March 2012

In the LiteratureLegal

In the Literature: Physician Reviews of HM-Related Research

IDSA/ATS guidelines for community-acquired pneumonia; Improved asthma with IL-13 antibody; Rivaroxaban vs. warfarin for stroke prevention in atrial fibrillation; Apixaban vs. warfarin for stroke prevention in atrial fibrillation; Ultrasonography more sensitive than chest radiograph for pneumothorax; Current readmission risk models inadequate; Optimal fluid volume for acute pancreatitis; Low mortality in saddle pulmonary embolism.


What Are Common Causes of Glomerular Disease in Adults?

Podocyte cells, which make up the surface of the glomerulus, are pink in a 650x-magnification SEM. Glomerluar diseases can result from an acute illness, such as an upper respiratory infection, or chronic disease states, such as HIV. The Case A 52-year-old man presents with abdominal pain. His temperature is 100.8°F, his blood pressure is 170/90… [Read More]

LegalSociety Pages

Complex Medically Ill Patients: A Challenge for PCPs and Hospitalists

Every year, primary-care physicians (PCPs) and hospitalists struggle to manage care for complex medically ill patients, according to a new survey conducted by SHM and QuantiaMD. Complex medically ill patients have two or more concurrent chronic conditions that require ongoing medical attention or limit activities of daily living. These 4 million patients, which make up… [Read More]


Hospitalists Provide Leadership as Unit Medical Directors

A project to formalize “local leadership models”—partnering leadership teams comprising a hospitalist and a nurse manager on each participating unit—at the University of Michigan Health System helped to redefine the role of unit medical director and led to allocating sufficient time (15% to 20% of an FTE) for hospitalists to fill that role. The process… [Read More]

LegalPublic Policy

First Set of CMS Advisors Includes Hospitalists

In January, the Centers for Medicare & Medicaid Services (CMS) selected 73 professionals as the initial set of advisors for its Innovation Center ( The advisors include 37 physicians, as well as some nurses and health administrators. Each advisor will receive six months of intensive training in quality-improvement (QI) methods and health systems research in order… [Read More]


Understanding Physicians’ Attitudes toward Safety Culture

Results from a survey to assess physicians’ and medical trainees’ perceptions and attitudes about the culture of patient safety at the University of California at San Francisco (UCSF) Medical Center were reported at HM11 in Dallas by Patrick Kneeland, MD, who has since moved to Providence Regional Medical Center’s Everett Clinic in Seattle, where he… [Read More]


By the Numbers: 8.3%

8.3%1 in 12 adults ages 21 and older Discharged from the hospital to the community were readmitted within 30 days, according to the National Institute for Health Care Reform. One in 3 (32.9%) were readmitted within one year, suggesting that a significant number of patients remain at risk for readmission far beyond the typically measured… [Read More]

JOHN NELSON: Morning Discharges and Length of Stay

This month I will focus on what can be thought of as the two components of “back end” throughput: effective management of length of stay (LOS) and patient discharge in the morning rather than late in the day