ADEPT Study Meeting

At this year's SHM Converge Conference, the Achieving Diagnostic Excellence through Prevention and Teamwork (ADEPT) study team gathered to celebrate four years of incredible learning, growth, and success. The group recognized over 3500 reviews for diagnostic opportunities, the engagement of more than 150 hospitalists in ADEPT initiatives, and the collaboration on nearly 400 diagnostic cross-checks — with 1 in 4 participants reporting an impact on their patient's care. Over the next six months the study team will continue to codify this work at their institutions, and we will evaluate the impact of these programs on diagnostic performance at our sites. ADEPT site leads will remain leaders in diagnosis for years to come, and the investigators look forward to the additional exploration that comes from this stellar foundation.

Executive Committee and Steering Committee Meeting

The HOMERuN Steering and Executive Committees met during SHM Converge 2026 to discuss how HOMERuN can fill gaps in academic hospital medicine through focused initiatives like mentorship, research, and faculty development. Key next steps include engaging stakeholders, testing feasibility, and exploring comparator organizations over the coming months. We anticipate broader announcements around these strategies in August 2026 but welcome comments and thoughts in the meantime (via email to Tiffany.Lee@ucsf.edu).

Pragmatic Trials Meeting

Representatives from several HOMERuN sites met to discuss ideas for pragmatic clinical trials. The discussion included the SPOT-ON trial, to compare spot check vs. continuous pulse oximetry among patients hospitalized on the wards (lead: Valerie Vaughn, Utah); and the COMFORT study on pain control (lead Akshar Rambachan, UCSF). Additional topics for consideration are POCUS for patients with dyspnea and volume-related admitting complaints, and comparative effectiveness of sleep medications among patients at risk for delirium. One application currently under review concerns benzodiazepine vs phenobarbital based regimens for ETOH withdrawal (lead: Valerie Vaughn). The group also discussed various funding agencies, including NIH, PCORI, DOD, industry, and foundations.

Awards and Celebrations

Efrén Manjarrez, a member of our Discharge and Transitions Committee, was elected as the 2026 President of SHM.

Kendall Rogers, a member of our Workforce Planning Work Group, was selected for the Masters of Hospital Medicine Class of 2026.

Ed Vasilevskis, a member of our Executive Committee, was selected for the Excellence in Research Award.

Amelita Woodruff, a member of our Health Equity, Advocacy, and Research for Society (HEARS) Work Group, was selected for the Excellence in Humanitarian Services Award.

Ashley Jenkins, K-Curious Peer Mentoring Group co-lead and member of our Executive Committee, was selected for the Junior Investigator Award. She presented her work "Addressing the Lack of Evidence for Inpatient Sickle Cell Care" on the plenary stage.

HOMERuN Posters and Presentations

POINT Study

Plenary Presentation: "Prevalence and Predictors of Potentially Inappropriate Inter-Hospital Transfers: Early Results from the POINT Study" featuring PI, Stephanie Mueller from Brigham and Women's Hospital.

ADEPT Study

Poster: "Understanding Everyday Safety: An Ethnographic Study of Hospitalist Diagnostic Work" featuring Angela Keniston from University of Colorado.

Poster: "Patterns in the Noise: Understanding Adaptive Approaches to Accurate Diagnosis in Hospital Medicine Using a Rapid Qualitative Approach" featuring Monisha Bhatia from UCSF.

Poster: "Local Implementation of a National Diagnostic Crosscheck Intervention to Increase Diagnostic Excellence" featuring Ellen Barbouche from University of Wisconsin and Andy Auerbach from UCSF.

Oral Presentation: "Partnering for the Right Diagnosis: Engaging Patients to Improve Diagnostic Safety" featuring James Harrison from UCSF, Anuj Dalal from Brigham and Women's Hospital, and Katie Raffel from University of Colorado.

Poster: "Informal Peer Diagnostic Second Opinion: Hospitalist Practices and Perspectives" featuring Taiju Miyagami from University of Colorado.

Poster: "Training Hospitalists to Conduct Peer-to-Peer Diagnostic Cross-checks: Early Multicenter Experience from the ADEPT Collaborative Group" featuring Andy Auerbach from UCSF, Jeff Schnipper from Brigham and Women's Hospital, Nathan Ziman from UCSF, Molly Kantor from UCSF, and Ray Klein from Maine Medical Center.

Oral Presentation: "Diagnostic Cross-check: A Multi-Institutional Intervention to Facilitate Peer Second Opinion Discussions in Patients Experiencing Clinical Decompensation" featuring Allison Bond from UCSF.

Poster: "The Long-Latent Lesion: Unraveling the Mystery of Marjolin Ulcers" featuring Ari Fish from Mount Sinai Hospital.

UPSIDE Study

Poster: "Is Sepsis More Prone to Diagnostic Errors? A Secondary Analysis of the Utility of Predictive Systems for Diagnostic Errors (UPSIDE) Study" featuring Priya Prasad from UCSF.

Work Groups

Poster: "Heterogeneity and Misaligned Incentives in Discharge Transition Programs: Insights from a Multi-Site Rapid Qualitative Study" featuring Himali Weerahandi and Molly Rosenthal with findings from the Discharge and Transitions Work Group.

Poster: "Patients on Long-Term Opioid Therapy with Acute-on-Chronic Pain: A National Study of Hospitalist Perspectives" featuring Morgan Esperance and Rebecca Jaffe with findings from the Substance Use Disorder Work Group.

Poster: "A Multisite Qualitative Assessment of Patient-Provider Communication Practices Across Institutions" featuring Monish Sheth, Mark Williams, and Lucy Shi with findings from the Patient Communication Work Group.

Poster: "Capacity for Learning Health System Pragmatic Clinical Trials Across Hospital Medicine Programs" featuring Sunil Kripalani from the Steering Committee.

"Evolving Practices in Alcohol Withdrawal Syndrome Management: Insights from Hospitalists Nationwide" featuring James Harrison and James Willey with findings from a HOMERuN Collaborative session.

Poster Finalist: "Exploring Hospitalist Experience Using Different Rounding Styles" featuring Lucy Shi with findings from the Medical Education Work Group.

Workshop: "Expanding the Hospitalist Curriculum: Strategies for Teaching Opportunities in an Evolving Landscape" featuring Sonia Dalal, Sunil Sahai, Margot Cohen, and Dennis Chang with work from the Medical Education Work Group.

Our next meeting will be on May 1, 2026.

Image Attributions: Vector images from vecteezy.com