Practice Management

HM15 Session Analysis: The Physician-Administrator Management Dyad

Hm15 Presenters: Chuck Ainsworth, MD, MCC,; Dan Virnich, MD, MBA; Roberta Himebaugh, MBA, SFHM; Robert Hickling, MHA; Sendil Krishnan, MD Summation: The presenters, a group of physicians and administrators for hospital medicine groups, explored three dyad models. These three models were: Office of the Executive, where there is one senior executive and a junior executive;… [Read More]

HM15 Session Analysis: Innovative Hospitalist Staffing Models

HM15  Presenters: John Nelson, MD, MHM; Daniel Hanson, MD, FHM; Darren Thomas, MD Summation: The presenters, from three entirely different geographic regions across the U.S., walked the audience through several different innovative hospitalist staffing models, from staffing in a multi-hospital system to integrating of advanced practice clinicians to deploying staggered staffing techniques to match the… [Read More]


Implementing Physician Value-Based Purchasing in Your Practice: HM15 Session Analysis

HM15 Session: Putting Your Nickel Down: The What, Why, and How of Implementing Physician Value-Based Purchasing in Your Practice Presenters: Stephen Besch, Simone Karp RPh, Patrick Torcson MD MMM SFHM, Gregory Seymann MD SFHM Summation: HHS has set a goal of tying increasing percentages of Medicare payments to quality or value through alternative payment models,… [Read More]


Hot Topics in Practice Management; HM15 Session Analysis

HM15 Session  RAPID FIRE PANEL: Hot Topics in Practice Management Updates on Key Issues, Including the Key Characteristics of an Effective HMG HM15 Presenters: Roy Sittig MD SFHM, Jeffrey Frank MD MBA, Jodi Braun Summation: Speakers covered timely topics regarding the Accountable Care Act, namely Medicaid Expansion and Bundled Payment arrangements; and reviewed the seminal paper… [Read More]


SHM, IPC Healthcare Launch Hospitalist-Focused, Post–Acute-Care Educational Program

Hospitalists practicing in post–acute-care facilities have a new resource via an SHM partnership. The society and IPC Healthcare of North Hollywood, Calif., debuted at the “Primer for Hospitalists on Skilled Nursing Facilities” at 2015 annual meeting. The educational program, housed at SHM’s Learning Portal, has 32 lessons meant to differentiate the traditional acute-care hospital from… [Read More]

Medicare Standard Practical Solution to Medical Coding Complexity

In the article “Common Coding Mistakes Hospitalists Should Avoid” in the August 2014 issue of The Hospitalist, the author states: “For inpatient care, an established problem is defined as one in which a care plan has been generated by the physician (or same specialty group practice member) during the current hospitalization.” This definition contradicts what… [Read More]

Small Hospitals Concerned about Readmissions Avoidance

Small, rural, and community-based hospitals face many of the same concerns about readmissions as large ones. James Baumgartner, MD, chief hospitalist at Essentia Health-St. Joseph’s Medical Center in Brainerd, Minn., population 13,517, was asked if he sees the readmissions issue playing out differently in rural settings. “I don’t think so, and I’ve practiced in bigger… [Read More]

Rapid-Response Teams Help Hospitalists Manage Non-Medical Distress

A team that could respond quickly to social and behavioral concerns—and not medical issues per se—would have tremendous benefits for patients and caregivers. I think there has been a steady increase, over the last 20 years or so, in the number of very unhappy, angry, or misbehaving patients (e.g. abusive/threatening to staff). In some cases,… [Read More]

Internist Gila Kriegel, MD, says most PCPs “like seeing their patients through the course of the illness.”

Continuity Visits by Primary Care Physicians Could Benefit Inpatients

Hospital medicine leaders have long acknowledged the disconnects in medical care that occur at discharge. The demand for greater efficiency in hospital-based care is what has driven the hospitalist movement and its inexorable growth the past two decades. Efforts to overcome discontinuity of care have included more timely discharge summaries, phone calls to primary care… [Read More]

Service Distinction Crucial for Medical Claim Submissions

Service Distinction Crucial for Medical Claim Submissions

Hospitalists often are tasked with coordinating and overseeing patient care throughout a hospitalization. Depending on the care model and the availability of varying specialists, a patient could see several specialists throughout the stay, and even during a single day. A recurring issue for many hospitalists is justifying the medical necessity of their services, because payers… [Read More]