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Hospital Medicine Community: How do we instill some order into the daily chaos? – Part II

Aug 26, 2014 | 1 Comment

Yesterday I highlighted and identified that the daily chaos that has come to characterize hospital medicine needs to be changed. The problem, in a nutshell, as a specialty colleague remarked to me one morning, “I don’t know how on earth you can do this. You are getting called and paged from all directions at the same time about admissions, discharges...

  • Hospital Medicine Community: How do we instill some order into the daily chaos? – Part I
    Hospital Medicine Community: How do we instill some order into the daily chaos? – Part I
    Aug 26, 2014 | 1 Comment

    Several years into my career in hospital medicine, I have to say that I still enjoy my job as much as ever and have absolutely no regrets in choosing this profession. I firmly believe that at its best, being a hospital doctor is one of the most rewarding jobs anyone could ever hope to have. You are the “captain of...

  • Medicine and surgery in 1900. Should you watch TV’s latest medical drama?
    Medicine and surgery in 1900. Should you watch TV’s latest medical drama?
    Aug 21, 2014 | No Comments

    Someone recently stopped you and said, “I can’t believe you are not watching [Breaking Bad, Mad Men, OITNB, Downton Abbey, House of Cards].” You made some reference about the lead character, but know you don’t have the time to watch one episode, let alone 4 seasons on Netflix to catch up.  I did indulge in HBO’s True Detective. Completely worth...

  • Who is the most productive hospitalist in the country? Guess what. It’s not you.
    Aug 20, 2014 | No Comments

      Some of you might know CMS released our Part B productivity data earlier in 2014.  We have discussed on the policy side of SHM how we might use the data to learn about our field.  Unlike other specialties, we do not have a unique billing identifier.  Without the information, we cannot easily interrogate the database and view the patterns...

  • Apple Health for Patient Engagement
    Apple Health for Patient Engagement
    Aug 18, 2014 | Comments Off

    Be on the lookout for Apple Health, a new app that will share multiple inputs of patient information in a cloud platform called “HealthKit.” This HealthKit will allow a user to view a personalized dashboard of health and fitness metrics, which conglomerates information from a myriad of different health and wellness apps, and helps them all “communicate” with one another....

  • Nemours Foundation CEO: “Hospitalists Are Partners in Quality, Leaders in Value”
    Aug 14, 2014 | Comments Off

    Guest post for The Hospital Leader by David J. Bailey, MD, MBA, President and CEO, Nemours Children’s Health System. Hospitals, health systems and providers across the country are caught in a parallel universe. We currently operate in a volume-based payment system while experimenting with new strategies to successfully provide high-quality services in the value-based systems that are becoming our future. These...

  • Hire Oops Fire
    Hire Oops Fire
    Aug 6, 2014 | Comments Off

    A good friend, a colleague, a fine and trustworthy PA, was recently hired by a sub- specialty group. Before accepting the position she had multiple meetings and email exchanges with the leader of this group. She asked tons of questions about what she would be doing, who she would be working with, etc. The job description of the position was...

  • IMGs, DOs, PAs, and Three Year MD Degrees
    Aug 1, 2014 | Comments Off

    The NY Times has a nice series of articles worth checking out this week:   The Drawn-Out Medical Degree   Second-Chance Med School   The D.O. Is In Now   The Physician Assistant Will See You   Now you have your beach reading!

  • Hospital Doctors: We should never allow ourselves to become shift workers
    Jul 31, 2014 | 3 Comments

    Growing up, I had always associated shift work with blue-collar jobs – typically those jobs that didn’t require a degree or graduate education. Not that there’s anything wrong with those jobs (a lot of them are vital public services), but I never expected to one day be working in a job where I would see myself as a “shift worker,” or...

  • “How do you know the two-midnight rule doesn’t deliver?” We just learned why.
    Jul 30, 2014 | 2 Comments

    93% of Hospitalist respondents rated observation policy as critical, but close to two-thirds were not confident in determining a patient’s status. For several years, hospital-based practitioners have struggled with observation status, the two-midnight rule, and recovery audit mechanisms.  Doubly so because of the evolving regulations CMS continues to proffer.  Expect additional guidance as the workings (and vagaries) of the rule still...

  • Volume, Value, and Thinking outside the Box
    Jul 23, 2014 | 2 Comments

    Solving the increasing demands within busy hospitalist practices while maintaining high levels of quality will need a touch of creative scheduling. by Dr. Sowmya Kanikkannan MD, FACP, SFHM When I began my job search at the end of residency, I was looking for a career that’s fast-paced, system-oriented focus on a shift schedule. Hospital medicine was at the top of...

  • A Little Friendly Competition Sparks Choosing Wisely
    A Little Friendly Competition Sparks Choosing Wisely
    Jul 22, 2014 | Comments Off

    Written by Kelly Rand on July 22, 2014 In every job that must be done, there is an element of fun. You find the fun and – SNAP – the job’s a game! Who knew that Mary Poppins’ advice could apply to reducing waste in health care? Apparently, the Society of Hospital Medicine (SHM) and the Minnesota Medical Association (MMA)...

  • Rock and Roll Medicine. Jack White brings historic public health mainstream.
    Rock and Roll Medicine. Jack White brings historic public health mainstream.
    Jul 22, 2014 | Comments Off

    Jack White, of the White Stripes, the Racounters, and others, introduced a solo album last month called Lazaretto. It’s an appropriate name for a rock star trying to maintain a dead musical form – the vinyl record. He made it in the Guinness Book of World records last month while recording and releasing the album in under four hours. (He...

  • You think you know what predictive analytics means, huh?
    Jul 20, 2014 | Comments Off

      This month’s Health Affairs dedicates itself to the subject of big data, a term in the news quite a bit these days.  If you think you know what big data implies, mainly dredging data sets to build the clinical decision support in your EMRs, you would be incorrect. We are talking much, much bigger. One article grabbed my attention,...

  • Top 10 Patient Safety Concerns for Hospitalists
    Top 10 Patient Safety Concerns for Hospitalists
    Jul 17, 2014 | Comments Off

    This list is a worthy read for hospitalists; it’s entitled, “Top 10 patient safety concerns for health care organizations.” This list is created annually by the ECRI Institute, which analyzes approximately a half-million patient safety events from more than 1,200 US hospitals, to determine what represents the highest risk for patient safety. Those that “made” the Top 10 List this...

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