Practice Management

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Things Hospitalists Want Hospital Administrators to Know

I think it is really cool that this publication has a series of articles on “What Cardiologists [or infection disease specialists, nephrologists, etc.] Want Hospitalists to Know.” I’m always interested to see which clinical topics made the list and which I’m already reasonably familiar with versus know little about. I’ve added this series to my… [Read More]

Early Follow-up Can Reduce Readmission Rates

Heart failure patients who had early follow-up (within seven days of discharge) with general medicine or cardiology providers had a lower risk of being readmitted to the hospital within 30 days, according to a study from Kaiser Permanente published in the journal Medical Care. “We found that follow-up within the first seven days post-discharge—mostly done… [Read More]

Dr. Hospitalist: Improper, Aggressive Billing Raises Ethical, Legal Concerns

Dear Dr. Hospitalist: I am a seasoned hospitalist at a large academic medical center in the Northeast and have recently become more bothered by how our group is being coerced to aggressively bill for our services. It seems the current reimbursement environment has pushed some of our leaders to demand more aggressive billing from our… [Read More]

Tackling the Readmissions Problem

Virtually every hospital system in the country deals with the challenge of readmissions, especially 30-day readmissions, and it’s only getting worse. “With the changes in healthcare and length of stay becoming shorter, patients are being discharged sicker than they used to be,” says Kevin Tolliver, MD, FACP, of Sidney & Lois Eskenazi Hospital Outpatient Care… [Read More]

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Five Situations Where Hospitalists Need a Healthcare Attorney

It is inevitable that, at some point in your career, you will need to hire a healthcare attorney. Proper representation is the best way to ensure a positive outcome in any situation. Physicians often consider tackling certain issues on their own to reduce costs and avoid complicating matters. However, there are at least five situations… [Read More]

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]