providers. Next steps and sustainability of the organization are discussed, including benchmarking, collaboration, and effective dissemination of best practices to stakeholders.

Indexed as

Program DevelopmentQuality ImprovementQuality of Health CareBenchmarkingCommunity-Based Participatory ResearchCooperative BehaviorHospital MedicineHumansMedical AuditPatient DischargePatient HandoffQuality Assurance, Health Care

Identifiers

PMID24448050
PMCPMC4876026

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.