Archive for May 2017

Bundled Payments, C. diff, Hospital-Acquired Anemia & More in HM News

SHM & Hospital Medicine in the News: May 11 – May 25, 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: SHM founding member and past president Win Whitcomb, MD, MHM wrote an article for Hospitals & Health Networks on the building blocks for success with CMS’ bundled payments program. Research presented at HM17 on using EHR data to track C. diff transmission was summarized in an article on Becker’s Health Review. Journal of Hospital Medicine research on hospital-acquired anemia was cited in Becker’s Hospital Review, Health Medicine Network, HealthNewsDigest, among others. Becker’s Hospital Review also cited Journal of Hospital Medicine research on the Medicare appeals backlog. Another Journal of Hospital Medicine study on cost of incidental chest scans was cited in HealthCareBusiness and Managed Care. 5 Building Blocks for Success With Bundled Payments While…

It’s Time for a Buzz Cut

I sometimes joke that hospitalists are the medicine version of the mullet haircut – you know, all business in "the front" (i.e. the patient care area) and all party in "the back" (i.e. the work room). In "the back", the usual scenario is to complain and moan about our frequent flyers, our drug seekers, our many unsaveable patients, the incredible situations ("He put a nail where??), with good-natured but somewhat bitter truculence about sharing duties with housestaff and general whining about hospital leadership. Generally, as long as these semi-inappropriate conversations and remarks were kept "backstage", and our demeanor was professional "onstage", I felt it was harmless. You know, gallows humor. A coping mechanism. And often entertaining. But there was always a part of me that wondered if these "backstage" conversations were having a more corrosive impact on communication with our patients. Does it normalize a negative judgement about patients if…

The Essentials of QI: It Starts with Leadership — A Conversation with Dr. Eric Howell

SHM’s Center for Quality Improvement is the hospitalist’s home for quality improvement (QI). QI became a foundational theme for SHM early in the growth of hospitalists. It’s not a coincidence that many of our leaders, such as Bob Wachter, Win Whitcomb, Greg Maynard, and Mark Williams are QI leaders as well.  As hospitalists, we were and are best positioned to impact quality in the hospital. The Center provides a comprehensive set of resources and programs to support hospitalists and other hospital clinicians as they work to improve quality and safety in their hospital. SHM’s Mentored Implementation (MI) is one example of how hospitalists are supported to facilitate systems change and improving hospital outcome, in which SHM pairs a hospital team with a physician mentor. The MI model is an evidence-based framework developed to support QI teams via planning and implementation of interventions. Mentored Implementation programs and resources have been implemented…

HM17 Highlights & JHM Research in Hospital Medicine News

SHM & Hospital Medicine in the News: April 27 – May 11, 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: Numerous Hospital Medicine 2017 presentations were highlighted in Medscape, including Ron Greeno, MD, MHM’s address as incoming president and sessions on VTE and opioids. HM17 award winning abstract on difficile, by Sara G. Murray, MD, was featured in Healio Internal Medicine. An article in FierceHealthcare discusses research on a newly developed readmissions software that was presented at SHM’s annual meeting. SHM member Dr. Scott Gottlieb was officially confirmed by the senate as the new FDA Commissioner. Tracy Cardin, ACNP, SFHM’s blog post “We Are Not Done Changing” was reposted on Medpage Today’s KevinMD. Journal of Hospital Medicine research was cited in OHSU News, McKnight’s and newswise. Hospitalists on Healthcare: ‘Politicians Can’t Fix This’ As…

From SXSW to SHM: Our Tour to Promote Value Conversations Between Doctors & Patients

By Chris Moriates, MD, SFHM and Vineet Arora, MD, MAPP, SFHM At a movie premiere for the new Terrence Malick flick, “Song to Song”, Ryan Gosling, Michael Fassbender, and Rooney Mara walked the red carpet to flashing cameras and screaming fans in front of the famous Paramount Theatre in Austin. The next day, down the street, to a lot less fanfare, our Costs of Care team – Neel Shah and both of us – took the stage at the annual SXSW festival for own version of a premiere. We were about to step out of the normal medical conference crowd (i.e. no screaming fans but some with #pinksocks on) and see for the first time if videos we made depicting scenarios of doctors and patients confronting healthcare costs would translate to the real world. Would it work, or would the critics, like with the “Song to Song” premier, give us…