Public Policy

Population Health Prevails at Two Institutions

Population health—a movement to improve the health of an entire population—is a growing trend driven by the U.S. government. Many health systems are already on board, as healthcare shifts from a fee-for-service system to a value-based system. One group of Premier Health hospitals and health systems has been collaborating since 2011 to build capabilities to… [Read More]

Changes to Healthcare that Hospitalists Should Expect in 2016

On the heels of last year’s repeal of the sustainable growth rate (SGR) formula, 2016 promises to be a year of significant changes for the healthcare system. These changes will require providers to focus not just on the immediate pressures and requirements coming from Medicare, of which there are many, but also to look down… [Read More]

Hospitalists Can Lend Expertise, Join SHM’s Campaign to Improve Antibiotic Stewardship

The CDC estimates that drug-resistant bacteria cause approximately 23,000 deaths and about two million illnesses each year in the U.S.1 Such unfavorable statistics encouraged the White House to convene a forum on antibiotic resistance in June 2015. The White House Forum on Antimicrobial Stewardship brought together more than 100 health leaders.2 Antimicrobial stewardship has been… [Read More]

Some Readmission Risk Factors Not Captured by Medicare

Clinical question: Are there patient characteristics not currently measured by the Medicare readmission program that account for differences in hospital readmission rates? Background: The Medicare Hospital Readmissions Reduction Program (HRRP) financially penalizes hospitals with higher than expected 30-day readmission rates. During 2014, more than 2,000 U.S. hospitals were fined $480 million for high readmission rates…. [Read More]

LISTEN NOW: Scott Sears, MD, Discusses Hospitalist Challenges with Unassigned, Uninsured Patients

Scott Sears, MD, chief clinical officer for Sound Physicians in Tacoma, Wash., discusses why patients without health insurance put hospitalists in a difficult situation. He says hospitalists face cost pressures to discharge patients—particularly because hospitals don’t get fully reimbursed to provide care to uninsured patients and, consequently, end up subsidizing them. Meanwhile, there are incentives… [Read More]

Healthcare Policies Affecting Hospitalists, Hospitalized Patients Advance in 2015

Laws and regulations regularly impact hospitalists and hospitalized patients, which is why SHM’s Advocacy Department and Public Policy Committee (PPC) work on behalf of SHM membership, the hospital medicine movement, and its patients. This year has seen significant positive movement within several key policy areas for all of these groups. Some of these issues have… [Read More]