Recent Posts

I began to think about doctor fee carve outs in the context of global payments approximately five years ago.  At a meeting I attended where the subject came up, private conversations transpired between a group of us and folks in the know from CMS and…
Most physicians recognize the JNC guideline for blood pressure management, or the ACCP thrombosis guideline for VTE.  Most would agree we use a handful of accepted benchmarks to manage a limited number of conditions.  For the rest, it’s the wild wild west. Try to develop…
Imagine for a minute that you’re Bob Wachter. Last week, you introduced your book to more than 3,000 hospitalists at Hospital Medicine 2015 on a Wednesday. Then, on Saturday, your photo is on the cover of Modern Healthcare and you find yourself at the top…
I just finished reading the soon to be published JHM article called "The highest utilizers of care: individualized care plans to coordinate care, improve health care service utilization, and reduce costs at an academic tertiary care center" by Mercer et al. Using a multidisciplinary team…
Several years ago, I was talking with a hospitalized patient whose kidneys were failing about the difficulties she faced accessing care.  She was reluctant to see a primary care physician because she did not have insurance so preferred to wait until things got really bad. …
I had the pleasure of interviewing Adina Weinerman, a Hospitalist in the Division of General Internal Medicine at Sunnybrook Health Sciences Centre in Toronto, Canada, about her team’s recent publication in the Journal of Hospital Medicine (JHM) Frequency and Clinical Relevance of Inconsistent Code Status…
One of my favorite things about being a hospitalist is attending the annual SHM meeting. I look forward to making new friends, reconnecting with old colleagues, and learning about what's happening across the country. With so many opportunities to connect and educational tracks to learn…
by John B. Bulger, DO, MBA It began in the spring of 2012. A small sub-group of the Society of Hospital Medicine’s (SHM) Hospital Quality and Patient Safety Committee (HQPS) was given the task of coming up with five test and treatments that hospitalists overuse.…
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