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Opinion
A New Schedule Could Be Better for Your Hospitalist Group
January 13, 2016
Present “hospitalist” in a word association exercise to a wide range of healthcare personnel in clinical and administrative roles, and many would instantly respond with “seven-on/seven-off schedule.” Some numbers from SHM’s 2014 State of Hospital Medicine report: 53.8%: Portion of hospitalist
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Opinion
Concerns Grow as Top Clinicians Choose Nonclinical Roles
December 22, 2015
On a spring day a couple of years ago, I met with some internal medicine residents in a “Healthcare Systems Immersion” elective.
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Opinion
Early Mobility Program
November 30, 2015
“I didn’t get out of bed for 10 days” —Anonymous patient admitted to a skilled nursing facility post-hospitalization for a COPD exacerbation Readmission penalties, “Medicare spending per beneficiary” under value-based purchasing, and the move to accountable care are propelling hospitalists to do
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Opinion
Poor Continuity of Patient Care Increases Work for Hospitalist Groups
November 30, 2015
[caption id="attachment_12166" align="alignright" width="295"] Image Credit: ILLUSTRATION/PAUL JUESTRICH; PHOTOs shutterstock.com[/caption] I think every hospitalist group should diligently try to maximize hospitalist-patient continuity, but many seem to adopt schedules and other operational prac
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Opinion
Eliminations Hospitalist Groups Should Consider
November 4, 2015
[caption id="attachment_11771" align="alignright" width="295"] Image Credit: SHUTTERSTOCK.COM[/caption] Editor’s note: Second in a continuing series of articles exploring ways hospitalist groups can cut back. In last month’s column, I made the case that most hospitalist groups should think abo
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Opinion
Empathy, Patients, and Caregivers
October 5, 2015
Empathy—the feeling that you understand and share another person’s experiences and emotions: the ability to share someone else’s feelings. —Merriam-Webster By the time I became a third-year medical resident, I had mastered the repertoire of “don’t tread on me” behaviors that seemed essential to
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Opinion
Hospital Groups Might Do Better Without Daytime Admission Shifts, Morning Meetings
October 5, 2015
[caption id="attachment_11415" align="alignright" width="295"] Image Credit: SHUTTERSTOCK.COM[/caption] You shouldn’t maintain things that do not deliver the value you anticipated when you first put them in place.
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Opinion
Why Hospitalist Morale is Declining and Ways to Improve It
September 2, 2015
[caption id="attachment_11094" align="alignright" width="250"] Some hospitals have begun to resist providing more support, and this translates into stress and lower morale for hospitalists.
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Opinion
The Three-Year Plan
July 29, 2015
Although 2019 may seem like a long way away, it isn’t too soon to start thinking about and preparing for the Merit-based Incentive Payment System (MIPS) or its (seemingly preferable) alternative, participation in an alternative payment model (APM) such as an ACO, a medical home, or a bundled payment
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Opinion
Tips for Hospitalists on Spending More of Their Time at the Top of Their License
July 29, 2015
[caption id="attachment_10717" align="alignright" width="250"] Image Credit: SHUTTERSTOCK.COMI think arranging post-hospital appointments should be no more difficult for the hospitalist than ordering a CBC.[/caption] Hospitalists spend too little time working at the top of their license.
