Archive for September 2017

Should We Really Focus on “Patient-Centered” Care?

“Patient-centered care implies that the patient is always right and that their opinion should win out over the physician’s opinion.” I read that quote from Dr. Katie Neuendorf in a recent article in The Hospitalist, and it resonated with me right away. In the article, Dr. Neuendorf explains that patient-centered care should really be “relationship-centered care,” which means that the relationship should be prioritized, even when there is disagreement in the plan of care. In this scenario, she pointed out that she can support the patient and still not prescribe a treatment that she feels is inappropriate. This is brilliant and beautiful. We know, as numerous articles have shown us, that giving patients what they want is not necessarily good for them. Patients with the highest satisfaction scores also have the highest mortality ratings. This is thought to be because patients may be asking for interventions, tests or prescription drugs…

Hospitalist-Pharmacist Collaboration, JHM Research on Depression after Discharge & More in HM News

­SHM & Hospital Medicine in the News: August 31 – September 14, 2017 Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare news. For the full stories, click on the links below: SHM member Sandra Wilson, MD, FACP, FHM was highlighted in Santa Ynez Valley News discussing her personalized health care model. Journal of Hospital Medicine research on developing depression after ICU discharge was cited in Becker’s Health Review, Health Medicine Network and Medical Xpress, among others. ASHP and SHM’s joint statement on hospitalist-pharmacist collaboration was cited in an article on the expansion of inpatient clinical pharmacy services in the American Journal of Health-System Pharmacy. Research presented at SHM’s annual conference on patient reported penicillin allergies was discussed in an article on Today’s Hospitalist. The success of SHM’s annual conference app was highlighted in another article on MeetingsNet, with quotes from Senior Marketing Manager Emily Daniele.…

95% of Inpatient Providers Would Get an F On This Exam

You all think you know hospice. You don't, and I will tell you why. Hospice is a bastard child of the Medicare system. It went live in 1983 as a standalone entity during the Reagan administration and remains a disjointed program today. I would characterize its evolution as such: the road to hell is paved with good intentions. Why is that? When you go into hospice, your care path goes 180, and usual Medicare rules don't apply.  The benefit reroute sometimes makes life harder for families and patients.  It's like handing your keys off into the hospice kingdom--they run the show, and it's both a blessing and a curse. (more…)

What We Expect and What We Get from Work

Are American workers becoming happier with less? An interesting article in last Friday’s Wall Street Journal reported on the findings of a recent survey of U.S. workers by the Conference Board, a research organization. Although the survey wasn’t specific to healthcare, much less hospitalists, I see some parallels that might cause many of us to stop and think more carefully about what we expect from our work. The Conference Board’s findings highlight how American workers’ employment relationships are evolving and how that is impacting what Americans think of as a “good” job. The biggest shift has come in the nature of the implied compact between workers and their employers; unlike a generation or two ago, U.S. workers no longer expect to receive a generous benefits and lifelong employment in exchange for hard work and loyalty. In fact, I suspect many younger workers today would face the prospect of lifelong employment…

SHM Member Moves, Pain Management and JHM Research in HM News

­SHM & Hospital Medicine in the News: August 17 – August 31, 2017 Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare news. For the full stories, click on the links below: SHM Past President Robert Harrington, MD, SFHM has been appointed President of SurveyVitals, a healthcare IT company. SHM’s pain management initiatives were called out in an article discussing the pharmacist’s role in transitions of care. A Journal of Hospital Medicine article on patients reporting breakdowns in hospital care was highlighted in Clinical Advisor, Cardiology Advisor, and Psychiatry Advisor, among others. Another Journal of Hospital Medicine article on diagnosing and managing COPD was cited on NEJM Journal Watch by SHM member Dan Dressler, MD, MSc, SFHM, FACP. A startup company called Aledade has raised about $75 million with the goal of reducing the cost of healthcare while improving how patients are treated. SurveyVitals® Names New President:…