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Features

Cover Story: Compensation, Productivity Benchmarks Key to ACO Success

Data will be paramount in delivering the kind of high-quality, lower-cost care that could reshape American healthcare

Cover Story: LISTEN NOW: MGMA Analyst Explains How the SOHM 2014 Can Be a "Conversation Starter" for Benchmarking

MGMA consulting director Dea Robinson, MA, FACMPE, CPC, talks about value of data from State of Hospital Medicine 2014 and using it as a “conversation starter” for benchmarking

Cover Story: LISTEN NOW: SHM Practice Analysis Committeeman Discusses the Value of 2014 State of Hospital Medicine Report

SHM Practice Analysis Committeeman William “Tex” Landis, MD, FHM, talks about the value of the State of Hospital Medicine 2014 report.

Article: Hospitalists Adopt Strategies to Become More Responsible Prescribers of Antibiotics

Antibiotic stewardship practices urged as antibiotic resistance emerges as global threat

Article: Hospital Stipends, Employment Models for Hospitalists Trends to Watch

Hospital medicine group leaders use data from State of Hospital Medicine Report to forecast changes

Article: New State of Hospital Medicine Report Offers Insight to Trends in Hospitalist Compensation, Productivity

Comprehensive report from Society of Hospital Medicine shows 8% gain in hospitalist pay

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Departments

Book Review: Clinical Advice for Peri-Operative Patient Care

New book in Hospital Medicine: Current Concepts series offers pearls, pitfalls around systems of care, risk management, post-operative care for hospitalized patients

Innovations: Patient Engagement Growing Focus for Hospitals

Involving inpatients in their treatment, recovery may help hospitals customize their care

Innovations: London Hospitals Routinely Offering HIV Blood Tests

Pilot testing program for critical care inpatients aims to get more patients with HIV diagnosed sooner

Innovations: Hospital Capacity Increase of 72% Needed by 2050

Anticipated 67% annual rise in hospitalizations, 41% population growth behind projected demand for more hospital beds

Innovations: Teaching Value Project, Choosing Wisely Competition Accepting Applications for 2015

Co-sponsored event hosted by Costs of Care, American Board of Internal Medicine Foundation highlights healthcare innovations promoting value

Innovations: Nonclinical Factors Influence Hospital Readmissions

Patients' socioeconomic status, functional ability at home play role in rehospitalization risk

In the Literature: Once-Weekly Antibiotic Might Be Effective for Treatment of Acute Bacterial Skin Infections

Research suggests intravenous dalbavancin similarly efficacious to intravenous vancomycin

In the Literature: Continuous Positive Airway Pressure Outperforms Noctural Oxygen for Blood Pressure Reduction

CPAP better at decreasing 24-hour mean arterial pressure in patients with obstructive sleep apnea, coronary artery disease, cardiac risk factors

In the Literature: Lactate Clearance Portends Better Outcomes after Cardiac Arrest

Lower lactate levels, greater clearance associated with better survival, neurological outcomes

In the Literature: Time to Meds Matters for Patients with Cardiac Arrest Due to Nonshockable Rhythms

Earlier administration of epinephrine associated with better survival outcomes

In the Literature: Frailty Indices Tool Predicts Post-Operative Complications, Mortality after Elective Surgery in Geriatric Patients

Tool uses pre-operative comprehensive geriatric assessment that includes fraily measurement

In the Literature: Pre-Operative Use of Angiotension Converting Enzyme Inhibitors, Angiotension Receptor Blockers Examined in Elective Joint Replacement Surgery

ACEI/ARB administration associated with higher risk of intra-operative hypotension, acute kidney injury

In the Literature: No Mortality Difference Associated with Pre-Operative Beta Blocker Use for Coronary Artery Bypass Grafting Without Recent Myocardial Infarction

Pre-operative beta blocker use not found to improve outcomes, but is linked with slightly higher rates of atrial fibrillation

In the Literature: Delirium Severity Scoring System CAM-S Correlates with Length of Stay, Mortality

Enhanced confusion assessment method scoring system associates delirium severity, inpatient outcomes

In the Literature: Thrombolytics in Pulmonary Embolism Associated with Lower Mortality, Increased Bleeding

Patients with hemodynamic instability and massive PE, or those not responding to anticoagulation, may benefit

In the Literature: Interventions Effective in Preventing Hospital Readmissions

Home visits, self-care suppport, patient education can help reduce 30-day rehospitalizations

Society Pages: New State of Hospital Medicine Report Better Than Ever

Wide-ranging content, increased survey participation, online accessibility some improvements in 2014 report

Society Pages: 9 Ways Hospitals Can Use Electronic Health Records to Reduce Readmissions

Society of Hospital Medicine Health Information Technology committee members recommend ways to avoid unnecessary rehospitalizations

Society Pages: Society of Hospital Medicine Event Dates, Deadlines

Information on SHM's Leadership Academy, deadline for Fellow in Hospital Medicine application, Hospital Medicine 2015 registration

Society Pages: Society of Hospital Medicine Fellows Webinar Available

Fellows in Medicine webinar from September archived on SHM's website

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Columns

From the Editor’s Desk: HealthKit Wellness App Could Prove Helpful to Hospitalists

Apple software stores, tracks patient vital signs, medications, lab results, to be shared among multidisciplinary healthcare team

President’s Column: Focus on Patient Experience Strengthens Hospital Medicine Movement

Monitoring, improving patient experiences gains importance as hospitalists target quality initiatives

On the Horizon: Homecare Will Help You Achieve the Triple Aim

Hospitalists must begin to pay attention to the cost side of the value equation

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October 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