High-performing HM groups have strong leaders; make sure you avoid programmatic pitfalls.
True rates of kernicterus have been difficult to calculate for a variety of reasons, yet we must get a handle on “who” gets kernicterus if we are to appropriately decide which infants receive phototherapy. The letters we received highlight a critical need to delve deeper into the epidemiology of kernicterus, a journey that must begin with accurate reporting of this disease.
Doctors seem to take on a lackadaisical, roll-of-the-dice type of approach to the prevention of kernicterus. Since the numbers are so low, they are not providing the vigilant watch and, therefore, allowing newborns to slip from hyperbilirubinemia to actual kernicterus.
Everyone in the medical community needs to take the proactive approach, as well as find a means of reporting kernicterus that is free of the liability concerns, or be willing to face them.
The 2008 election and health-reform debate lead D.C. hospitalist to key federal position.
Paul B. Iannini, MD; David Handin, MD; David Bowman, MD; Mary Jo Gorman, MD, MBA, MHM.
HM mergers, acquisitions, and expansions.
SHM committee nominations are due December 5.
The February SHM Leadership Academy will include special programming specifically designed for women.
Relatively simple and inexpensive interventions can prevent hospital-acquired infections.
Instead of throwing spaghetti against the wall, practice less-is-more medicine.
How should compensation be determined for the physicians to staff hospitals?
Johns Hopkins surgeon, researcher named HM12 visiting professor.
The final rule on ACOs indicates that the government has taken comments from SHM and other organizations to heart.
The 2011 State of Hospital Medicine report provides details about hospitalist coding practices.
Atelectasis and fever; heparin dosing frequency for VTE prophylaxis; perioperative cardiac risk calculator; diagnosing subarachnoid hemorrhage without an LP; model to predict risk of bleeding on warfarin; risk of death with tiotropium use in COPD; BNP to predict perioperative mortality; beta-blockers and COPD.
What is the effect of fluid resuscitation on mortality in children with shock in resource-limited settings?
Checking up on 2009’s $160 billion infusion into healthcare.
Routine assessments can improve your occupational health.
The newest Dartmouth Atlas report documents little progress in decreasing 30-day readmissions, and identifies a link nationally between readmissions rates and the overall intensity of inpatient care.
A company pitching bacteria-resistant hospital linens is studying just how effective their product can be in the hospital setting.
An automated email system that notifies both hospitalists and PCPs about post-discharge test results can help ensure results don’t fall through the cracks.
Clinical informatics is scheduled to offer board certification following its recent approval by the American Board of Medical Specialties.
Projected total number of adult in-hospital cardiac arrests that are treated with a resuscitation response each year in U.S. hospitals is 209,000.
It’s time we invest in patient-centric systems for transitional care.
What hospitalists can learn from Potter Stewart.
Few U.S. hospitals operate without an HM service, but they do exist—for now.
A new study evaluating outcomes for hospitals participating in the American Heart Association’s Get with the Guidelines program found no correlation between high performance on adhering to measures and care standards for acute myocardial infarction and for heart failure despite overlap between the sets of care processes (J Am Coll Cardio. 2011;58:637-644). A total of… [Read More]
A risk measurement model created by the Heart Institute at Intermountain Medical Center in Murray, Utah, may one day be a familiar tool to HM groups. Known as the Intermountain Risk Score (http://intermountainhealthcare.org/IMRS/), the tool uses 15 parameters culled from complete blood counts (CBC) and the basic metabolic profile (BMP) to determine risk. The model,… [Read More]
Dexamethasone Ineffective in Critically Ill Infants with RSV
Robert Wood Johnson University Hospital in Hamilton, N.J., has partnered with Jewish Family and Children’s Services of Greater Mercer County to support care transitions for 350 chronically ill older patients. Patients will receive a transitions coach following hospital discharge for education, support, and encouragement to keep appointments with their physicians. This “coach” will develop a… [Read More]
A report published online May 24 in the Journal of Hospital Medicine found that smoothing inpatient occupancy and scheduled admissions in 39 children’s hospitals helped reduce midweek overcrowding. Evan S. Fieldston, MD, MBA, MSHP, of the University of Pennsylvania School of Medicine in Philadelphia and colleagues previously demonstrated occupancy variability and midweek crowding weekends (J… [Read More]
The reduction President Obama has proposed to a formula used by the Independent Payment Advisory Board (IPAB), created last year by the Affordable Care Act to cut Medicare costs without affecting quality. The formula IPAB currently uses as a baseline for growth estimates is GDP per capita, plus 1%. The president has proposed to reduce… [Read More]
A sking “teachback” questions to hospitalized chronic heart failure (CHF) patients at Lehigh Valley Health Network in Allentown, Pa., helps them better understand their condition, treatment, and post-discharge care—thereby impacting readmissions. In an abstract presented at HM11 in Dallas in May, CHF patients who received teachback had a 7.3% readmission rate in the first three… [Read More]
First editor-in-chief leaves indelible mark on JHM.
Respected researcher brings energy, fresh ideas as Journal of Hospital Medicine’s second editor-in-chief.
Inpatient approach to endocrine incidentalomas should include characterization of the clinical signs and symptoms, size, function, and malignant potential of the lesion
Flexible schedules, job security, andwork-life balance offset most concerns with stress, autonomy, and recognition.
Can a performance bonus help?
At SHM’s Leadership Academy, hospitalists get behind the wheel
A New Survey Approach
A hospitalist at Beth Israel Deaconess Medical Center in Boston has created an iPhone application to help give academic HM groups fingertip access to Bayesian nomograms and real-time research. Hospitalist Elizabeth Farrell, MD, says an app dubbed Medicine Toolkit (www.medicinetoolkit.com) should be available for download in a matter of weeks. The app has two components…. [Read More]
Coming soon to a hospital near you (maybe): Bundling
HM12 expands educational, networking offerings for academic-minded hospitalists
Care-transitions intervention and rates of hospital readmission; Post-pneumonia CXR and rates of lung cancer identification; Hospitalist outcomes during and after hospitalization; Timing of smoking cessation and surgical outcomes
Deficit reduction faces an uphill battle in polarized political landscape
UCSF quality guru believes every hospitalist can help improve the system
Clinical judgment, medical necessity key to claim submissions
New program hopes to take hospitalist leadership to the next level
Observational, database studies provide a powerful QI supplement vs. Unanswered questions, risks make CMS plan a bad idea
HM should look to Steve Jobs’ legacy as inspiration for health-system improvement
A seven-step program to address the issues plaguing teaching hospitalists
Peer Review Committee Is Best for Quality-of-Care Issues