HM14 – Annual Meeting

Small, Good Things

“Eating is a small good thing, in a time like this.” -Raymond Carver, A Small Good Thing HM 2014 in Vegas delivered on its expectations.  Big city, big glitz, big turnout, and big ideas. The largest SHM conference yet, with plenty of opportunities to network, learn, while gorging on big bacchanal buffets. I leave these conferences ready to save the world. In the past, these conferences helped inspire me to bring Project BOOST, or glycemic management, or VTE prevention projects back to my hospital. All big projects, needing big teams and big commitments. They all achieved a measure of success, but became complex fast, and difficult to control over time; they certainly weren’t starter projects. I think twice before beginning big, complex projects today. In the world of big systems, with hospitals merging, I witness the small community and culture getting lost. The ability to be nimble, form a small team, and affect change…

A View from the Podium

Speech? Check! Slides? Check! Selfie? Check! I had the great honor to address our membership a few weeks ago in Las Vegas at HM 14.  For those of you who have never had the chance to speak before a huge ballroom filled with over 3,000 of your closest friends and colleagues, I recommend it - there's nothing better to get you focused on the issues at hand and to come to terms with your own self-doubts. We finished out HM14 at 3603 attendees.  This is 924 total attendees over our previous registration record.  Either we have a bunch of party animals who were ready to hit Las Vegas en masse or we have an enthusiastic membership who knows that our annual meetings are the place to learn, network, polish skills, and get reenergized for another year. I know, I know, both is the right answer. Over the course of my…

The hospital is dead, long live the hospital

  After returning home from HM14, I reflected back on the talks delivered by Ian Morrison and (Sir) Bob Wachter.  Without scratching below the surface, the takeaway message from both might accord with every industry prediction you read nowadays, mainly, tough times ahead, but "exciting" ones —because we need to transform how we deliver care.  Moreover, the change agent will be you, Dr. Hospitalist.  And we know you love change.  Your DNA has change written all over it. (more…)

Most excellent

This morning, sitting in the Mandalay Bay Ballroom, hearing and watching the Awards for Excellence, I felt so inspired. These individuals make me so proud to be a part of an organization that not only attracts such talented, brilliant and committed people, but also takes the time and makes the effort to acknowledge them in a public and poignant way. As I sat there I felt immensely motivated to be better, to think bigger, to work harder and to be taller. Wait, no. I'm not going to be taller now matter how motivated I am! But watching them also made me wonder if these most excellent individuals have struggled with their confidence and their role as I have. I long to connect with them and ask them if they have gone through some of the same "wobbles" that have plagued me. Do they feel the same level of frustration, fear,…

We all have choices, many times less is more. Ask Moe Greene.

by Dr. John Bulger DO, MBA I am not Moe Greene, I am John Bulger, DO, MBA.  I am the Chief Quality Officer for the Geisinger Health System. Prior to that, I conceived and lead the hospitalist program for Geisinger Medical Center and eventually multiple programs within the Geisinger Health System. In 2012 I was lucky enough to work with a wonderful group of hospitalists and SHM staff to formulate SHM’s Adult Choosing Wisely Recommendations.  Several of us subsequently published an article in the Journal of Hospital Medicine (we also worked closely with the Pediatrics group) focused on the recommendations and the process. I heed the lessons learned from the Godfather daily.  I am apparently not the only one as a Google search of the terms godfather and lessons nets over 2 million results.  There are many examples that could help one in Choosing Wisely®:  leave the gun, take the…