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Medical respite programs offer medical, nursing, and other care as well as accommodation for homeless persons discharged from acute hospital stays. They represent a community-based adaptation of urban health systems to the specific needs of homeless persons. This article examines whether post-hospital discharge to a homeless medical respite program was associated with a reduced chance of 90-day readmission compared to other disposition options. Adjusting for imbalances in patient characteristics using propensity scores, respite patients were the only group that was significantly less likely to be readmitted within 90 days compared to those released to Own Care. Respite programs merit attention as a potentially efficacious service for homeless persons leaving the hospital.

Several pending federal and state electoral-integrity bills specify hand audits of 1% to 10% of all precincts. However, percentage-based audits are usually inefficient, because they require large samples for large jurisdictions, even though the sample needed to achieve good accuracy is much more affected by the closeness of the contest than population size. Percentage-based audits can also be ineffective, since close contests may require auditing a large fraction of the total to provide confidence in the outcome. We present a plausible statistical frame-work that we have used in advising state and local election officials and legislators. In recent federal elections, this audit model would have required approximately the same effort and resources as the less effective percentage-based audits now being considered.