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Features

Audio File: ONLINE EXCLUSIVE: A neurohospitalist fellowship program director talks about the rise of the neurohospitalist model.

Kevin Barrett, MD, the director of the neurohospitalist fellowship program at Mayo Clinic in Jacksonville, Fla., talks about the rise of the neurohospitalist model.

Cover Story: ONLINE EXCLUSIVE: Telestroke Expands its Reach

Advances make telemedicine better for stroke patients, their families, and the hospital

Article: Training, Leadership, Commitment Integral to HM Improving Stroke Care

Are rank-and-file hospitalists adequately equipped to deal with stroke care?

Article: Is Hospitalist Proficiency in Bedside Procedures in Decline?

As hospitalists are tasked with an ever-increasing array of responsibilities, performing bedside procedures is becoming more difficult for some

Cover Story: A Long, Interrupted Day

Hospitalist Daniel Bitetto spends a lot of time in meetings, teaching, and walking the halls of his 709-bed hospital.

Article: Lessons from Japan: Sacrifice Is Key to Personalized Patient Care

The way the Japanese people responded to the 2011 earthquake and tsunami illustrates how healthcare workers without existing patient relationships can still care deeply for patients and earn their trust.

Article: A Brief Look at Stroke Research

A snapshot of several active research areas in stroke intervention

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News

Cover Story: VIDEO: A Day in the Life of Hospitalist Daniel Bitetto, MD

Meetings, phone calls, and stairwells comprised much of Dr. Bitetto’s 12-hour shift. In between, he quizzed and instructed residents, wrote a handful of orders and scripts, and met with hospital administration for nearly an hour. Check out the 10-minute video below.

Billing & Coding: HHS Delays ICD-10 Compliance Date

HHS to announce a new compliance date.

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Departments

Key Clinical Guidelines: What Is the Role of Steroids in Septic Shock?

There is no role for steroids in sepsis in the absence of shock, nor is there a role for high-dose steroids in sepsis.

In the Literature: ITL: Physician Reviews of HM-Relevant Research

Initial trophic feedings effective for patients with acute lung injury; IM vs. IV benzodiazepines in status epilepticus; CDI risk following antibiotic cessation; Acid suppression associated with increased complications in CDI patients; perioperative statins and cardiac events in surgical patients; enoxaparin vs. unfractionated heparin during PCI; optimal serum potassium levels for AMI patients; PPIs superior to H2-blockers for lowering UGI bleeding following ACS and STEMI.

Pediatric HM Literature: Empiric Acyclovir Recommended for Potential Neonatal Herpes Simplex Virus Infection

Delayed initiation of acyclovir increases mortality in neonatal HSV infection.

Society Pages: Project BOOST Helps California Hospital Improve Care

Root-cause analysis, mentoring help Lodi, Calif. hospital create patient-safety culture, reduce readmissions.

Society Pages: More in the Affordable Care Act than the Mandate

The dual purpose of the ACA is patient protection and cost control.

Society Pages: Survey Insights: HM's Financial Support Requirement

HM groups becoming more sophisticated about how they account for the costs of their hospitalist programs.

Society Pages: Hospitalists On the Move

Movers and shakers in hospital medicine; new business moves.

Society Pages: Adult Hospital Medicine Boot Camp

Non-physician providers can register now for training at the Adult Hospital Medicine Boot Camp in October, co-hosted by SHM.

Public Policy: CER: Friend or Foe?

Nationwide push is helping comparative-effectiveness research gain traction—and funding.

Innovations: Hospitalists Match PCPs in Patient Satisfaction Scores

Results drawn from scripted patient-satisfaction telephone interviews.

Innovations: By the Numbers: -0.44

The average difference in length of stay between hospitalist groups and non-hospitalist groups.

Innovations: HIT Continues Spread Across Health Networks

The proportion of U.S. hospitals using health information technology has doubled in the past two years.

Innovations: Residents Plug Gaps in Professionalism Training

Residents can play a lead role in a program aimed at teaching commitment to the highest standards of excellence in medicine, to the welfare of patients, and to the best interests of the larger society.

Innovations: End-of-Life Discussions Don’t Decrease Rate of Survival

Advance-care-planning discussions and advance directives resulted in no significant difference in survival time for patients.

Billing & Coding: Efficacy, Diagnoses, Frequency Play Parts in Coverage Limitations

Medicare may only pay for items and services that are “reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member,” unless there is another statutory authorization for payment.

Letters: Communication Vital to End-of-Life Care

I can’t speak for all loved ones who must witness the passage of a parent, a child, or a spouse, but for me, a hospitalist’s firm hand would have made a world of difference in how we navigated this inevitable event.

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Columns

SHM Point of View: The Future of Hospital Medicine

The biggest challenge hospitalists face is fulfillment of our promise.

From the Editor’s Desk: Hospitalists and Clothes Dryers are a Lot Alike

It might seem like a stretch, but my recent encounters with clothes dryers have taught me a few lessons about what HM groups need to function at their highest level.

Practice Management: John Nelson: Recognition, Promotion, Development Critical to Group Success

Well-designed forms of nonmonetary compensation can have a greater impact on a hospitalist than providing a reward in dollars.

Pediatric Hospital Medicine: Feedback Needed to Help Guide Pediatric HM’s Certification Debate

Our input has been solicited by the Strategic Committee to help sort through the issue of certification in pediatric hospital medicine. What is potentially at stake here is how we define ourselves as a field.

Ask Dr. Hospitalist: Change Happens—Make Sure You Are Prepared

What to do when your hospitalist group is imploding.

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current issue

August 2014

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The Hospitalist newsmagazine reports on issues and trends in hospital medicine. The Hospitalist reaches more than 25,000 hospitalists, physician assistants, nurse practitioners, residents, and medical administrators interested in the practice and business of hospital medicine.

Copyright © 2000–2014 by John Wiley & Sons, Inc. or related companies. All rights reserved.

ISSN: 1553-085X