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SHM Media Highlights: September 24 – October 8, 2015

Oct 13, 2015 | No Comments

Media coverage about hospital medicine in the last two weeks includes SHM’s recent partnership with Cerner, success and growth in hospital medicine in the U.S. healthcare system, an encouraging look at the hospitalist model from the perspective of an outpatient physician, end-of-life care and implications of the Meaningful Use program. Cerner and SHM jointly issued a press release highlighting their...

  • Ten Random Thoughts
    Ten Random Thoughts
    Oct 12, 2015 | No Comments

    Recertification fast approaches–and the mind wanders when you burn out from studying.  Burke and I are in the thick of it, and blogging has been light.  But here are some singular observations to chew on to keep you in the game:

  • New Vaccination Frontiers – Reasons for 3 Cheers!
    Oct 8, 2015 | No Comments

    by Deepak Asudani, MD, MPH, FHM Whether it is the prompt and expeditious international collaboration to develop an Ebola vaccine, or tardy but promising development of the first anti parasitic malarial vaccine or the fascinating technology utilizing synthetic DNA for vaccine development against MERS, these developments promise to highlight significant strides in vaccine development for both established infections and newer...

  • Tackling Costs of Care on Twitter: Join the First #JHMChat on October 12th
    Tackling Costs of Care on Twitter: Join the First #JHMChat on October 12th
    Oct 7, 2015 | No Comments

    On October 12th at 9 PM EST I will be hosting the first #JHMChat, a twitter chat dedicated to talking about the newest research coming out of the Journal of Hospital Medicine (@JHospMedicine), SHM’s journal of peer reviewed research. If you are unfamiliar with what a Twitter Chat is, you can read more about it here. For this first #JHMChat...

  • Mourning the Morning Lab
    Oct 6, 2015 | No Comments

    By Chris Moriates, MD There is something oddly comforting about those morning labs: a ritual that I wrapped myself in during residency. Like swirling the milk into my cup of coffee, it is something that I do deliberately but only half-consciously each morning – make a list of my patients for the day, look over their vitals, and review their...

  • Are Hospitals Turning into Hotels?
    Are Hospitals Turning into Hotels?
    Oct 1, 2015 | No Comments

    “The idea that hospital patients might benefit from redemptive surroundings is far from new.”—Robert Cork, The Healing Presence of Art My last blog post reimagined a hotel stay through the eyes of a patient. I received numerous responses about the post(ok one person queried me about the post. And that person was actually looking for Flansbaum) regarding the difficulty of...

  • Will Nurses Be Part of the Answer to HM Sustainability?
    Sep 30, 2015 | 1 Comment

    In my last post I suggested that in order for hospital medicine to be both financially and professionally sustainable, we need to figure out how hospitalists can see more patients each day while at the same time be more satisfied with their work. One possible approach to achieving this aim is to support physician hospitalists with less costly staff doing...

  • SHM Media Highlights: September 10-24
    Sep 29, 2015 | No Comments

    Expansive coverage of Journal of Hospital Medicine research, advance care planning, hospitalist spotlights, the transition to ICD-10 coding and disparities in Medicare readmission penalties received attention across local and national news outlets in this edition of media highlights. An article in the Journal of Hospital Medicine about a quick tool to diagnose delirium at the bedside has been receiving a higher...

  • A Better Understanding of Hospital Medicine
    A Better Understanding of Hospital Medicine
    Sep 29, 2015 | Comments Off on A Better Understanding of Hospital Medicine

    By: Monica Shah As I wrap up my research as an SHM student hospitalist scholar, I look back and think of all that I’ve learned. I am starting my second year of medical school with a whole new perspective on how hospital conditions affect patient outcomes. I know that, as a medical student and future physician, I will always be...

  • Physician Assessment Gone Bad
    Physician Assessment Gone Bad
    Sep 28, 2015 | 2 Comments

      Some in our profession have begun to think hard about our future pay and incentives, especially given the vagueness of the recently passed MACRA legislation. MACRA replaced the SGR and put in place a model of compensation that in theory balances both physician accountability and just rewards for hard work.  The two MACRA tracks, the Merit-Based Incentive Payment System...

  • The Return of the Death Panel?
    The Return of the Death Panel?
    Sep 24, 2015 | 2 Comments

    Few media flaps have left me as disappointed in us as a country as the vortex we allowed ourselves to be swept into around the “death panel” debate in 2009.   Initially I watched in stunned disbelief, later in anger and frustration as a logical and patient-centered proposal was slandered to the point that it was taken out of the Affordable...

  • Improving the “Performance” of Performance Measures
    Sep 23, 2015 | 2 Comments

    By Greg Seymann, MD, SFHM As performance-based reimbursement strategies take center stage in healthcare payment system reform, the landscape for hospitalists remains stagnant, as we still lack a critical mass of relevant performance measures. Under the Physician Value Based Purchasing (VBP) program, all hospitalist groups of ten or more eligible providers are subject to a pay cut from Medicare if...

  • Hospitalists Bend the Cost Curve
    Hospitalists Bend the Cost Curve
    Sep 22, 2015 | 1 Comment

    The United States healthcare system continues to struggle with extremely high cost and variable quality of care. This year alone, the U.S. is projected to spend $2.8 trillion on healthcare, comprising approximately 18% of the entire U.S. gross domestic product (GDP); about 30% of that is spent within hospitals. This is more than Australia, Brazil, Canada, China, France, Germany, Italy,...

  • Designing Better Data
    Sep 17, 2015 | Comments Off on Designing Better Data

    By Frank Zadravecz, MPH Our first foray into alarm data felt a bit like trekking through uncharted jungle. We were enticed by legends of untold riches in patient safety awaiting our discovery. We believed that we could label alarms that were nuisance and laud the more predictive ones. Like all memorable and perilous journeys, we lacked a detailed roadmap but...

  • Frequency & Clinical Relevance of Inconsistent Code Status Documentation
    Frequency & Clinical Relevance of Inconsistent Code Status Documentation
    Sep 16, 2015 | 1 Comment

    I had the pleasure of interviewing Dana Edelson, a Hospitalist at the University of Chicago, about her team’s recent publication in the Journal of Hospital Medicine (JHM), Comparison of mental status scales for predicting mortality on the general wards. We know from previous literature that altered mental status is a strong predictor for inpatient mortality. But it is not clear...

  • New Research That Helps Us Detect Delirium Faster & Easier
    New Research That Helps Us Detect Delirium Faster & Easier
    Sep 15, 2015 | Comments Off on New Research That Helps Us Detect Delirium Faster & Easier

    Delirium is one of the most vexing of problems we face in hospitalized patients. It is hard to treat and just as hard to diagnose. In the next issue of the Journal of Hospital Medicine an original paper “Preliminary Development of an Ultra-Brief 2-Item Bedside Test for Delirium” is being published from Donna Fick, PhD, who led a team of...

  • SHM Media Highlights: August 27 – September 11
    Sep 14, 2015 | Comments Off on SHM Media Highlights: August 27 – September 11

    Hospital research, maintenance of certification, pain management and the roles of nurse practitioners and physician assistants in legislation discussions appear in the latest media highlights. On Friday morning, Philadelphia’s local NPR affiliate, WHYY Radio, aired a story about alarm fatigue in hospitals that featured research by pediatric hospitalist (and SHM member) Chris Bonafide and medical student Mimi Zander. Mimi Zander...

  • Spontaneous Generation
    Spontaneous Generation
    Sep 14, 2015 | Comments Off on Spontaneous Generation

    It’s kind of funny, but a bunch of people sent me this recent Medscape article entitled, Can a Nurse Practitioner Be the ‘Attending Physician’ in the Hospital Setting.  I found this quite humorous. I’m pretty sure that the “spontaneous generation theory”  was debunked by Louis Pasteur in the early 1900s and would apply to nurse practitioners and physicians as well...

  • How Much Does the ABIM’s MOC Program Really Cost?
    How Much Does the ABIM’s MOC Program Really Cost?
    Sep 11, 2015 | 1 Comment

    Our esteemed “The Hospital Leader” editor, newly minted Master in Hospital Medicine, and all-around big shot, Dr. Brad Flansbaum, and I are both recertifying for the ABIM Boards and we have both elected to take the Focused Practice in Hospital Medicine exam this year. As such, we are both very invested in the goings on in the ABIM, especially since they...

  • Final Reflections on My Summer at CHOP
    Final Reflections on My Summer at CHOP
    Sep 10, 2015 | Comments Off on Final Reflections on My Summer at CHOP

    by Mimi Zander I feel accomplished. My summer in Philadelphia has been full of learning, team building, reflection, and of course alarm review. As I get ready to head into second year, all I can manage to do is make lists. This post is no exception. Without further ado, in no particular order, this summer I’ve accomplished the following: Wrote...

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