Practice Management

Hospitalists Key to Champion Efforts Addressing Medical Device Alarm Fatigue

Hospitalists Key to Addressing Medical Device Alarm Fatigue

Beep! Bing! Buzz! Ding! Ring! Bleep! Everyday, throughout the day, hospitalists and other healthcare workers are inundated with alerts and warnings and notifications from medical and communication devices. The sheer number of alarms can be extremely overwhelming. “In any given unit, there may be hundreds of alarms per patient, per day,” says Ronald Wyatt, MD,… [Read More]

Healthcare’s Main Contributors to Wasteful Spending

Three studies, same conclusion. Three separate studies largely agreed that unnecessary care or overtreatment represents the top contributor to wasteful healthcare in the U.S. 1 Main contributors to $600 to $800 billion in annual healthcare waste 40% Unnecessary care (“Unwarranted treatment, such as the over-use of antibiotics and the use of diagnostic lab tests to protect… [Read More]

Healthcare Industry Agents of Change Promote Responsible Spending

1 Caring Wisely Program Started in 2012 within the division of hospital medicine at the University of California, San Francisco (UCSF), the program sponsored or collaborated on six high-value care projects within its first year. “We don’t shy away from the fact that part of what we do is address cost, but it is… [Read More]

Standard Text Messaging for Smartphones Not HIPAA Compliant

Standard Text Messaging for Smartphones Not HIPAA Compliant

Doctors were the first to begin using pagers and, along with drug dealers, appear to be the last to give them up. But we really need to get rid of them. Sadly, for the foreseeable future, we will need a pager replacement, but, in the longer term, I’m hopeful that we can: Reduce the frequency… [Read More]

Consider ACO Participation As Medicare Weighs Changes to Shared Savings Program

In December 2014, nearly three years since its launch, the Centers for Medicare and Medicaid Services (CMS) issued the first proposed rule changes to the Shared Savings Program. The changes, if approved, would take effect in the 2016 performance year and would focus on a host of alterations impacting participating accountable care organizations (ACOs), including… [Read More]


Hospitals with Hotel-Like Amenities Don’t Improve Satisfaction Scores

Hospital design may not contribute to patients’ satisfaction with the care given by their hospital professionals, according to new research from Johns Hopkins Hospital in Baltimore, published in the Journal of Hospital Medicine. Newly built hospitals often emphasize patient-centered features like reduced noise, natural light, visitor-friendly facilities, well-designed rooms, and hotel-like amenities, note the authors,… [Read More]

Hospitalist Consults on Psychiatric Patients Concern Nurses

I am a psychiatric nurse and am concerned about the new group of hospitalists who are taking over all the new ED patients: Are signing off to the nursing staff or in the electronic health record (EHR); they do not speak with the attending psychiatrist; Are not monitoring their own medications, including Coumadin or insulin (from… [Read More]

Physician Culture, Beliefs Drive Variation in Healthcare Spending

The Dartmouth Institute for Health Policy and Clinical Practice and other institutions have long tried to quantify the prevalence and geographic variation of low-value care. Researchers have roughly defined low-value care as tests and procedures for which the potential benefit does not outweigh the potential harm, though the calculus can change significantly from patient to… [Read More]