Practice Management

HM16 Session Analysis: Reinforcing Practice Culture, Maximizing Engagement Through Effective Communication

HM16 Presenters: Dr. Scott Rissmiller, Dr. Steve Deitelzweig, Dr. Jerome Siy, Dr. Thomas Mcllraith, and Dr. Michael Reitz Summary: This session at #HospMed16 explored lessons learned from five hospitalist leaders across the country about improving hospitalist practice through enhancing hospitalist engagement, group communication, and leadership development. It was proposed that the “new” value equation is… [Read More]

Survey shows Clinical Practice in Management of EOS in Newborns Varies

NEW YORK (Reuters Health) – Clinical practice in management of early-onset sepsis (EOS) in newborns varies widely across Europe, North America and Asia, new survey results show. National guidelines also disagree on when to start antibiotics in low-risk situations, and how to decide to stop therapy in high-risk scenarios, Dr. Wendy van Herk of Erasmus… [Read More]

HM16 Session Analysis: Infectious Disease Emergencies: Three Diagnoses You Can’t Afford to Miss

Presenter: Jim Pile, MD, Cleveland Clinic Summary: The following three infectious diagnoses are relatively uncommon but important not to miss as they are associated with high mortality, especially when diagnosis and treatment are delayed. Remembering these key points can help you make the diagnosis: Bacterial meningitis: Many patients do not have the classic triad—fever, nuchal… [Read More]

HM16 Session Analysis: Hospital Quality, Patient Safety Update for 2015

HM16 Presenters: Mangla Gulati, MD, FACP, FHM, and Ian Jenkins, MD Summary: There is some evidence that hospital adverse events may be decreasing. The Agency for Healthcare Research and Quality (AHRQ) report of Partnership for Patients data found that there were 1.3 million hospital-acquired conditions prevented from 2011-2013, translating to 50,000 lives saved and $12 billion… [Read More]

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HM16 Session Analysis: ICD-10 Coding Tips

Presenter: Aziz Ansari, DO, FHM Summary: With the implementation of ICD-10, correct and specific documentation to ensure proper patient diagnosis categorization has become increasingly important. Hospitalists are urged to understand the impact CDI has on quality and reimbursement. Quality Impact: Documentation has a direct impact on quality reporting for mortality and complication rates, risk of… [Read More]

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NPs, PAs Vital to Hospital Medicine

Yes, it’s time for another “year ahead” type column where the writer attempts to provide clarity on future events. What does “Hospital Medicine 2016” hold for us? I hope by the time Hospital Medicine 2017 rolls around, everyone will have forgotten the wrong predictions and only remember those that reveal my exceptional clairvoyance and prescient… [Read More]

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CMS Introduces Billing Code for Hospitalists: What You Need to Know

The Centers for Medicare & Medicaid Services (CMS) recently announced the approval of a dedicated specialty billing code for hospitalists that will soon be ready for official use. This is a monumental step for hospital medicine, which continues to be the fastest growing medical specialty in the U.S., with more than 48,000 practitioners identifying as… [Read More]

CRT in Patients with Heart Failure Without LBBB May Harm

NEW YORK (Reuters Health) – Cardiac resynchronization therapy (CRT) in patients with heart failure (HF) without left bundle branch block (LBBB) may not help and might even harm, according to an international group of investigators. As Dr. Yitschak Biton told Reuters Health by email, “Our findings suggest that patients without LBBB electrocardiogram (ECG) morphology are not likely to benefit from… [Read More]

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A Closer Look at Characteristics of High-Performing HM Groups

Early in 2015, SHM published the updated edition of the “Key Principles and Characteristics of an Effective Hospital Medicine Group,” which is a free download via the SHM website. Every hospitalist group should use this comprehensive list of attributes as one important frame of reference to guide ongoing improvement efforts and long-range planning. In this… [Read More]