Practice Management

New Expectations for Value-Based Healthcare

A new book by three leading hospital medicine advocates for maximizing efficiency and outcomes while managing costs and avoiding waste in healthcare—also known as value-based healthcare—offers a primer filled with practical advice for doctors and other clinicians.1 The hospitalist authors of Understanding Value-Based Healthcare, Christopher Moriates, MD, of the University of California-San Francisco, Vineet Arora,… [Read More]

Specialty Hospitalists May Be Coming to Your Hospital Soon

Nearly 20 years ago, Bob Wachter, MD, coined the term “hospitalist,” defining a new specialty caring for the hospitalized medical patient. Since that time, we’ve seen rapid growth in the numbers of physicians who identify themselves as hospitalists, dominated by training in internal medicine and, to a lesser extent, family practice and pediatrics. But, what… [Read More]

Hospitalists Choose Quality Metrics Most Important to Them

Hospitalists Choose Quality Metrics Most Important to Them

Fantasy sports, hospital medicine, and quality metrics. Those were the unique elements of an RIV poster presented by Noppon Setji, MD, medical director of the Duke University Medical Center’s hospital medicine program in Durham, N.C., at HM15. Dr. Setji, who participates in a fantasy football league for physicians, says he aimed to apply the approaches… [Read More]

PHM15: Challenging Diagnoses, Ethical Dilemmas in Pediatric Immigrant, Refugee Patient Cases

Presenters: Nichole Chandler MD, Suresh Nagappan MD MSPH, Angela Hartsell MD MPH, and Emily Hodnett MD This workshop focused on interactive cases to highlight healthcare issues specific to the population of refugee/immigrant children in the US. It was an interactive format with small groups to allow the participants to work through the diagnoses by discovery…. [Read More]

Small Bowel Block in Elderly Merits Full Hospitalization

NEW YORK (Reuters Health) – The “vast majority” of elderly patients admitted with small bowel obstruction (SBO) are hospitalized for more than two days, and the diagnosis alone should allow appropriate Medicare coverage, according to a new study. In a paper online July 1 in Annals of Surgery, Dr. Zara Cooper, of Brigham and Women’s… [Read More]


CMS Proposes Changes to Two-Midnight Rule

On July 1, 2015, the Centers for Medicare and Medicaid Services (CMS) announced proposed changes to its controversial two-midnight rule. The changes afford physicians more flexibility to determine patient hospitalization status and place primary patient status auditing authority with Quality Improvement Organizations (QIO), rather than the unpopular Recovery Auditor Contractors (RACs). The original policy was… [Read More]