Follow-up Automatically vs. As-Needed Comparison (FAAN-C) Trial

Eligibility Criteria

• * Age \<18 years at the time of randomization
• * Hospitalization due to a primary diagnosis of pneumonia, skin and soft tissue infection, acute gastroenteritis, or urinary tract infection.
• * Parent speaks English or Spanish.
• * Presence of a comorbid disease that is both chronic and complex
• * Principal disease required surgical intervention (beyond superficial incision and drainage)
• * Immunodeficiency
• * A well-child check-up or post-hospitalization follow-up visit is already scheduled within 7 days of hospital discharge
• * Parent or participant strongly prefers PRN or automatic follow-up
• * A medical provider feels strongly that a post-hospitalization follow-up visit is needed within 7 days of hospital discharge
• * Sibling concurrently hospitalized
• * Unable to identify a clinic where the participant would receive any needed post-hospitalization follow-up
• * Diagnosis of pneumonia complicated by:
• * Diagnosis of urinary tract infection complicated by:
• * History of neurogenic bladder or urologic surgery
• * Renal imaging anticipated within 7 days of hospital discharge
• * Renal abscess
• * Diagnosis of skin and soft tissue infection complicated by:
• * Chronic wound
• * Postoperative infection
• * Predisposition to poor wound healing
• * Discharging with a drain in place
• * Complicated by necrotizing fasciitis or toxic shock syndrome
• * Diagnosis of gastroenteritis complicated by:
• * Hemolytic uremic syndrome