Archive for February 2016

QI for dummies (But Who’s The Dummy?)

I am reading a continuous barrage of stories on physician burnout.  Over and over and over.  I also see the same causes on which to attribute this burnout.  Over and over and over:  --Workflow dysfunction.  --HIT gone bad.  --Regulatory headaches.   Seems like the scales have tipped and yesteryears favorable practice-happiness equilibrium now goes a little too heavy on the drudge, and a lot less light on the joy.   Here are two little parables.  See if you can connect the dots: (more…)

For Whom the Noon Bell Tolls

The clock struck noon, and my patient was still in her room. My team sighed and my case manager rolled her eyes. Even if we had provided flawless clinical care throughout her hospital stay, she was now going to “count against us” in our quest to achieve our Discharge By Noon (DBN) goals – a metric thrust upon us with some explanation about throughput and how it will help patients stuck boarding in the emergency department, or something. I must admit that I am emotionally torn about this goal. I do remember being in the hospital with my wife and newborn daughter, frustrated that we were ready to go home and we were left sitting and waiting… and waiting… and waiting… presumably for an intern to input an order and then a nurse to print a form. I would have loved if that medical team was doing all they could…

An Army of One No More: Hospitalists Choosing Wisely with Nurses

Oftentimes that can be how hospitalists feel as they “battle” to provide high-value care (better care at lower cost) for their patients. But it does not need to be this way; there is a whole world all around us – doctors, nurses, pharmacists, and social workers – that can help combat the problems of overuse, inefficiencies, and patient safety lapses. While hospitalists often spend somewhere between a few minutes and an hour total each day at a patient’s bedside, nurses are there all day long. They see everyday pragmatic opportunities to prevent low-value care through the daily labs, specimens and cultures, x-rays, medications, electrocardiograms, and so on that are ordered for patients. And since nurses spend the most time at the point-of-care, they are essential to professionally communicating and collaborating with the inter-professional team when changes in patients’ conditions or plans of care occur. So, how do you incorporate nurses…

JHM Research, Healthcare Legislation and SHM Member Success in the News

by Brett Radler
Media Monitoring Report: February 4 – February 18, 2016 Hospital medicine’s growth, Journal of Hospital Medicine research, healthcare legislation, an SHM member success and the impact of big data on medicine are included in this edition of SHM Media Highlights. An article in The Pensacola News Journal featured the pediatric hospitalist team at Sacred Heart Hospital’s pediatric residency program, noting the specialty’s growing impact at hospitals nationwide – both in pediatrics and general patient care. As additional positive press for hospital medicine, DoctorsLounge cited Journal of Hospital Medicine research, which reported increased patient satisfaction with overall care in a nonteaching hospitalist service than in a general medicine teaching service. As the Supreme Court regroups after the passing of Justice Scalia, Modern Healthcare reviewed the impact it will have on pending healthcare legislation, including cases on abortion, self-funded insurance and fraud lawsuits against healthcare organizations. Also in the healthcare policy arena,…
Brett Radler is the Communications Specialist at the Society of Hospital Medicine (SHM). He is responsible for managing the day-to-day social media engagement across SHM’s social media platforms, including Facebook, Twitter, LinkedIn and YouTube, and assists in the management of SHM’s blog, The Hospital Leader. In addition to his social media roles, Brett develops content for SHM’s monthly newsmagazine, The Hospitalist, and monitors media coverage relevant to the hospital medicine movement. Brett holds a bachelor’s degree in Communication from Rutgers University in New Brunswick, NJ and also serves as on-air talent at a New Jersey radio station in his spare time.

What I’ll Be Doing at HM16

Don’t know about you, but I have found SHM’s Key Principles and Characteristics of an Effective Hospital Medicine Group to be a very useful framework for thinking about what it takes for a hospitalist group to be successful. The Key Characteristics seem to have resonated with hospitalists and hospitalist group leaders across the country. They have also gained the interest of hospital administrators and CMOs, and I think that’s a good thing because one of the top take-aways from the Key Characteristics is how crucial it is for HMGs to be adequately resourced and supported. John Nelson and I will, as usual, be serving as course co-directors for the practice management pre-course at the upcoming HM16 meeting in San Diego on March 6th. This year we wanted to take a completely different approach and structure the pre-course in a way that will help attendees really put the Key Characteristics into…