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Basic Principles for Pediatric Hospital Medicine Published
Basic Principles for Pediatric Hospital Medicine Published A recent policy statement from the American Academy of Pediatrics (AAP), published online in Pediatrics, urges recognition of the expanded roles and responsibilities of pediatric hospitalists and offers basic principles for pediatric hospital medicine (PHM) programs, including focusing on the unique culture of each program within its parent institution and the importance of coordinated, patient-centered care.4
The article outlines settings available for PHM programs, optimal processes for care transitions, and the need for leadership and goal setting.
“It is implicit in all the aforementioned recommendations that the overarching goal is always to provide the best possible care for children and protect the safety of children in the hospital setting,” the authors note.
AAP’s Section on Hospital Medicine supports a policy of voluntary referrals to pediatric hospital medicine programs.
Basic Principles for Pediatric Hospital Medicine Published A recent policy statement from the American Academy of Pediatrics (AAP), published online in Pediatrics, urges recognition of the expanded roles and responsibilities of pediatric hospitalists and offers basic principles for pediatric hospital medicine (PHM) programs, including focusing on the unique culture of each program within its parent institution and the importance of coordinated, patient-centered care.4
The article outlines settings available for PHM programs, optimal processes for care transitions, and the need for leadership and goal setting.
“It is implicit in all the aforementioned recommendations that the overarching goal is always to provide the best possible care for children and protect the safety of children in the hospital setting,” the authors note.
AAP’s Section on Hospital Medicine supports a policy of voluntary referrals to pediatric hospital medicine programs.
Basic Principles for Pediatric Hospital Medicine Published A recent policy statement from the American Academy of Pediatrics (AAP), published online in Pediatrics, urges recognition of the expanded roles and responsibilities of pediatric hospitalists and offers basic principles for pediatric hospital medicine (PHM) programs, including focusing on the unique culture of each program within its parent institution and the importance of coordinated, patient-centered care.4
The article outlines settings available for PHM programs, optimal processes for care transitions, and the need for leadership and goal setting.
“It is implicit in all the aforementioned recommendations that the overarching goal is always to provide the best possible care for children and protect the safety of children in the hospital setting,” the authors note.
AAP’s Section on Hospital Medicine supports a policy of voluntary referrals to pediatric hospital medicine programs.
Study Suggests Medical Trainees Need Better Manners
Study Suggests Medical Trainees Need More Manners
Researchers at Johns Hopkins Hospital and the University of Maryland Medical Center, both in Baltimore, identified an overall lack of “common courtesy” shown by internal medicine trainees in their interactions with patients.3 Such behavior can lead to lower patient satisfaction and worse medical outcomes, note the authors of the study, which included hospitalist Leonard Feldman, MD, FACP, FAAP, SFHM, an assistant professor of medicine at Hopkins.
The study, published in the November issue of the Journal of Hospital Medicine, followed 29 interns on rounds for three weeks and looked for five key strategies of etiquette-based communication. Researchers found that while the interns asked open-ended questions 75% of the time, they explained their role to the patient only 37% of the time and sat down to talk eye to eye during an encounter only 9% of the time.
The interns performed all five recommended behaviors only 4% of the time.
“These are things that matter to patients and are relatively easy to do,” Dr. Feldman said in a prepared statement. “They’re not being done to the extent they should be.”
Larry Beresford is a freelance writer in Alameda, Calif.
References
- Rizk D, Calabrese R, Page C, Bookbinder M, Flores S, Portenoy R. A unique hospitalist/pain management collaboration to improve pain outcomes [abstract]. Available at: http://www.shmabstracts.com/abstract.asp?MeetingID=793&id=104310. Accessed November 29, 2013.
- American Society for Parenteral and Enteral Nutrition. A.S.P.E.N. supports major medical device changes for improved patient safety. Available at: http://www.nutritioncare.org/Press_Room/Press_Releases/A_S_P_E_N__Supports_Major_Medical_Device_Changes_for_Improved_Patient_Safety/. Accessed November 29, 2013.
- Block LB, Hutzler L, Habicht R, Wu AW, et al. Do internal medicine interns practice etiquette-based communication? A critical look at the inpatient encounter. J Hosp Med. 2013;8(11):631-634.
- Mirkinson LJ, Section on Hospital Medicine. Guiding principles for pediatric hospital medicine programs. Pediatrics. 2013;132(4):782-786.
Study Suggests Medical Trainees Need More Manners
Researchers at Johns Hopkins Hospital and the University of Maryland Medical Center, both in Baltimore, identified an overall lack of “common courtesy” shown by internal medicine trainees in their interactions with patients.3 Such behavior can lead to lower patient satisfaction and worse medical outcomes, note the authors of the study, which included hospitalist Leonard Feldman, MD, FACP, FAAP, SFHM, an assistant professor of medicine at Hopkins.
The study, published in the November issue of the Journal of Hospital Medicine, followed 29 interns on rounds for three weeks and looked for five key strategies of etiquette-based communication. Researchers found that while the interns asked open-ended questions 75% of the time, they explained their role to the patient only 37% of the time and sat down to talk eye to eye during an encounter only 9% of the time.
The interns performed all five recommended behaviors only 4% of the time.
“These are things that matter to patients and are relatively easy to do,” Dr. Feldman said in a prepared statement. “They’re not being done to the extent they should be.”
Larry Beresford is a freelance writer in Alameda, Calif.
References
- Rizk D, Calabrese R, Page C, Bookbinder M, Flores S, Portenoy R. A unique hospitalist/pain management collaboration to improve pain outcomes [abstract]. Available at: http://www.shmabstracts.com/abstract.asp?MeetingID=793&id=104310. Accessed November 29, 2013.
- American Society for Parenteral and Enteral Nutrition. A.S.P.E.N. supports major medical device changes for improved patient safety. Available at: http://www.nutritioncare.org/Press_Room/Press_Releases/A_S_P_E_N__Supports_Major_Medical_Device_Changes_for_Improved_Patient_Safety/. Accessed November 29, 2013.
- Block LB, Hutzler L, Habicht R, Wu AW, et al. Do internal medicine interns practice etiquette-based communication? A critical look at the inpatient encounter. J Hosp Med. 2013;8(11):631-634.
- Mirkinson LJ, Section on Hospital Medicine. Guiding principles for pediatric hospital medicine programs. Pediatrics. 2013;132(4):782-786.
Study Suggests Medical Trainees Need More Manners
Researchers at Johns Hopkins Hospital and the University of Maryland Medical Center, both in Baltimore, identified an overall lack of “common courtesy” shown by internal medicine trainees in their interactions with patients.3 Such behavior can lead to lower patient satisfaction and worse medical outcomes, note the authors of the study, which included hospitalist Leonard Feldman, MD, FACP, FAAP, SFHM, an assistant professor of medicine at Hopkins.
The study, published in the November issue of the Journal of Hospital Medicine, followed 29 interns on rounds for three weeks and looked for five key strategies of etiquette-based communication. Researchers found that while the interns asked open-ended questions 75% of the time, they explained their role to the patient only 37% of the time and sat down to talk eye to eye during an encounter only 9% of the time.
The interns performed all five recommended behaviors only 4% of the time.
“These are things that matter to patients and are relatively easy to do,” Dr. Feldman said in a prepared statement. “They’re not being done to the extent they should be.”
Larry Beresford is a freelance writer in Alameda, Calif.
References
- Rizk D, Calabrese R, Page C, Bookbinder M, Flores S, Portenoy R. A unique hospitalist/pain management collaboration to improve pain outcomes [abstract]. Available at: http://www.shmabstracts.com/abstract.asp?MeetingID=793&id=104310. Accessed November 29, 2013.
- American Society for Parenteral and Enteral Nutrition. A.S.P.E.N. supports major medical device changes for improved patient safety. Available at: http://www.nutritioncare.org/Press_Room/Press_Releases/A_S_P_E_N__Supports_Major_Medical_Device_Changes_for_Improved_Patient_Safety/. Accessed November 29, 2013.
- Block LB, Hutzler L, Habicht R, Wu AW, et al. Do internal medicine interns practice etiquette-based communication? A critical look at the inpatient encounter. J Hosp Med. 2013;8(11):631-634.
- Mirkinson LJ, Section on Hospital Medicine. Guiding principles for pediatric hospital medicine programs. Pediatrics. 2013;132(4):782-786.
Campaign Seeks to Improve Small-Bore Tubing Misconnections
The American Society for Parenteral and Enteral Nutrition (ASPEN), the Global Enteral Device Supplier Association (GEDSA) and a number of other quality-oriented groups, including the FDA, Centers for Medicare & Medicaid Services (CMS), and the Joint Commission, are working to address tubing misconnections for medical device small-bore connectors—used for enteral, luer, neuro-cranial, respiratory, and other medical tubing equipment.2
Misconnections, although rare, can be harmful or even fatal to patients. The task force conducted a panel discussion Oct. 22 in Washington, D.C., focused on redesign issues, and is collaborating with the International Standards Organization to develop new small-bore connector standards.
GEDSA’s “Stay Connected” is an education campaign to inform and prepare the healthcare community for impending changes in standards for small-bore connectors. For more information, visit www.stayconnected2014.org.
The American Society for Parenteral and Enteral Nutrition (ASPEN), the Global Enteral Device Supplier Association (GEDSA) and a number of other quality-oriented groups, including the FDA, Centers for Medicare & Medicaid Services (CMS), and the Joint Commission, are working to address tubing misconnections for medical device small-bore connectors—used for enteral, luer, neuro-cranial, respiratory, and other medical tubing equipment.2
Misconnections, although rare, can be harmful or even fatal to patients. The task force conducted a panel discussion Oct. 22 in Washington, D.C., focused on redesign issues, and is collaborating with the International Standards Organization to develop new small-bore connector standards.
GEDSA’s “Stay Connected” is an education campaign to inform and prepare the healthcare community for impending changes in standards for small-bore connectors. For more information, visit www.stayconnected2014.org.
The American Society for Parenteral and Enteral Nutrition (ASPEN), the Global Enteral Device Supplier Association (GEDSA) and a number of other quality-oriented groups, including the FDA, Centers for Medicare & Medicaid Services (CMS), and the Joint Commission, are working to address tubing misconnections for medical device small-bore connectors—used for enteral, luer, neuro-cranial, respiratory, and other medical tubing equipment.2
Misconnections, although rare, can be harmful or even fatal to patients. The task force conducted a panel discussion Oct. 22 in Washington, D.C., focused on redesign issues, and is collaborating with the International Standards Organization to develop new small-bore connector standards.
GEDSA’s “Stay Connected” is an education campaign to inform and prepare the healthcare community for impending changes in standards for small-bore connectors. For more information, visit www.stayconnected2014.org.
Hospitalist-Pain Expert Collaboration Educates Providers, Boosts Patient Satisfaction
A collaboration between hospitalists and the pain department at Beth Israel Medical Center in New York City is helping hospitalists address moderate to severe pain and complicating factors in their patients.
“The idea was to impart knowledge from a small group of experts to the hospitalists who manage pain in the majority of hospitalized patients,” says Dahlia Rizk, DO, chief of hospital medicine at Beth Israel and lead author on a poster that described the program and was presented at HM13 in Washington, D.C.1
Dr. Rizk first approached Russell Portenoy, MD, internationally recognized chair of the Department of Pain Management and Palliative Care at Beth Israel, to draw upon his specialized knowledge. Grant funding supported protected time for two hospitalist champions and a nurse practitioner; they reviewed charts on participating units and conducted focus groups with hospitalists to identify barriers to effective pain management. Barriers were compiled into a 56-item menu and shaped the curriculum for weekly training sessions presented by the pain service.
Dr. Portenoy and the project team also established a metric for “high sustained pain,” patients reporting three or more days of three or more episodes of moderate to severe pain, according to the hospital’s standardized pain assessment scale. The information was captured in a computerized, tablet-based “Live View” tool that shows all of the patients on a unit and their incidences of high sustained pain over a week. The tool is used for rounding on patients and identifying those needing an immediate interdisciplinary focus.
Project results, Dr. Rizk reported, include improvements in high sustained pain scores on six of seven participating units and average reductions in the number of identified barriers to pain. Hospitalists reported increased comfort with adjusting pain therapies, while patient satisfaction scores with pain management also increased.
“Not everyone has access to an expert like Dr. Portenoy, but we’ve now done the root cause analysis and barriers list,” Dr. Rizk says. “I also think this approach could be applied more widely to other problem areas. We plan to try something similar with geriatrics.”
For more information about the collaborative and its pain problem list, contact Dr. Rizk at [email protected].
A collaboration between hospitalists and the pain department at Beth Israel Medical Center in New York City is helping hospitalists address moderate to severe pain and complicating factors in their patients.
“The idea was to impart knowledge from a small group of experts to the hospitalists who manage pain in the majority of hospitalized patients,” says Dahlia Rizk, DO, chief of hospital medicine at Beth Israel and lead author on a poster that described the program and was presented at HM13 in Washington, D.C.1
Dr. Rizk first approached Russell Portenoy, MD, internationally recognized chair of the Department of Pain Management and Palliative Care at Beth Israel, to draw upon his specialized knowledge. Grant funding supported protected time for two hospitalist champions and a nurse practitioner; they reviewed charts on participating units and conducted focus groups with hospitalists to identify barriers to effective pain management. Barriers were compiled into a 56-item menu and shaped the curriculum for weekly training sessions presented by the pain service.
Dr. Portenoy and the project team also established a metric for “high sustained pain,” patients reporting three or more days of three or more episodes of moderate to severe pain, according to the hospital’s standardized pain assessment scale. The information was captured in a computerized, tablet-based “Live View” tool that shows all of the patients on a unit and their incidences of high sustained pain over a week. The tool is used for rounding on patients and identifying those needing an immediate interdisciplinary focus.
Project results, Dr. Rizk reported, include improvements in high sustained pain scores on six of seven participating units and average reductions in the number of identified barriers to pain. Hospitalists reported increased comfort with adjusting pain therapies, while patient satisfaction scores with pain management also increased.
“Not everyone has access to an expert like Dr. Portenoy, but we’ve now done the root cause analysis and barriers list,” Dr. Rizk says. “I also think this approach could be applied more widely to other problem areas. We plan to try something similar with geriatrics.”
For more information about the collaborative and its pain problem list, contact Dr. Rizk at [email protected].
A collaboration between hospitalists and the pain department at Beth Israel Medical Center in New York City is helping hospitalists address moderate to severe pain and complicating factors in their patients.
“The idea was to impart knowledge from a small group of experts to the hospitalists who manage pain in the majority of hospitalized patients,” says Dahlia Rizk, DO, chief of hospital medicine at Beth Israel and lead author on a poster that described the program and was presented at HM13 in Washington, D.C.1
Dr. Rizk first approached Russell Portenoy, MD, internationally recognized chair of the Department of Pain Management and Palliative Care at Beth Israel, to draw upon his specialized knowledge. Grant funding supported protected time for two hospitalist champions and a nurse practitioner; they reviewed charts on participating units and conducted focus groups with hospitalists to identify barriers to effective pain management. Barriers were compiled into a 56-item menu and shaped the curriculum for weekly training sessions presented by the pain service.
Dr. Portenoy and the project team also established a metric for “high sustained pain,” patients reporting three or more days of three or more episodes of moderate to severe pain, according to the hospital’s standardized pain assessment scale. The information was captured in a computerized, tablet-based “Live View” tool that shows all of the patients on a unit and their incidences of high sustained pain over a week. The tool is used for rounding on patients and identifying those needing an immediate interdisciplinary focus.
Project results, Dr. Rizk reported, include improvements in high sustained pain scores on six of seven participating units and average reductions in the number of identified barriers to pain. Hospitalists reported increased comfort with adjusting pain therapies, while patient satisfaction scores with pain management also increased.
“Not everyone has access to an expert like Dr. Portenoy, but we’ve now done the root cause analysis and barriers list,” Dr. Rizk says. “I also think this approach could be applied more widely to other problem areas. We plan to try something similar with geriatrics.”
For more information about the collaborative and its pain problem list, contact Dr. Rizk at [email protected].
No Benefit in 48-Hour Hospitalization of Infants for Fever Without Source
Clinical question: What is the appropriate length of hospitalization necessary for infants <30 days admitted for fever without source?
Background: Infants ≤30 days old are routinely hospitalized for fever without source (FWS). From 1988-2006, 2.5 million infants younger than three months old were admitted for sepsis, according to National Hospital Discharge Survey data. Term infants <7 days of age accounted for 33% of these hospitalizations. Current national guidelines recommend observation in the hospital for 48-72 hours after cultures of blood, urine, and cerebrospinal fluid (CSF) are initiated. Whether this length of hospitalization is appropriate for well-appearing infants in this age group is not clear, based on current data.
Study design: Single-center, retrospective, cohort study.
Setting: 574-bed tertiary medical center with a 30-bed general pediatric inpatient unit.
Synopsis: Researchers identified infants ≤30 days old who had blood and/or CSF cultures performed from 1999 to 2010. After excluding infants with cultures from the NICU and PICU, infants hospitalized with FWS were identified by chart review. A pediatric infectious disease specialist reviewed positive cultures from blood and CSF to exclude skin contaminants. Time to notification was defined as the time between sample collection and medical staff notification. Blood cultures were monitored continuously for growth at this institution, with staff being notified of positive results immediately during the day but not until 8 a.m. if this occurred overnight. Microbiology laboratory staff reviewed CSF cultures once daily. Of the 408 confirmed FWS hospitalizations, 26 resulted in positive cultures of blood and/or CSF. Time to notification of >24 hours occurred in six of these hospitalizations. Overall, of the 388 FWS hospitalizations with no positive blood or CSF cultures at 24 hours, six went on to develop positive cultures after 24 hours, a rate of 1.5%. All six had at least one high-risk characteristic (WBC <5,000 or >15,000 per µL, a band count >1,500 per per µL, or abnormal urinalysis). However, five patients with no high-risk characteristics and a normal urinalysis on admission were diagnosed with a UTI after 24 hours.
Bottom line: Infants ≤30 days old with no high-risk characteristics for sepsis may not need a full 48 hours of hospitalization for FWS, although this approach could lead rarely to a diagnosis of UTI after discharge.
Citation: Fielding-Singh V, Hong DK, Harris SJ, et al. Ruling out bacteremia and bacterial meningitis in infants less than one month of age: is 48 hours of hospitalization necessary? Hosp Pediatrics. 2013;3(4):355-361.
Reviewed by Pediatric Editor Weijen Chang, MD, SFHM, FAAP, associate clinical professor of medicine and pediatrics at the University of California at San Diego School of Medicine, and a hospitalist at both UCSD Medical Center and Rady Children’s Hospital.
Clinical question: What is the appropriate length of hospitalization necessary for infants <30 days admitted for fever without source?
Background: Infants ≤30 days old are routinely hospitalized for fever without source (FWS). From 1988-2006, 2.5 million infants younger than three months old were admitted for sepsis, according to National Hospital Discharge Survey data. Term infants <7 days of age accounted for 33% of these hospitalizations. Current national guidelines recommend observation in the hospital for 48-72 hours after cultures of blood, urine, and cerebrospinal fluid (CSF) are initiated. Whether this length of hospitalization is appropriate for well-appearing infants in this age group is not clear, based on current data.
Study design: Single-center, retrospective, cohort study.
Setting: 574-bed tertiary medical center with a 30-bed general pediatric inpatient unit.
Synopsis: Researchers identified infants ≤30 days old who had blood and/or CSF cultures performed from 1999 to 2010. After excluding infants with cultures from the NICU and PICU, infants hospitalized with FWS were identified by chart review. A pediatric infectious disease specialist reviewed positive cultures from blood and CSF to exclude skin contaminants. Time to notification was defined as the time between sample collection and medical staff notification. Blood cultures were monitored continuously for growth at this institution, with staff being notified of positive results immediately during the day but not until 8 a.m. if this occurred overnight. Microbiology laboratory staff reviewed CSF cultures once daily. Of the 408 confirmed FWS hospitalizations, 26 resulted in positive cultures of blood and/or CSF. Time to notification of >24 hours occurred in six of these hospitalizations. Overall, of the 388 FWS hospitalizations with no positive blood or CSF cultures at 24 hours, six went on to develop positive cultures after 24 hours, a rate of 1.5%. All six had at least one high-risk characteristic (WBC <5,000 or >15,000 per µL, a band count >1,500 per per µL, or abnormal urinalysis). However, five patients with no high-risk characteristics and a normal urinalysis on admission were diagnosed with a UTI after 24 hours.
Bottom line: Infants ≤30 days old with no high-risk characteristics for sepsis may not need a full 48 hours of hospitalization for FWS, although this approach could lead rarely to a diagnosis of UTI after discharge.
Citation: Fielding-Singh V, Hong DK, Harris SJ, et al. Ruling out bacteremia and bacterial meningitis in infants less than one month of age: is 48 hours of hospitalization necessary? Hosp Pediatrics. 2013;3(4):355-361.
Reviewed by Pediatric Editor Weijen Chang, MD, SFHM, FAAP, associate clinical professor of medicine and pediatrics at the University of California at San Diego School of Medicine, and a hospitalist at both UCSD Medical Center and Rady Children’s Hospital.
Clinical question: What is the appropriate length of hospitalization necessary for infants <30 days admitted for fever without source?
Background: Infants ≤30 days old are routinely hospitalized for fever without source (FWS). From 1988-2006, 2.5 million infants younger than three months old were admitted for sepsis, according to National Hospital Discharge Survey data. Term infants <7 days of age accounted for 33% of these hospitalizations. Current national guidelines recommend observation in the hospital for 48-72 hours after cultures of blood, urine, and cerebrospinal fluid (CSF) are initiated. Whether this length of hospitalization is appropriate for well-appearing infants in this age group is not clear, based on current data.
Study design: Single-center, retrospective, cohort study.
Setting: 574-bed tertiary medical center with a 30-bed general pediatric inpatient unit.
Synopsis: Researchers identified infants ≤30 days old who had blood and/or CSF cultures performed from 1999 to 2010. After excluding infants with cultures from the NICU and PICU, infants hospitalized with FWS were identified by chart review. A pediatric infectious disease specialist reviewed positive cultures from blood and CSF to exclude skin contaminants. Time to notification was defined as the time between sample collection and medical staff notification. Blood cultures were monitored continuously for growth at this institution, with staff being notified of positive results immediately during the day but not until 8 a.m. if this occurred overnight. Microbiology laboratory staff reviewed CSF cultures once daily. Of the 408 confirmed FWS hospitalizations, 26 resulted in positive cultures of blood and/or CSF. Time to notification of >24 hours occurred in six of these hospitalizations. Overall, of the 388 FWS hospitalizations with no positive blood or CSF cultures at 24 hours, six went on to develop positive cultures after 24 hours, a rate of 1.5%. All six had at least one high-risk characteristic (WBC <5,000 or >15,000 per µL, a band count >1,500 per per µL, or abnormal urinalysis). However, five patients with no high-risk characteristics and a normal urinalysis on admission were diagnosed with a UTI after 24 hours.
Bottom line: Infants ≤30 days old with no high-risk characteristics for sepsis may not need a full 48 hours of hospitalization for FWS, although this approach could lead rarely to a diagnosis of UTI after discharge.
Citation: Fielding-Singh V, Hong DK, Harris SJ, et al. Ruling out bacteremia and bacterial meningitis in infants less than one month of age: is 48 hours of hospitalization necessary? Hosp Pediatrics. 2013;3(4):355-361.
Reviewed by Pediatric Editor Weijen Chang, MD, SFHM, FAAP, associate clinical professor of medicine and pediatrics at the University of California at San Diego School of Medicine, and a hospitalist at both UCSD Medical Center and Rady Children’s Hospital.
Movers and Shakers in Hospital Medicine
HM MOVERS AND SHAKERS
Sereen Sharp, MD, has been named director of the hospital medicine program at Fairview Range Medical Center (FRMC) in Hibbing, Minn. Dr. Sharp has been a practicing hospitalist at FRMC since the program launched in 2010.
Sanin Syed, MD, has been named medical director of the newly founded hospitalist program at Lawrence Hospital Center in Bronxville, N.Y. Dr. Syed previously served as a hospitalist at Mt. Sinai Hospital in New York City.
Business Moves
Tacoma, Wash.-based Sound Physicians has agreed to provide hospitalist services at Wyckoff Heights Medical Center in Brooklyn, N.Y., and Covenant Medical Center in Lubbock, Texas. Sound also has acquired hospitalist-related assets of Inpatient Care United, Inc., a private hospitalist staffing company in northeast Ohio, which already provides hospitalist services to Akron General Medical Center and Summa Akron City Hospital in Akron, Ohio.
Ob Hospitalist Group (OBHG), based in Mauldin, S.C., has been named one of the best places to work in South Carolina by the South Carolina Chamber of Commerce, the Best Companies Group, and the publishers of SCBIZ News. The private OB-GYN hospitalist staffing company was ranked 5th among South Carolina companies in the same size category. Additionally, OBHG was recognized as one of Inc.’s 500/5000 list of fastest-growing private companies, as well as one of South Carolina’s 25 fastest-growing companies. OBHG has been staffing private OB hospitalists at hospitals throughout the country since 2006.
North Hollywood, Calif.-based IPC The Hospitalist Company recently acquired the following hospitalist practices:
Greater Orlando Hospitalists (GOH), P.A., in Orlando, Fla.
The Hospitalist Group (THG) in Mission, Texas, consisting of three affiliated hospitalist practices: THG The Hospitalist Group, LP; The Hospitalist Management Group, LLC; and MD @ Home Ltd., all serving the greater Rio Grande Valley area of Southwest Texas.
Naples, Fla.-based Neapolitan Inpatient Care, LLC , and Venetian Hospitalist Services, LLC, headquartered in Venice, Fla.
Hospitalist-related assets of Metropolitan Pulmonary and Hospital Medicine, P.C., based in Kansas City, Mo.
IPC has signed definitive agreements to acquire Park Avenue Health Care Management, LLC; Park Avenue Medical Associates, P.C.; Park Avenue Medical Associates, LLC; and Geriatric Services, P.C., collectively known as Park Avenue and headquartered in White Plains, N.Y.
TeamHealth Hospital Medicine has acquired Marshall Physician Services, LLC, also known as MESA Medical Group, in Lexington, Ky. MESA already oversees hospitalist and emergency medicine services at 24 different hospitals throughout Indiana, Ohio, West Virginia, and Kentucky. TeamHealth now operates specialty hospital medicine programs in more than 850 acute and post-acute care centers throughout the U.S.
The Children’s Hospital of San Antonio and Baylor College of Medicine have collaborated to initiate a pediatric hospitalist program at the facility in San Antonio, Texas. The new program will staff 10 pediatric hospitalists and will be led by professor Ricardo Quiñonez, who comes to San Antonio from Texas Children’s Hospital in Houston, Texas.
Methodist Hospital in Henderson, Ky.,has partnered with the Dallas, Texas-based Eagle Hospital Physicians to provide hospitalist services at the privately owned facility. Eagle provides hospitalist and emergency medicine services to hospitals in 17 states.
HM MOVERS AND SHAKERS
Sereen Sharp, MD, has been named director of the hospital medicine program at Fairview Range Medical Center (FRMC) in Hibbing, Minn. Dr. Sharp has been a practicing hospitalist at FRMC since the program launched in 2010.
Sanin Syed, MD, has been named medical director of the newly founded hospitalist program at Lawrence Hospital Center in Bronxville, N.Y. Dr. Syed previously served as a hospitalist at Mt. Sinai Hospital in New York City.
Business Moves
Tacoma, Wash.-based Sound Physicians has agreed to provide hospitalist services at Wyckoff Heights Medical Center in Brooklyn, N.Y., and Covenant Medical Center in Lubbock, Texas. Sound also has acquired hospitalist-related assets of Inpatient Care United, Inc., a private hospitalist staffing company in northeast Ohio, which already provides hospitalist services to Akron General Medical Center and Summa Akron City Hospital in Akron, Ohio.
Ob Hospitalist Group (OBHG), based in Mauldin, S.C., has been named one of the best places to work in South Carolina by the South Carolina Chamber of Commerce, the Best Companies Group, and the publishers of SCBIZ News. The private OB-GYN hospitalist staffing company was ranked 5th among South Carolina companies in the same size category. Additionally, OBHG was recognized as one of Inc.’s 500/5000 list of fastest-growing private companies, as well as one of South Carolina’s 25 fastest-growing companies. OBHG has been staffing private OB hospitalists at hospitals throughout the country since 2006.
North Hollywood, Calif.-based IPC The Hospitalist Company recently acquired the following hospitalist practices:
Greater Orlando Hospitalists (GOH), P.A., in Orlando, Fla.
The Hospitalist Group (THG) in Mission, Texas, consisting of three affiliated hospitalist practices: THG The Hospitalist Group, LP; The Hospitalist Management Group, LLC; and MD @ Home Ltd., all serving the greater Rio Grande Valley area of Southwest Texas.
Naples, Fla.-based Neapolitan Inpatient Care, LLC , and Venetian Hospitalist Services, LLC, headquartered in Venice, Fla.
Hospitalist-related assets of Metropolitan Pulmonary and Hospital Medicine, P.C., based in Kansas City, Mo.
IPC has signed definitive agreements to acquire Park Avenue Health Care Management, LLC; Park Avenue Medical Associates, P.C.; Park Avenue Medical Associates, LLC; and Geriatric Services, P.C., collectively known as Park Avenue and headquartered in White Plains, N.Y.
TeamHealth Hospital Medicine has acquired Marshall Physician Services, LLC, also known as MESA Medical Group, in Lexington, Ky. MESA already oversees hospitalist and emergency medicine services at 24 different hospitals throughout Indiana, Ohio, West Virginia, and Kentucky. TeamHealth now operates specialty hospital medicine programs in more than 850 acute and post-acute care centers throughout the U.S.
The Children’s Hospital of San Antonio and Baylor College of Medicine have collaborated to initiate a pediatric hospitalist program at the facility in San Antonio, Texas. The new program will staff 10 pediatric hospitalists and will be led by professor Ricardo Quiñonez, who comes to San Antonio from Texas Children’s Hospital in Houston, Texas.
Methodist Hospital in Henderson, Ky.,has partnered with the Dallas, Texas-based Eagle Hospital Physicians to provide hospitalist services at the privately owned facility. Eagle provides hospitalist and emergency medicine services to hospitals in 17 states.
HM MOVERS AND SHAKERS
Sereen Sharp, MD, has been named director of the hospital medicine program at Fairview Range Medical Center (FRMC) in Hibbing, Minn. Dr. Sharp has been a practicing hospitalist at FRMC since the program launched in 2010.
Sanin Syed, MD, has been named medical director of the newly founded hospitalist program at Lawrence Hospital Center in Bronxville, N.Y. Dr. Syed previously served as a hospitalist at Mt. Sinai Hospital in New York City.
Business Moves
Tacoma, Wash.-based Sound Physicians has agreed to provide hospitalist services at Wyckoff Heights Medical Center in Brooklyn, N.Y., and Covenant Medical Center in Lubbock, Texas. Sound also has acquired hospitalist-related assets of Inpatient Care United, Inc., a private hospitalist staffing company in northeast Ohio, which already provides hospitalist services to Akron General Medical Center and Summa Akron City Hospital in Akron, Ohio.
Ob Hospitalist Group (OBHG), based in Mauldin, S.C., has been named one of the best places to work in South Carolina by the South Carolina Chamber of Commerce, the Best Companies Group, and the publishers of SCBIZ News. The private OB-GYN hospitalist staffing company was ranked 5th among South Carolina companies in the same size category. Additionally, OBHG was recognized as one of Inc.’s 500/5000 list of fastest-growing private companies, as well as one of South Carolina’s 25 fastest-growing companies. OBHG has been staffing private OB hospitalists at hospitals throughout the country since 2006.
North Hollywood, Calif.-based IPC The Hospitalist Company recently acquired the following hospitalist practices:
Greater Orlando Hospitalists (GOH), P.A., in Orlando, Fla.
The Hospitalist Group (THG) in Mission, Texas, consisting of three affiliated hospitalist practices: THG The Hospitalist Group, LP; The Hospitalist Management Group, LLC; and MD @ Home Ltd., all serving the greater Rio Grande Valley area of Southwest Texas.
Naples, Fla.-based Neapolitan Inpatient Care, LLC , and Venetian Hospitalist Services, LLC, headquartered in Venice, Fla.
Hospitalist-related assets of Metropolitan Pulmonary and Hospital Medicine, P.C., based in Kansas City, Mo.
IPC has signed definitive agreements to acquire Park Avenue Health Care Management, LLC; Park Avenue Medical Associates, P.C.; Park Avenue Medical Associates, LLC; and Geriatric Services, P.C., collectively known as Park Avenue and headquartered in White Plains, N.Y.
TeamHealth Hospital Medicine has acquired Marshall Physician Services, LLC, also known as MESA Medical Group, in Lexington, Ky. MESA already oversees hospitalist and emergency medicine services at 24 different hospitals throughout Indiana, Ohio, West Virginia, and Kentucky. TeamHealth now operates specialty hospital medicine programs in more than 850 acute and post-acute care centers throughout the U.S.
The Children’s Hospital of San Antonio and Baylor College of Medicine have collaborated to initiate a pediatric hospitalist program at the facility in San Antonio, Texas. The new program will staff 10 pediatric hospitalists and will be led by professor Ricardo Quiñonez, who comes to San Antonio from Texas Children’s Hospital in Houston, Texas.
Methodist Hospital in Henderson, Ky.,has partnered with the Dallas, Texas-based Eagle Hospital Physicians to provide hospitalist services at the privately owned facility. Eagle provides hospitalist and emergency medicine services to hospitals in 17 states.
How Hospitalists Can Put SHM's State of Hospital Medicine Survey to Work
The 2014 State of Hospital Medicine survey is under way.
Participate now at www.hospitalmedicine.org/survey.
Each year, we look forward to receiving the Society of Hospital Medicine’s State of Hospital Medicine survey results. Over the years we have refined the way we use the information for our practices, which include HM services at the five hospitals of WellStar Health System in Northwest Atlanta. Historically, the report had been used merely to look at the industry trends, and, at times, to cover the scope of service, compensation, and other data points. The information was not widely shared with either the hospitalist team or health system administration.
Our approach to the survey changed when we set our sights on becoming a destination of choice for hospitalists in the Southeast Region. This stated goal made it clear we needed to take a more active approach to benchmarking ourselves against our peers in the field. The State of Hospital Medicine report, with its abundance of data, was the perfect tool. We set up an annual review of our HM practices (54 physicians and 21 advanced practice professionals spread among five hospitals) that enumerated individual provider performance in key measures: total compensation, total wRVUs, compensation per wRVU, and professional collections per wRVU. We then benchmarked the data against the survey data, highlighting the percentile achievement in each category. This allowed us to identify pockets of opportunities and make adjustments to compensation model and productivity targets, thus positioning ourselves competitively in the local and regional market.
Not only did this process aid in demonstrating our performance as compared to industry peers, but it also highlighted the differences in practice patterns within our health system. In turn, we reduced variation and promoted best practices among the five WellStar hospitals—standard workflow, scope of services, transfer policies, and collaboration with advanced practice professionals, to name a few.
In addition, transparent discussion of external and internal benchmarking findings dramatically improved provider engagement; individuals were eager to learn how other practices were able to achieve success. As a result, the clinical footprint of HM services expanded tremendously, ultimately benefiting patients, referring and consulting physicians, and hospitals.
The report also helped us to reiterate the value of WellStar Hospital Medicine to our administrative partners. Complementary to our balanced scorecard, which tracks quality, efficiency, and patient satisfaction measures, the external benchmarking validated a very strong return on the investment that WellStar Health System is making in its hospitalist programs.
The State of Hospital Medicine survey can be a tremendous resource to your practice, as it has been to ours. We recommend setting a mission and vision statement for your practice and then formulating a plan around the best way to share and utilize the data from the report to pursue your mission. As we experienced, a meaningful review, along with follow through on identified opportunities, can be positively transformative.
Dr. Akopov is vice president and chief of hospital medicine operations at WellStar Health System in Atlanta, Ga. Ms. Papetti is assistant vice president of WellStar Medical Group in Atlanta, and a member of SHM’s Practice Analysis Committee.
The 2014 State of Hospital Medicine survey is under way.
Participate now at www.hospitalmedicine.org/survey.
Each year, we look forward to receiving the Society of Hospital Medicine’s State of Hospital Medicine survey results. Over the years we have refined the way we use the information for our practices, which include HM services at the five hospitals of WellStar Health System in Northwest Atlanta. Historically, the report had been used merely to look at the industry trends, and, at times, to cover the scope of service, compensation, and other data points. The information was not widely shared with either the hospitalist team or health system administration.
Our approach to the survey changed when we set our sights on becoming a destination of choice for hospitalists in the Southeast Region. This stated goal made it clear we needed to take a more active approach to benchmarking ourselves against our peers in the field. The State of Hospital Medicine report, with its abundance of data, was the perfect tool. We set up an annual review of our HM practices (54 physicians and 21 advanced practice professionals spread among five hospitals) that enumerated individual provider performance in key measures: total compensation, total wRVUs, compensation per wRVU, and professional collections per wRVU. We then benchmarked the data against the survey data, highlighting the percentile achievement in each category. This allowed us to identify pockets of opportunities and make adjustments to compensation model and productivity targets, thus positioning ourselves competitively in the local and regional market.
Not only did this process aid in demonstrating our performance as compared to industry peers, but it also highlighted the differences in practice patterns within our health system. In turn, we reduced variation and promoted best practices among the five WellStar hospitals—standard workflow, scope of services, transfer policies, and collaboration with advanced practice professionals, to name a few.
In addition, transparent discussion of external and internal benchmarking findings dramatically improved provider engagement; individuals were eager to learn how other practices were able to achieve success. As a result, the clinical footprint of HM services expanded tremendously, ultimately benefiting patients, referring and consulting physicians, and hospitals.
The report also helped us to reiterate the value of WellStar Hospital Medicine to our administrative partners. Complementary to our balanced scorecard, which tracks quality, efficiency, and patient satisfaction measures, the external benchmarking validated a very strong return on the investment that WellStar Health System is making in its hospitalist programs.
The State of Hospital Medicine survey can be a tremendous resource to your practice, as it has been to ours. We recommend setting a mission and vision statement for your practice and then formulating a plan around the best way to share and utilize the data from the report to pursue your mission. As we experienced, a meaningful review, along with follow through on identified opportunities, can be positively transformative.
Dr. Akopov is vice president and chief of hospital medicine operations at WellStar Health System in Atlanta, Ga. Ms. Papetti is assistant vice president of WellStar Medical Group in Atlanta, and a member of SHM’s Practice Analysis Committee.
The 2014 State of Hospital Medicine survey is under way.
Participate now at www.hospitalmedicine.org/survey.
Each year, we look forward to receiving the Society of Hospital Medicine’s State of Hospital Medicine survey results. Over the years we have refined the way we use the information for our practices, which include HM services at the five hospitals of WellStar Health System in Northwest Atlanta. Historically, the report had been used merely to look at the industry trends, and, at times, to cover the scope of service, compensation, and other data points. The information was not widely shared with either the hospitalist team or health system administration.
Our approach to the survey changed when we set our sights on becoming a destination of choice for hospitalists in the Southeast Region. This stated goal made it clear we needed to take a more active approach to benchmarking ourselves against our peers in the field. The State of Hospital Medicine report, with its abundance of data, was the perfect tool. We set up an annual review of our HM practices (54 physicians and 21 advanced practice professionals spread among five hospitals) that enumerated individual provider performance in key measures: total compensation, total wRVUs, compensation per wRVU, and professional collections per wRVU. We then benchmarked the data against the survey data, highlighting the percentile achievement in each category. This allowed us to identify pockets of opportunities and make adjustments to compensation model and productivity targets, thus positioning ourselves competitively in the local and regional market.
Not only did this process aid in demonstrating our performance as compared to industry peers, but it also highlighted the differences in practice patterns within our health system. In turn, we reduced variation and promoted best practices among the five WellStar hospitals—standard workflow, scope of services, transfer policies, and collaboration with advanced practice professionals, to name a few.
In addition, transparent discussion of external and internal benchmarking findings dramatically improved provider engagement; individuals were eager to learn how other practices were able to achieve success. As a result, the clinical footprint of HM services expanded tremendously, ultimately benefiting patients, referring and consulting physicians, and hospitals.
The report also helped us to reiterate the value of WellStar Hospital Medicine to our administrative partners. Complementary to our balanced scorecard, which tracks quality, efficiency, and patient satisfaction measures, the external benchmarking validated a very strong return on the investment that WellStar Health System is making in its hospitalist programs.
The State of Hospital Medicine survey can be a tremendous resource to your practice, as it has been to ours. We recommend setting a mission and vision statement for your practice and then formulating a plan around the best way to share and utilize the data from the report to pursue your mission. As we experienced, a meaningful review, along with follow through on identified opportunities, can be positively transformative.
Dr. Akopov is vice president and chief of hospital medicine operations at WellStar Health System in Atlanta, Ga. Ms. Papetti is assistant vice president of WellStar Medical Group in Atlanta, and a member of SHM’s Practice Analysis Committee.
Society of Hospital Medicine's CODE-H Helps Hospitalists Avoid Coding Issues
Use SHM’s CODE-H Interactive to Avoid Coding Issues
Coding is a part of every hospitalist’s life, but tips from the experts can make that life easier, more efficient, and more compliant. That’s why SHM’s CODE-H program teaches hospitalists and hospitalist group managers and administrators how to stay up to date with the latest in the best
practices of coding and documentation.
On March 20, coding expert Barbara Pierce, CCS-P, ACS-EM, will present an online session on some of the most important coding topics for hospitalists, including:
- Critical care;
- Prolonged services;
- Documentation when working with NPs and PAs;
- Teaching physician rules; and
- Tips to avoid billing issues and potential denials.
This session is the third in a series of seven that cover the full range of coding topics, from developing a compliance plan and internal auditing process to ICD-10, PQRS, and Medicare’s Physician Value-Based Payment Modifier.
CME credits are offered through post-tests following each webinar, and each participant is eligible for up to seven credits throughout the series. Up to 10 individuals in a group can sign up through a single registration.
For more information, visit www.hospitalmedicine.org/codeh.
Use SHM’s CODE-H Interactive to Avoid Coding Issues
Coding is a part of every hospitalist’s life, but tips from the experts can make that life easier, more efficient, and more compliant. That’s why SHM’s CODE-H program teaches hospitalists and hospitalist group managers and administrators how to stay up to date with the latest in the best
practices of coding and documentation.
On March 20, coding expert Barbara Pierce, CCS-P, ACS-EM, will present an online session on some of the most important coding topics for hospitalists, including:
- Critical care;
- Prolonged services;
- Documentation when working with NPs and PAs;
- Teaching physician rules; and
- Tips to avoid billing issues and potential denials.
This session is the third in a series of seven that cover the full range of coding topics, from developing a compliance plan and internal auditing process to ICD-10, PQRS, and Medicare’s Physician Value-Based Payment Modifier.
CME credits are offered through post-tests following each webinar, and each participant is eligible for up to seven credits throughout the series. Up to 10 individuals in a group can sign up through a single registration.
For more information, visit www.hospitalmedicine.org/codeh.
Use SHM’s CODE-H Interactive to Avoid Coding Issues
Coding is a part of every hospitalist’s life, but tips from the experts can make that life easier, more efficient, and more compliant. That’s why SHM’s CODE-H program teaches hospitalists and hospitalist group managers and administrators how to stay up to date with the latest in the best
practices of coding and documentation.
On March 20, coding expert Barbara Pierce, CCS-P, ACS-EM, will present an online session on some of the most important coding topics for hospitalists, including:
- Critical care;
- Prolonged services;
- Documentation when working with NPs and PAs;
- Teaching physician rules; and
- Tips to avoid billing issues and potential denials.
This session is the third in a series of seven that cover the full range of coding topics, from developing a compliance plan and internal auditing process to ICD-10, PQRS, and Medicare’s Physician Value-Based Payment Modifier.
CME credits are offered through post-tests following each webinar, and each participant is eligible for up to seven credits throughout the series. Up to 10 individuals in a group can sign up through a single registration.
For more information, visit www.hospitalmedicine.org/codeh.
Apply Now for Society of Hospital Medicine's Project BOOST
BOOST Makes a Difference
For more info, visit www.hospitalmedicine.org/boost.
BOOST Makes a Difference
For more info, visit www.hospitalmedicine.org/boost.
BOOST Makes a Difference
For more info, visit www.hospitalmedicine.org/boost.
Registration Still Open for Quality and Safety Educators Academy
Academic Hospitalists and Program Directors: There Is Still Time to Register for the Quality and Safety Educators Academy
Make sure your hospital is ready to meet the ACGME’s requirements that residency programs integrate quality and safety into their curriculum. The Quality and Safety Educators Academy (QSEA) is May 1-3 at the Tempe Mission Palms in Arizona.
For more info, visit www.hospitalmedicine.org/qsea.
Use SHM’s CODE-H Interactive to Avoid Coding Issues
Coding is a part of every hospitalist’s life, but tips from the experts can make that life easier, more efficient, and more compliant. That’s why SHM’s CODE-H program teaches hospitalists and hospitalist group managers and administrators how to stay up to date with the latest in the best practices of coding and documentation.
On March 20, coding expert Barbara Pierce, CCS-P, ACS-EM, will present an online session on some of the most important coding topics for hospitalists, including:
- Critical care;
- Prolonged services;
- Documentation when working with NPs and PAs;
- Teaching physician rules; and
- Tips to avoid billing issues and potential denials.
This session is the third in a series of seven that cover the full range of coding topics, from developing a compliance plan and internal auditing process to ICD-10, PQRS, and Medicare’s Physician Value-Based Payment Modifier.
CME credits are offered through post-tests following each webinar, and each participant is eligible for up to seven credits throughout the series. Up to 10 individuals in a group can sign up through a single registration.
For more information, visit www.hospitalmedicine.org/codeh.
BOOST Makes a Difference
Want to make a real difference in your hospital’s readmission rates? Now is the time to start compiling applications for SHM’s Project BOOST. Applications are due Aug. 30.
For more info, visit www.hospitalmedicine.org/boost.
Academic Hospitalists and Program Directors: There Is Still Time to Register for the Quality and Safety Educators Academy
Make sure your hospital is ready to meet the ACGME’s requirements that residency programs integrate quality and safety into their curriculum. The Quality and Safety Educators Academy (QSEA) is May 1-3 at the Tempe Mission Palms in Arizona.
For more info, visit www.hospitalmedicine.org/qsea.
Use SHM’s CODE-H Interactive to Avoid Coding Issues
Coding is a part of every hospitalist’s life, but tips from the experts can make that life easier, more efficient, and more compliant. That’s why SHM’s CODE-H program teaches hospitalists and hospitalist group managers and administrators how to stay up to date with the latest in the best practices of coding and documentation.
On March 20, coding expert Barbara Pierce, CCS-P, ACS-EM, will present an online session on some of the most important coding topics for hospitalists, including:
- Critical care;
- Prolonged services;
- Documentation when working with NPs and PAs;
- Teaching physician rules; and
- Tips to avoid billing issues and potential denials.
This session is the third in a series of seven that cover the full range of coding topics, from developing a compliance plan and internal auditing process to ICD-10, PQRS, and Medicare’s Physician Value-Based Payment Modifier.
CME credits are offered through post-tests following each webinar, and each participant is eligible for up to seven credits throughout the series. Up to 10 individuals in a group can sign up through a single registration.
For more information, visit www.hospitalmedicine.org/codeh.
BOOST Makes a Difference
Want to make a real difference in your hospital’s readmission rates? Now is the time to start compiling applications for SHM’s Project BOOST. Applications are due Aug. 30.
For more info, visit www.hospitalmedicine.org/boost.
Academic Hospitalists and Program Directors: There Is Still Time to Register for the Quality and Safety Educators Academy
Make sure your hospital is ready to meet the ACGME’s requirements that residency programs integrate quality and safety into their curriculum. The Quality and Safety Educators Academy (QSEA) is May 1-3 at the Tempe Mission Palms in Arizona.
For more info, visit www.hospitalmedicine.org/qsea.
Use SHM’s CODE-H Interactive to Avoid Coding Issues
Coding is a part of every hospitalist’s life, but tips from the experts can make that life easier, more efficient, and more compliant. That’s why SHM’s CODE-H program teaches hospitalists and hospitalist group managers and administrators how to stay up to date with the latest in the best practices of coding and documentation.
On March 20, coding expert Barbara Pierce, CCS-P, ACS-EM, will present an online session on some of the most important coding topics for hospitalists, including:
- Critical care;
- Prolonged services;
- Documentation when working with NPs and PAs;
- Teaching physician rules; and
- Tips to avoid billing issues and potential denials.
This session is the third in a series of seven that cover the full range of coding topics, from developing a compliance plan and internal auditing process to ICD-10, PQRS, and Medicare’s Physician Value-Based Payment Modifier.
CME credits are offered through post-tests following each webinar, and each participant is eligible for up to seven credits throughout the series. Up to 10 individuals in a group can sign up through a single registration.
For more information, visit www.hospitalmedicine.org/codeh.
BOOST Makes a Difference
Want to make a real difference in your hospital’s readmission rates? Now is the time to start compiling applications for SHM’s Project BOOST. Applications are due Aug. 30.
For more info, visit www.hospitalmedicine.org/boost.