Archive for January 2016

Getting Permission to Die

by Rachel Deming
by Rachel Deming When I first met Ms. G. she told me she was in such pain that she wanted to die. She had a nice life, a full life, and her pain was just unbearable, she told me. "I have to stay strong for my children, however," she said. "They want to see me, so I have to keep fighting, keep bearing this pain for them." Over the next week, I saw Ms. G. many more times. Sometimes she was in good spirits, and other times she would cry in pain, pleading to make it stop. One afternoon when she was feeling better, she asked if she could tell me her story. She told me that she had a great story, a story that was worth sharing. She grew up in the Philippines; as a young woman she worked at the U.S. air force base as a cleaner. While…
Rachel Deming is a fourth year medical student at University of California, San Francisco School of Medicine. She has a B.A. in Human Biology from Stanford University. Before applying to medical school, she taught high school science in Oakland, CA. Rachel is currently applying for pediatric residency programs  for next year, and has a special interest in palliative care, as well as medical education.

Hospital Medicine’s Continued Growth & SHM Member Successes in the News

by Brett Radler
Media Monitoring Report: January 9 – January 21, 2016 The latest edition of SHM Media Highlights features the continuing evolution and growth of hospital medicine during its twentieth anniversary, performance measurement, SHM member successes, Journal of Hospital Medicine patient safety research and studies on how physicians choose their personal end-of-life care plans. In general hospital medicine news, The Advisory Board reviewed the growth of hospital medicine and current opportunities and challenges moving into 2016, while Modern Healthcare announced the increased hospitalist hiring rate in the Bon Secours Health System. Bon Secours is now home to 837 hospitalists and advanced practice clinicians. Prominent SHM members appeared in mainstream news outlets often over the last two weeks. They include Dr. Bob Wachter and his op-ed on performance measurement in The New York Times, Dr. Mark Williams and his appointment to the Editorial Advisory Board of The Joint Commission Journal on Quality and…
Brett Radler is the Communications Specialist at the Society of Hospital Medicine (SHM). He is responsible for managing the day-to-day social media engagement across SHM’s social media platforms, including Facebook, Twitter, LinkedIn and YouTube, and assists in the management of SHM’s blog, The Hospital Leader. In addition to his social media roles, Brett develops content for SHM’s monthly newsmagazine, The Hospitalist, and monitors media coverage relevant to the hospital medicine movement. Brett holds a bachelor’s degree in Communication from Rutgers University in New Brunswick, NJ and also serves as on-air talent at a New Jersey radio station in his spare time.

Single Payer Healthcare in the US? What?

by Dr. Douglas Mitchell MD, MBA
by Dr. Douglas Mitchell MD, MBA  On January 10, 2014 the state of Maryland announced a new approach to hospital payments that would radically alter how healthcare is delivered in the state. Hospitals would no longer be incentivized to generate more volume but would instead be rewarded for keeping people out the hospital. Uwe Reinhardt, a health care economist at Princeton University said "This is without any question the boldest proposal in the United States in the last half century to grab the problem of cost growth by the horns." Understanding healthcare reform efforts in Maryland requires a little bit of wonkiness but components of the Maryland plan will likely become part of national healthcare reform efforts. Like all change there are opportunities for people to excel in the new system, and in order to excel hospitalists need to adapt intelligently to the new environment. A Little History for Context:…
Dr. Douglas Mitchell MD, MBA is CEO and a founding partner of Physicians Inpatient Care Specialists (MDICS). He began working as a hospitalist in 1998 at Anne Arundel Medical Center in Annapolis, Maryland. While at AAMC he became the lead hospitalist and grew the program from four FTEs to over twenty FTEs, started a surgical hospitalist program, and became president of the medical staff. In 2007 he started at private hospitalist group at Anne Arundel Medical Center – Physicians Inpatient Care Specialists or MDICS. Since 2007 MDICS has grown to over 300 providers contracted to provide hospitalist services in sixteen hospitals and to provide geriatric services in over 45 skilled nursing facilities. He spends free time gardening, growing berries, and keeping bees. He also enjoys puttering around the house and trying not to hurt himself with power tools.

Hospitalist Unionization, Journal of Hospital Medicine Research Make National News

by Brett Radler
Media Monitoring Report: December 17, 2015 – January 9, 2016 Entering 2016, the latest SHM Media Highlights are robust, including stories on the unionization of hospitalists, Journal of Hospital Medicine alarm fatigue research, SHM member and organizational successes and a glance at the evolution of hospital medicine in 2015. The New York Times recently covered a story based in Oregon, where a group of hospitalists banded together to fight back against their hospital for outsourcing. Dr. John Nelson was quoted, and Dr. Brad Flansbaum followed up with a blog post reacting to the story on The Hospital Leader. The Wall Street Journal recently covered Journal of Hospital Medicine research performed by Dr. Chris Bonafide and his team at the Children’s Hospital of Philadelphia, citing the need to lessen instances of alarm fatigue that could cause hospital staff to neglect true emergencies. Member and organizational successes comprised a number of media…
Brett Radler is the Communications Specialist at the Society of Hospital Medicine (SHM). He is responsible for managing the day-to-day social media engagement across SHM’s social media platforms, including Facebook, Twitter, LinkedIn and YouTube, and assists in the management of SHM’s blog, The Hospital Leader. In addition to his social media roles, Brett develops content for SHM’s monthly newsmagazine, The Hospitalist, and monitors media coverage relevant to the hospital medicine movement. Brett holds a bachelor’s degree in Communication from Rutgers University in New Brunswick, NJ and also serves as on-air talent at a New Jersey radio station in his spare time.

Student Resolutions for the New Year

by Dr. Hyung (Harry) Cho
by Dr. Harry Cho As we ring in the New Year, the medical students in our new Student High Value Care Committee (sHVC) have three wishes. They spent quite a bit of time doing research, reviewing evidence and guidelines like Choosing Wisely and our own, Things We Do For No Reason. [caption id="attachment_14088" align="alignleft" width="300"] The Student High Value Care Pitch Day.[/caption] The amazing thing about students is that they haven’t yet conformed to our standards of medicine. They are learning more about what could be, and not what is. An air of innocence surrounds them, as they attend lectures, read textbooks and examine literature with the purest of intentions. If anything doesn’t make sense, they speak out with honesty. So in the spirit of #ThingsWeDoForNoReason, they showcased their honesty with these three wishes in front of our faculty, staff, and fellow classmates during our sHVC “Pitch Day” at Icahn…
Dr. Hyung (Harry) Cho is the Director of Quality and Patient Safety for the Division of Hospital Medicine at Mount Sinai Hospital. He is also the Chair of the High Value Care Committee where he develops innovations to decrease unnecessary medical testing and treatment. His primary research focus is in the relationship of overuse and patient harm, as well as in high value care education and implementation. Since 2011 he has been an academic hospitalist at Icahn School of Medicine, Mount Sinai Hospital. He was selected as the Clinical Quality Fellow for the Greater New York Hospital Association and United Hospital Fund, and as the Senior Fellow for the Lown Institute. His efforts in value improvement have received many awards and recognition, including the Choosing Wisely Case Study Award from Society of Hospital Medicine. You can follow Dr. Cho on Twitter @HyungChoMD.
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