To outline the creation of a rapid access post-hospitalization (RAPH) neurology clinic and its impact on transitions of care.

RAPH Clinic comprised a weekly half day of four 1-hour appointments staffed by a neurohospitalist fellow with clinic nurse support. Appointments were assigned by direct communication between inpatient housestaff and the fellow, at which time the suspected diagnoses, actionable pending tests, and medication changes were reviewed. Clinical data, such as discharge diagnosis, reason for urgent follow up, changes in diagnosis and management at clinic follow up were collected. Time to RAPH Clinic and first alternative regular neurology clinic appointment were recorded for each patient.