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Wrongful Life

There have been recent discussions in the lay media about a growing trend of litigation cases focused not on the “right to live”, but rather on the “right to die”. These cases have involved patients who received aggressive treatment, despite having documentation of their wishes not to receive such aggressive treatment. Although unsettling, it is not surprising that this issue has arisen, given the national conversations about the exorbitant cost of care at the end of life in the U.S., and the frequency with which patients do not receive end of life care that is concordant with their wishes. These conversations have spurned providers and patients to discuss and document their wishes, via advanced care directives and/or POLST orders (Physicians Orders for Life Sustaining Treatment). There is now even a national day devoted to advanced care decision making (National Healthcare Decisions Day). While these documents are increasingly available for hospitalists…

Value-Based Purchasing, Depression in Hospitalized Patients & More in HM News

SHM & Hospital Medicine in the News: June 8 – June 22, 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 President Ron Greeno, MD, MHM discussed the outcomes of the Value-Based Purchasing Program with Medscape. Journal of Hospital Medicine research on depression in hospitalized patients was cited on com, Nursing Knowledge International, Health.com, among others. Brad Flansbaum, DO, MPH, MHM, Physician Editor of SHM’s official blog The Hospital Leader, was quoted in a New York Times article on the effects of a healthier roommate in the hospital. SHM’s new hospitalist education tool for antibiotic stewardship was highlighted in the CDC’s Safe Healthcare Blog. Board member Danielle Scheurer, MD, MSRC, SFHM was quoted in a Johnson & Johnson press release discussing implementation of a new infection risk management initiative at the Medical University of…

SHM Movers & Shakers, Hospital Silos & JHM Research in HM News

SHM & Hospital Medicine in the News: May 25 – June 8, 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: Robert Harrington, MD, SFHM, past president of SHM, brings the physician perspective to his new role as Chief Medical Officer at SurveyVitals, Inc., a patient feedback technology company. Immediate past president of SHM, Brian Harte, MD, SFHM, was profiled in a local news article discussing his experience in his role as Head of Cleveland Clinic Akron General. SHM member Rohit Uppal, MD, MBA, SFHM wrote an article for Becker’s Hospital Review on why hospitals should move away from departmental silos. Journal of Hospital Medicine research on symptoms of depression in hospitalized patients was cited in Pharmacy Choice, Medical Xpress and PsychCentral, among others. SHM’s Multimodal Pain Strategies Guide for Postoperative Pain Management was cited…

The Essentials of QI Leadership: A Conversation with Dr. Eric Howell, Part 2

My last blog post, featuring my Q and A with Dr. Eric Howell, Division Director, Collaborative Inpatient Medicine Service (CIMS) at Johns Hopkins Bayview Medical Center in Baltimore, MD, and SHM's Senior Physician Advisor, focused on his early days in Quality Improvement (QI) and advice for training in QI. This next post discusses the Center’s role within SHM and how hospitalists can become involved in quality improvement. How did you get involved in The Center, and can you explain your role in The Center today? It was a lot of luck, good timing and being prepared. I’ve been in The Center for two years. Before that, I was involved with a number of The Center’s successful QI projects. I was reasonably well known in the Project BOOST (SHM's program for improving care transitions) community. Along with Mark Williams and Jeff Greenwald, I was one of the original three who pitched Project…

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…
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