{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:30:37Z","timestamp":1790739037328,"version":"4.1.0"},"reference-count":9,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While interhospital patient transfers are common, most existing literature centers on transfers to academic medical centers (AMCs) and tertiary\/quaternary care hospitals for a higher level of care. With the growing trend of healthcare system consolidation and formation of regional affiliations, many systems now coordinate admissions and capacity on a broader system\u2010wide scale. As a result, some AMCs have developed programs to facilitate outbound transfer to regional affiliate hospitals. This shift prompted our study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Our study aims to understand the current landscape of outbound transfer programs and to identify key facilitators and barriers to successful implementation, resultant operational successes, and future aspirations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semi\u2010structured qualitative interviews with AMCs across the United States that have an affiliation with another institution. Affiliation is defined as \u201can agreement to collaborate on an initiative or to provide a specific service together. This may involve local, regional or national partners.\u201d Data were analyzed using inductive and deductive methods in Nvivo software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We conducted interviews with 12 AMCs from all four major United States regions ranging from 550 to 1700 beds. We identified five key themes from the study and included: (1) transfer activity, (2) barriers to implementation, (3) facilitators to implementation, (4) successes, and (5) aspirations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the vital role of patient transfer programs in ensuring high\u2010quality care and managing capacity within AMCs and healthcare systems. Successful implementation depends on addressing inefficiencies, fostering collaboration, and promoting equitable care. Prioritizing these factors can improve patient outcomes and alleviate capacity constraints, enabling timely access to necessary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.70141","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T14:14:20Z","timestamp":1754316860000},"page":"239-246","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["PARTNER: A qualitative study on academic and community hospitals partnerships to optimize outbound patient transfers and capacity"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9898-7047","authenticated-orcid":false,"given":"Ruby","family":"Marr","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Division of Hospital Medicine University of Michigan Health Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7878-8756","authenticated-orcid":false,"given":"Sachita","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Hospital Medicine University of Michigan Health Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Haughey","sequence":"additional","affiliation":[{"name":"Dartmouth Hitchcock Medical Center Lebanon New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2413-7509","authenticated-orcid":false,"given":"David","family":"Bozaan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Hospital Medicine University of Michigan Health Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dahlia","family":"Rizk","sequence":"additional","affiliation":[{"name":"Mount Sinai Health System New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Downs","sequence":"additional","affiliation":[{"name":"UNC Health Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafina","family":"Khateeb","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Hospital Medicine University of Michigan Health Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Centers for Disease Control and Prevention (CDC).National Center for Health Statistics (NCHS). Emergency Department Visits. CDC FastStats. Accessed July 29 2025.https:\/\/www.cdc.gov\/nchs\/fastats\/emergency-department.htm"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.2747"},{"key":"e_1_2_8_4_1","unstructured":"Kaiser Family Foundation.Ten Things to Know About Consolidation in Health Care Provider Markets. Issue Brief. 2024. Accessed March 2025.https:\/\/www.kff.org\/health-costs\/issue-brief\/ten-things-to-know-about-consolidation-in-health-care-provider-markets\/"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2340-y"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200503000-00009"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-06046-z"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000312"},{"issue":"11","key":"e_1_2_8_9_1","article-title":"Intake hospitalist: a new role to maximize the safety and efficiency of interhospital transfers","volume":"4","author":"Hendricks MJ","year":"2023","journal-title":"NEJM Catal"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.11.002"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.70141","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhm.70141","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.70141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T18:02:45Z","timestamp":1772992965000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.70141"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,4]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/jhm.70141"],"URL":"https:\/\/doi.org\/10.1002\/jhm.70141","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"value":"1553-5592","type":"print"},{"value":"1553-5606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,4]]},"assertion":[{"value":"2025-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}