Archive for January 2018

Survey Says…

It’s that time of (every other) year! Once again, your hospital medicine group (HMG) has a unique opportunity to contribute to our collective understanding of the current state of hospital medicine in the United States. SHM’s State of Hospital Medicine Survey kicked off this week and will be open until February 16th. I strongly urge you to take the time to participate. I have been integrally involved in SHM’s survey processes since 2006 and am deeply committed to this important work that SHM does on behalf of its members and the entire specialty of hospital medicine. Here are several reasons why it’s more important than ever that your group participate this year. The information contained in the State of Hospital Medicine Report is used by HMGs – and by hospital and physician enterprise leaders – to justify proposals and make operational decisions. The field of hospital medicine is evolving rapidly…

Why Do Some Hospitals Choose Wisely?: The Next #JHMChat

As a personal advocate for value-based care, I was lucky enough to do my Hospital Medicine Fellowship at an institution that placed a strong emphasis on improving and optimizing value for its patients. As a (mildly naïve) first-year fellow, I recall being impressed by an atmosphere and culture that appeared to embrace the “less-can-be-more” movement. Yet as time went on, I found that while many wanted to achieve that goal, the pathway to getting there was not as straight and narrow as I’d imagined or perceived it to be. My friend and mentor, Vineet Arora, MD recounted to me how even though we all want to do the right thing, the process can be challenging. She recalls their story here on how difficult it was to just remove ONE lab from their order set: “Several years ago, an enterprising resident came to me and asked, ‘Why do we order CKMB…