Practice Management

Proposals Pave the Way for New Drugs

To promote achievable solutions in the ongoing debate on drug financing, Anthem, Inc. and Eli Lilly and Company are offering two policy proposals, which are detailed in “Discovering New Medicines and New Ways to Pay for Them,” published on the Health Affairs blog. The first proposal calls for clarifying federal regulation to reduce perceived barriers… [Read More]

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Research Shows Link Between EHR and Physician Burnout

Hospitalists’ struggles with the promise and pitfalls of the electronic health record (EHR) can also impinge on their personal satisfaction with their jobs. The EHR has been identified as a major contributor to physician burnout. Research conducted in 2013 by the RAND Corporation and the American Medical Association (AMA) identified EHRs as the leading cause… [Read More]

Attributes of Successful Hospitalist Groups

In the first two installments of my own list of attributes that are important underpinnings of successful hospitalist groups, I covered group culture and decision making, recruiting, the importance of a written policy and procedure manual and performance dashboard, and roles for advanced practice clinicians. I’ll continue numbering from last month and complete the list… [Read More]

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Tips for Policy and Procedure Manuals, Along with Roles for NP/PAs

Editor’s note: Second in a three-part series. This month continues my list of important issues that help position your hospitalist group for greatest success. SHM’s “Key Principles and Characteristics of an Effective Hospital Medicine Group” is the definitive list, and this is my much smaller list. Last month, I discussed a culture (or mindset) of… [Read More]

Care Teams Work Best When Members Have a Voice

I stumbled upon an absolutely brilliant TED talk about how we need to forget about the “pecking order” within workplaces and how we need to focus on team social connectedness as a strategy to enhance teamwork and productivity.1 I found the analogy in the presenter’s talk so incredibly poignant for the work we do every… [Read More]

Questions Have Been Raised about Potential Risks from Using Abbott Laboratories’ Novel Coronary Stent

(Reuters) – U.S. government scientists have raised questions about the potential risks to patients of heart attacks and blood clots from Abbott Laboratories’ novel coronary stent that dissolves after it is implanted. Abbott is seeking U.S. approval to sell the stent, called Absorb, as an alternative to metal stents currently used in percutaneous coronary intervention…. [Read More]

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Potential Dangers of Using Technology in Healthcare

The incident that perhaps most fully impressed the potential dangers of electronic health records (EHRs) on hospitalist pioneer Robert Wachter, MD, MHM, came two years ago. It started, innocently and well-intentioned enough, years earlier with the installation of EHR systems at the University of California at San Francisco (UCSF). Flash-forward to 2013 and a 16-year-old… [Read More]

HM16 Session Analysis: Medical, Behavioral Management of Eating Disorders

Presenter: Kyung E. Rhee, MD, MSc, MA Summary: Eating disorders (ED) are common and have significant morbidity and mortality. EDs are the third most common psychiatric disorder of adolescents with a prevalence of 0.5-2% for anorexia and 0.9-3% for bulimia; 90% of patients are female. Mortality rate can be as high as 10% for anorexia… [Read More]