Assessing stooling frequency and degree of blood as documented in the admission history and physical Completing a full examination, including temperature, pulse, and evaluation of abdominal tenderness and distention, as documented in the history and physical Obtaining hemoglobin and ESR on admission Consulting with the gastroenterology specialty service within 24 h of hospitalizationa Starting intravenous steroids within 24 h of admissiona Reassessing stooling frequency and degree of blood on hospital day 3 Obtaining ESR on hospital day 3 Invoking rescue therapy if the patient responded inadequately to steroids Avoiding narcotics Obtaining imaging to assess for air, thumbprinting, edema, or dilatation Performing endoscopy within 48 h of admission Testing for Clostridium difficile infection Testing for CMV infection on biopsy, serology, or polymerase chain reaction (PCR) Administering pharmacologic VTE prophylaxis within 48 h of hospitalizationb Discharging the patient on a regular diet with fewer than 4 bowel movements per day Planning follow-up within 2 weeks of discharge, as delineated in the discharge summary Scheduling a specific date for follow-up within 2 weeks of discharge, as delineated in the discharge summary or other documentation Whether the patient was actually seen in clinic within 2 weeks of discharge

^aWithin the next full day of hospital admission

^bReceiving IV or subcutaneous heparin or enoxaparin