By  | December 26, 2013 |  0
The Citi Research group found that November 2013 hospital admissions were the lowest they have been in a decade (~4-5% lower than 2012). This drop is probably multifactorial, but likely exacerbated by the Medicare implementation of the “two midnight” rule. As all hospitalists are now well aware, Medicare requires patients to be placed in “observation” […]
By  | December 20, 2013 |  0
by Bob Wachter This post originally appeared on Wachter’s World on December 19, 2013. As my Division of Hospital Medicine has grown – now to about 60 faculty – I spend part of my time figuring out what direction we should go in. At times, the path is obvious. It didn’t take Wayne Gretsky to […]
By  | December 19, 2013 |  8
As my Division of Hospital Medicine has grown – now to about 60 faculty – I spend part of my time figuring out what direction we should go in. At times, the path is obvious. It didn’t take Wayne Gretsky to recognize that we needed expertise in healthcare IT a decade ago, or in cost […]
By  | December 17, 2013 |  0
Glad you asked, because sometimes a study needs a looksy:
By  | December 11, 2013 |  1
119 – that’s one of my numbers. 3.5 – that’s another one. One hundred and nineteen months is the most recent estimate I could find for median survival for CLL.  Three and a half years is the most recent median time from diagnosis until the first treatment is needed. These numbers recently became “mine” after […]
By  | December 8, 2013 |  1
“The use of hospital readmissions as a lone metric for post-discharge health care quality may be incomplete without considering the role of the ED.” Do you agree? I would probably say yes, providing patients we include in the numerator return to the ED with an issue related to their index trip—be it clinical or ancillary.  […]