Practice Management

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Hospitalists Unionize to Avoid Outsourced Management Model

A group of hospitalists in Oregon have formed what is believed to be the first hospitalist union in the country—but it may not be the last. Hospitalists at PeaceHealth Sacred Heart Medical Center locations in Springfield and Eugene, Ore., voted to form the union, dubbed Pacific Northwest Hospital Medicine Association, to have more say in… [Read More]

Hospitalist Tips for Talking to Seriously Ill Patients

The need to relieve patients’ suffering should not be the reason for withdrawing life-sustaining interventions in the ICU, Steven Z. Pantilat, MD, MHM, medical director of the University of California San Francisco (UCSF) School of Medicine palliative care service, told attendees at the “Management of the Hospitalized Patient” conference in San Francisco. Patients in the… [Read More]

Hospitalists’ Role in Health Reform, Palliative Care Evolves

Hospitalists’ Role in Health Reform Evolves

Hospital medicine guru Bob Wachter, MD, MHM, offers an optimistic view of hospitalists’ role in healthcare as reform measures continue to reshape the landscape. Addressing hospitalists at a recurring conference that he founded 18 years ago—“Management of the Hospitalized Patient”—Dr. Wachter said hospitalists should have more leverage than other healthcare providers in controlling their fate,… [Read More]

Hospitalists’ Potential Impact in Accountable Care Organizations

The rise of Accountable Care Organizations (ACOs), a group of healthcare providers who are answerable for the overall care of patients assigned to them, inclusive of quality and cost, accelerated as a result of the Affordable Care Act. In September CMS announced quality and financial performance results for the 18-month reporting period showing that 53… [Read More]

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Cut Costs, Improve Quality and Patient Experience

“Now that’s a fire!” —Eddie Murphy This is the final column in my five-part series tracing the history of the hospitalist movement and the factors that propelled it into becoming the fastest growing medical specialty in history and the mainstay of American medicine that it has become. In the first column, “Tinder & Spark,” economic… [Read More]

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LISTEN NOW: Emergency Medicine and Hospitalist Collaboration

This month’s podcast features Dr. Ken Epstein, chief medical officer for Hospitalist Consultants, a division of ECI Healthcare Partners; and Dr. Ken Heinrich, regional director with ECI Healthcare Partners and chief medical officer for emergency services for the ECI Advisory Group, discussing their ongoing work helping emergency physicians and hospitalists form collaborative teams. The focus… [Read More]

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Primary-Care Physicians Weigh in on Quality of Care Transitions

A new study on transitions of care gives hospitalists a view from the other side. Published recently online in the Journal of Hospital Medicine, the authors surveyed 22 primary-care physician leaders in California-based post-discharge clinics and asked them about ways to improve care transitions. Physicians’ responses focused on several areas that need work, most notably… [Read More]