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Membership Corner: SHM Has a Group for You

Membership Corner: SHM Has a Group for You

Sep 18, 2014 | No Comments

By Dr. Ken Simone DO, SFHM Do you have a special interest within hospital medicine? SHM has a group for you! As hospitalists we have a lot particular interests within our specialty. There are some of us who love academia; others of us love treating children and there are particular nuances of practice associated with academia or pediatrics. For me,...

  • What the Heck Is an HAC Anyway?
    What the Heck Is an HAC Anyway?
    Sep 17, 2014 | No Comments

    Many are well aware that Medicare has been publicly reporting the “Hospital Acquired Condition” or “HAC” list since 2008. These are conditions that should (ideally) never happen, or at least happen at a very low frequency. The HAC list has been controversial for a number of reasons: There is no risk adjustment Some HACs occur even if the best of...

  • JHM Review: Scope of Practice for NPs/PAs in the Hospitalist Team
    Sep 15, 2014 | 1 Comment

    In this week’s blog post, I have the pleasure of interviewing Anand Kartha, MD, MS from the Boston VA who is the lead author on a paper that just came out in the Journal of Hospital Medicine this week, “Nurse Practitioner and Physician Assistant Scope of Practice in 118 Acute Care Hospitals.”  Anand and his research team attempted to look...

  • What If Observation Status Worked in the Real World?
    What If Observation Status Worked in the Real World?
    Sep 10, 2014 | 5 Comments

    I have been reading SHM’s recent White Paper on Observation Status and getting depressed about the implications for our patients and our care.  I don’t enjoy having conversations with patients and family explaining how in spite of them being in an actual hospital bed, and sleeping in an actual hospital room (ok, maybe not sleeping so well), and getting all...

  • The Doctor Patient
    Sep 8, 2014 | 3 Comments

      As you can see, no glamour shots for this month’s post. I knew it would come at some point, and my first hospitalization related to my CLL came in a big way in mid-July. Given my interest in global health, it was only fitting that I managed to get sick while out of the country. The plan for July...

  • US News Medical Admissions Blog Profiles Hospitalists:  All Press is Good Press, Right?
    US News Medical Admissions Blog Profiles Hospitalists: All Press is Good Press, Right?
    Sep 4, 2014 | Comments Off

    We are clearly in the mainstream!  The Medical School Admissions Doctor blog sponsored by US News and World Report profiled hospital medicine this week in a post entitled, “Get to Know a Day in the Life of a Hospitalist.”  I admit, I had never seen this blog before, but after reviewing the article written by Sylvia Morris, a former hospitalist...

  • The Medical Consumer, the “Priceline-ing” of Health Care, and Your Hospitalist Subsidy
    Sep 4, 2014 | 1 Comment

    by Dr. Brian Harte, MD, FACP, SFHM The increasing prevalence of “consumer-directed health plans,” AKA High-Deductible Health Plans (HDHP), as well as the insurance exchanges, public reporting and technology, has opened up the floodgates of health care consumerism. Can we imagine a day when the internet and price transparency permit comparison shopping, and perhaps even consumer-driven price negotiation with health...

  • Disillusioned
    Disillusioned
    Sep 2, 2014 | 1 Comment

    I don’t know if anyone had a chance to hear the interview on Fresh Air on NPR with Dr. Sandeep Jauhar about his recent book,  Doctored: The Disillusionment of an American Physician. I found that I could easily relate to his perspectives on modern medicine. He discussed how patients increasingly are living with multiple chronic illnesses that require multiple sub-specialists;...

  • 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 | Comments Off

    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 | Comments Off

      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...

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