Practice Management

Revisiting the ‘Key Principles and Characteristics of an Effective Hospital Medicine Group’

It has been two years since the “Key Characteristics” was published in the Journal of Hospital Medicine.1 The SHM board of directors envisions the Key Characteristics as a tool to improve the performance of hospital medicine groups (HMGs) and “raise the bar” for the specialty. At SHM’s annual meeting (www.hospitalmedicine2016.org) next month in San Diego,… [Read More]

HM16 Session Analysis: Maximizing Collaboration With PAs & NPs: Rules, Realities, Reimbursement

Presenter: Tricia Marriott, PA-C, MPAS, MJ Health Law Summary: Ms. Marriott brought humor to a detailed #HospMed16 presentation on the rules of reimbursement and Medicare requirements for physician assistants (PAs) and nurse practitioners (NPs). The session was packed with information regarding the Medicare regulations relating to PAs and NPs, as well as information from state… [Read More]

HM16 Session Analysis: Health Information Technology Controversies

Presenter: Julie Hollberg, MD Summary: Dr. Julie Hollberg, the chief medical information officer for Emory Healthcare, presented an overview of three pressing health information technology (IT) concerns at Hospital Medicine 2016, the “Year of the Hospitalist.” These issues are the use of copy-and-paste functions in electronic charting, alert fatigue, and patient access to electronic charts…. [Read More]

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]