Practice Management » Survey Insights

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 Play Key Role Developing Electronic Health Records

If you are a hospitalist, you know this to be true: Electronic health records (EHRs) run more smoothly because of our input. According to the 2014 State of Hospital Medicine (SOHM) report, hospitalists played a significant role in implementing their hospitals’ EHR systems; 34% of respondent hospital medicine groups (HMGs) serving adults only develop order sets,… [Read More]

Academic Hospitalist Groups Lag Behind in Admissions, Discharges

In 2012, SHM reported increasing numbers of hospital encounters coded for high-level evaluation and management services, as reported by the 2012 State of Hospital Medicine (SOHM) survey respondents. The 2014 SOHM report shows a solid continuation of this trend, with high-level CPT codes predominating in admission and discharge services by wider margins than ever before…. [Read More]

How Academic Hospitalists Can Balance Teaching, Nonteaching Roles

As a group director at a growing, university-based hospitalist program, I often interview aspiring academic hospitalists. Inevitably, the conversation turns to a coveted aspect of the job. I’m not talking about the salary. Applicants want to know, “How much time will I spend on teaching services?” Because hospitalists at academic institutions typically are passionate about… [Read More]

How Hospitalist Groups Make Time for Leadership

Negotiating salaries. Improving patient flow. Increasing patient satisfaction. Reducing readmissions. Championing quality improvement efforts. Planning strategically. Handling schedule issues. Dealing with coverage issues. Working on Ebola preparation. Being on call 24 hours a day for an urgent concern from hospital administration or a hospitalist. Hospitalist group leaders often feel they are pulled in multiple directions… [Read More]

Academic Hospitalist Groups Use Observation Status More Frequently

Insurers’ use of certain criteria to separate hospital stays into inpatient or observation status remains widespread. Observation status ensures provider reimbursement for hospitalizations deemed necessary by clinical judgment but not qualifying as inpatient care. Admission under observation status impacts the patient’s financial burden, as well, with observation admissions typically associated with increased out-of-pocket costs. Although… [Read More]

Hospitalists’ Potential Impact in Accountable Care Organizations

The rise of Accountable Care Organizations (ACOs), a group of healthcare providers who are answerable for the overall care of patients assigned to them, inclusive of quality and cost, accelerated as a result of the Affordable Care Act. In September CMS announced quality and financial performance results for the 18-month reporting period showing that 53… [Read More]