Practice Management

Movers and Shakers in Hospital Medicine December 2015

John Carlile, MD, is the new medical director of pediatric hospitalist and intensivist services at Summerville (S.C.) Medical Center. Most recently, Dr. Carlile worked as a pediatric critical care specialist at Cox Medical Center in Springfield, Mo. Bryce Gartland, MD, FHM, has been named CEO of Emory University Hospital in Atlanta. Dr. Gartland currently serves… [Read More]

ICD-10 Flexibility Helps Transition to New Coding Systems, Principles, Payer Policy Requirements

Effective October 1, providers submit claims with ICD-10-CM codes. As they adapt to this new system, physicians, clinical staff, and billers should be relying on feedback from each other to achieve a successful transition. On July 6, the Centers for Medicare and Medicaid Services (CMS), in conjunction with the AMA, issued a letter to the… [Read More]

Liver Transplant Only Cure for Some Inpatients with Cirrhosis

Bilal Hameed, MD, assistant professor of medicine in the division of gastroenterology at the University of California San Francisco, reviewed a wide range of serious and life-threatening medical complications resulting from cirrhosis during the annual UCSF Management of the Hospitalized Patient conference. Recurring complications of cirrhosis can include ascites, acute variceal and portal hypertensive bleeds,… [Read More]

Quality of Healthcare Systems Depends on People Caring Within

The experience I describe here is an acute illness that my family experienced. Aside from the actual illness, most of the story will not sound surprising or unique to most of you. It is a story about traversing the medical system to get care for my mom, an elderly patient with Alzheimer’s, over the course… [Read More]

Poor Continuity of Patient Care Increases Work for Hospitalist Groups

I think every hospitalist group should diligently try to maximize hospitalist-patient continuity, but many seem to adopt schedules and other operational practices that erode it. Let’s walk through the issue of continuity, starting with some history. Inpatient Continuity in Old Healthcare System Proudly carrying a pager nearly the size of a loaf of bread and… [Read More]

ICD-10 Under ACP Scrutiny

NEW YORK – While the new International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes offer greater diagnostic precision, their implementation will require training of clinicians, coders, and other staff to minimize payment denials or delays from both public and private payers. Brian Outland and colleagues from the American College of Physicians in Washington, D.C., outline some of the… [Read More]

New Medicare Rule Will Reimburse Physicians for Advance Care Planning

Hospitalists care for patients with the most serious, chronic, and complex illnesses. As a result, they are often faced with the daunting task of counseling their patients to help them clearly define their end-of-life wishes. The mere subject of death is met with apprehension and avoidance, but its inevitability warrants an early discussion. End-of-life care,… [Read More]

Tips for Hospitalists on Improving Diagnostic Skills

Case A 67-year-old man presents to the hospital with persistent, subjective fevers and malaise for one month, subacute onset of dyspnea, and nonproductive cough for the preceding six days. The patient is a nonsmoker, denies sick contacts, and has had no foreign travel. What would be the best approach to making the diagnosis while working… [Read More]

Hospitalists Can Join SHM’s New ‘Fight the Resistance’ Campaign

In June, Eric Howell, MD, SFHM, SHM’s senior physician advisor, attended a White House forum on antibiotic resistance. That day, SHM committed to empowering hospitalists to fight antibiotic resistance through better prescribing behaviors. In a blog post on The Hospital Leader, Dr. Howell wrote, “This isn’t limited to a single hospital. There are now more… [Read More]

Maintenance of Certification Process Should Ensure Physicians Deliver Quality Care

When the American Board of Internal Medicine (ABIM) announced changes to its Maintenance of Certification (MOC) process in early 2014, the response was overwhelmingly negative. Individual physicians and medical societies criticized ABIM for adding significant time and expense to MOC, and loudly challenged the program’s effectiveness, relevance, and value. After months of backlash, ABIM issued… [Read More]