Archive for November 2016

Politics & Patient Care, Expanded PA Roles & SHM Member Successes in HM News

SHM & Hospital Medicine in the News: November 10 – November 28, 2016 Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare-centric news. For the full stories, click on the links below: Jordan Messler, MD, SFHM’s blog post, “A Letter to my Patients,” in which he discusses the lack of impact that politics will have on his patient care, was reposted on Medpage Today’s KevinMD. Expanding the roles of physician assistants in the hospital is becoming more and more common as they assume some responsibilities handled mainly by hospitalists. Led by SHM member Dr. Sajeev Handa, MD, SFHM, the hospitalist program at Rhode Island Hospital celebrates its 20th anniversary this year. NYU Lutheran highlights its hospitalist program’s contributions to improved patient care and patient experience in a recent press release. The next wave of machine learning for healthcare is coming, including ability to identify future admissions…

Count Me – and My Intuition – In

In modern medicine, we’re surrounded by EMR systems, lab tests and increasingly complex medical equipment. But I sometimes stop and wonder: Where does my intuition fit into the equation? Case in point: The other day, I had one of those days that happens in hospital medicine where nothing goes right. A patient admitted right at change of shift, with a diabetic foot ulcer as a chief complaint, was found to have an 8.0-gram hemoglobin drop from her baseline. Further questioning by the night admitting MD revealed that the patient had been having melena for several days. GI was consulted, but the lab was considered to be spurious. A stat repeat CBC and type and crossmatch was ordered. The EMR system was down, though this was not apparent at first. Because of this, it was not immediately evident that the lab could not see the order entered into the EMR system.…

An Open Letter to Hospital Executives about Their Hospitalist Programs

Dear Hospital Executive, If you are like many of the hospital leaders with whom I regularly talk, you’re probably concerned that your hospitalist program isn’t delivering the value you need in this metrics-driven and cost-constrained environment. You may see your hospitalists as disengaged free agents who either don’t know, or care too little, about contributing to the success of your organization beyond seeing the patients on their list. They may complain repeatedly about being overworked, underappreciated, or dumped on, and you worry they will leave soon for greener pastures. As a former hospital executive myself, I sympathize. You have a lot of important challenges to manage, and the hospitalists are highly educated, well-paid professionals, for Pete’s sake. Whether your hospitalists are employed by your organization, a local private group, or a management company, you are paying a lot for a vital service that ought to run more or less on…

A Letter to My Patients

To my next patient: I often avoid putting my politics on my sleeve, as I don’t want that to get in the way of our relationship. I want you to know that I treat you as a fellow human being, no matter your race, gender, sexual orientation. With the election results, what will change about how I treat you at the bedside? Nothing. I may know about your criminal past. I see that tattoo underneath your gown. I hear your profanity-filled screed because you won’t get that MRI today. I know you don’t follow the treatment plan, that you are here illegally or that you are a refugee from another country. I will still care for you no matter what. It’s one of the blessed things we instill in each other in medicine. I saw someone like you recently: 28 years old, working hard, with 2 jobs, but neither provided…

Pediatric HM Subspecialty, JHM Research & More in HM News

SHM & Hospital Medicine in the News: October 27 – November 10, 2016 Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare-centric news. For the full stories, click on the links below: The ABMS officially recognizes pediatric hospital medicine as a subspecialty with its own certification. Journal of Hospital Medicine research on wasted CMS costs was highlighted in Medical Practice Insider, FierceHealthcare and Healthcare IT News. Another Journal of Hospital Medicine study on unnecessary blood tests, which will be the focus of the next JHM Twitter chat (#JHMChat) in January, was highlighted by the University of Michigan Health System. The Blackstone Group recently purchased TeamHealth, the nation’s largest physician-staffing company. As the new medical director of the Southeastern Regional Medical Center hospitalist program, SHM member Joseph Roberts Jr., MD plans to strengthen quality of care and community relationships. A regional news outlet puts the spotlight on…
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