Archive for March 2017

JHM Research on VIP Patients, Docs and Social Media & More in HM News

SHM & Hospital Medicine in the News: March 16 – 30, 2017 Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare news. For the full stories, click on the links below. Journal of Hospital Medicine research that explores the treatment of “VIP” patients was highlighted in Becker’s Hospital Review, FierceHealthcare and WBUR. Leslie Flores, MHA, SFHM’s blog post “Equal Time for Hospital Execs,” was reposted on Medpage Today’s KevinMD. A recent survey shows that more than half of healthcare providers remain unprepared for MACRA. Active SHM member and JHM deputy editor, Vineet Arora, MD, MPP, SFHM discusses how physicians, medical students and residents can utilize social media to improve their practice. Study: Physicians Feel Pressured to Provide Unnecessary Care for VIP Patients The study, published in the Journal of Hospital Medicine, surveyed hospitalists across eight hospitals about services provided to patients who are considered "VIPs." In some hospitals,…

We Go to the Altar Together

Last month, I wrote about onboarding and the important responsibility that everyone associated with a hospitalist program has to ensure that each new provider quickly comes to believe he or she made a terrific choice to join the group. Upon reflection, it seems important to address the other side of this equation. I’m talking about the responsibilities that each candidate has when deciding whether to apply for a job, to interview, and to accept or reject a group’s offer. The relationship between a hospitalist and the group he or she is part of is a lot like a marriage. Both parties go to the altar together, and the relationship is most likely to be successful when both enter it with their eyes open, having done their due diligence, and with an intention to align their interests and support each other. Here are some things every hospitalist should be thinking about as…

SHM Member Nominated to Lead FDA, Focused Practice Update & More in HM News

SHM & Hospital Medicine in the News: March 2 – March 16, 2017 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: Focused Practice in Hospital Medicine is the first designation approved by the American Board of Medical Specialties as it plans a rollout of a more robust Focused Practice designation program. Scott Gottlieb, MD, SHM Public Policy Committee member, has been nominated to serve as Commissioner of the US Food and Drug Administration. Along with over 30 other organizations, SHM endorses the Improving Access to Medicare Coverage Act. Journal of Hospital Medicine research on unnecessary testing for rare liver conditions was cited in HeathImaging and HeathNewsDigest, among others. JAMA study on hospitalist Medicare Part B spending shows that delivering more costly patient care does not impact clinical outcomes. An article in Kaiser Health News discusses…

Dont Compare HM Group Part B Costs Hospital to Hospital. It’s About the Variation Between Individuals.

I have been and will be light on the blogging these days.  However, a new JAMA online first study out looking at hospitalist Part B cost variation deserves some attention.  Bestill my heart.  It's not about groups.  It's about individual physicians.  The gap between high- and low-spending doctors in the same hospital was larger than the gap in spending between hospitals. From the editorial: In this issue, Tsugawa et al3 analyze spending by individual physicians in relation to patient outcomes. The research team compared Medicare Part B spending per hospitalization by hospitalists practicing within the same hospital. To profile each physician’s level of spending, average Part B spending per hospitalization for 2011 and 2012 was used, then applied to clinical outcomes (30-day readmission and 30-day mortality rates) for 2013 and 2014. The split-sample approach mitigates bias if a physician treats a complex set of patients in one year and therefore has…

Is Patient-Centered Care Bad for Resident Education? #JHMChat Explores #meded & #ptexp

The term “patient-centered” has become a healthcare buzzword and was certainly popularized by the creation of the patient-centered medical home in ambulatory care. In the inpatient world, patient-centered rounds symbolizes this effort to improve patient experience and is the subject of a new study in this month’s Journal of Hospital Medicine, which we'll discuss on next Monday's #JHMChat at 9 p.m. EST on Twitter. In a randomized trial, Brad Monash and UCSF colleagues explored the impact of patient-centered rounds on patient experience. Patient-centered rounds was a bundle of 5 evidence-based practices: 1) pre-rounds huddle; 2) bedside rounds; 3) nurse integration; 4) real-time order entry; and 5) whiteboard updates. The control group continued with routine practice of attending rounds. The study was impressive for several reasons, but one in particular caught my attention – an army of 30 pre-med students volunteered to be observers (and also get shadowing experience?) to monitor…
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