Archive for April 2017

Vegas Awaits: Hospital Medicine 2017

I’m packing up for Vegas. I always look forward to the yearly conference. And back in Vegas, expectations are high. However, we all know there will be one or two distractions from the conference schedule. Here are few takeaways I hope to obtain from both the conference and Vegas. Building Community The Power of Networking Placing the Right Bets The Importance of Arts AYCE Benefits Building Community While I’m in Vegas, I may wander north of the strip and head for Container Park and the Downtown Project. The Zappos CEO poured $350 million of his wealth into this downtown Las Vegas project, with the goal of rapidly building a community from scratch as start-up city. Health can be impacted by the design of a city, and many cities are taking that cue. The Downtown Project wanted to create a walkable city and a new tech industry while experimenting with city building at the private level.…

HM17 Previews, Value of NPs and More in HM News

SHM & Hospital Medicine in the News: April 13 – April 27, 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: Medscape spoke with 3 members of the Annual Meeting Committee for an article that previews upcoming sessions and tracks at Hospital Medicine 2017. The State of Hospital Medicine Report and SHM board member Tracy Cardin, ACNP, SFHM were both featured in an article discussing the value of NPs in hospital medicine groups. SHM member Christopher P. Bonafide, MD, MSCE was quoted in an article discussing his recent research on alarm response time published in JAMA Pediatrics. Income for physician assistants with a focus in hospital medicine is increasing as we move toward a value-based care model. An article in Oklahoma’s Nursing Times salutes hospitalists at Integris Southwest Medical Center for their collaboration with nurses…

How Often Do You Ask This (Ineffective) Question?

How often do we get complacent with knowledge?  We hear the same thing over and over, and the message becomes lore.  Drink eight ounces of water per day or turkey makes you drowsy—not only do we as docs believe it but we tell family members and patients the same. I came across a new study in CMAJ that fractures another piece of lore we hold fast. And not only should this study put the kibosh on it, but also upends a practice (a patient question) that teachers from eons past have instructed us to use over and over and over.  The question has intuitive appeal, is easy to gestalt, and has a universal understanding.  Non-physicians and laypeople can grasp what the answer implies without any difficulty.  (more…)

We Are Not Done Changing

Recently, the on-line version of JAMA published an original investigation entitled "Patient Mortality During Unannounced Accreditation Surveys at US Hospitals". The purpose of this investigation was to determine the effect of heightened vigilance during unannounced accreditation surveys on safety and quality of inpatient care. The authors found that there was a significant reduction in mortality in patients admitted during the week of surveys by The Joint Commission. The change was more significant in major teaching hospitals, where mortality fell from 6.41% to 5.93% during survey weeks, a 5.9% relative decrease. The positive effects of being monitored have been well documented in all kinds of arenas, such as hand washing and antibiotic stewardship. But mortality? This is an interesting outcome, especially considering a recent ordeal I went through with my dear sister-in-law. She was on vacation in a somewhat remote location and suffers from a chronic illness, which requires her to…

Building a Practice that People Want to be Part Of

As those of you who have followed my posts on this blog know, I’ve been spending a lot of time mulling over issues related to hospitalist job satisfaction and career sustainability. I’ve written about concrete things like re-thinking hospitalist work schedules and minimizing low-value interruptions, as well as more abstract concepts like assessing your group’s “gross happiness index.” My fascination with these issues and my concern about their potential impact on the specialty of hospital medicine eventually led John and me, as course directors, to the theme of this year’s practice management pre-course at HM17 – Practice Management Success Strategies: Building a Practice That People Want to Be Part Of. Perhaps, like me, you are interested in digging deeper into matters of career satisfaction and sustainability. Or perhaps you are simply focused on the more mundane struggle just to recruit and retain enough qualified providers for your group. In either…
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