Dr. Whitney explains that all Brockie hospitalists add the LTAC to their rounds, usually leaving them for the end of the day, when the physicians can better attend to their complex situations. “Many of these patients are older, have been in the ICU with complicated medical issues, and face weeks of care in the LTAC before they can go to a nursing home or another long-term care setting,” he says. “It’s a whole different LOS, and it’s good that we have the LTAC because it reduces the hospital’s burden of caring for them as acute patients, when they really need what the LTAC offers.”
Dr. Lamanteer keeps an eye on the Brockie hospitalists’ future. “It’s clear that we benefit patients, that we provide excellent care, and that we need a large subsidy to do it,” he says. And the big picture means keeping focused on the peaks and valleys of admissions and wondering how volume will grow in the next ten years. He’d like to limit the number of 14-hour shifts to help physicians avoid burnout and to limit weekend duty to one out of three (sustainable) or one out of four (heaven). TH
Marlene Piturro is based in New York.