Follow Up To Annals of IM Hospitalist Study

The August 2nd citation, Association of Hospitalist Care With Medical Utilization After Discharge: Evidence of Cost Shift From a Cohort Study, generated an enormous amount of attention.The response was significant, and many of the letters published are worth reading (in particular, Dan Brotman's).   (more…)

Wisdom or Folly? Others or ME?

The scary things we do could teach us a thing or two. It’s been a tough week… month… quarter.  Well, it hasn’t been easy lately.  I’ve seen people and families shaken to their core, but that’s common at work. No big deal.  I can handle it… until I find myself shaken, scared, broken, crying, and finally praying about the terrible things that are happening all around me.  Why does it take us so long to admit how frail we really are?  How much do we have to go through to admit that we are fallible, that we seek the easy lie rather than the hard truth? (more…)

Skin In the Game, Medicare Addition

Some of you might have caught this ad campaign recently launched by the AMA: http://www.youtube.com/watch?v=IM0giJ1foOY&feature=player_embedded (more…)

The Productivity Trap

Are your hospitalists so busy that they’re hurting the bottom line? It’s been a crazy summer!  Our census has nearly doubled over the past six months, but we’ve sustained that growth with no increase in personnel. I’ve faced days with twenty patients to start the day and much more to do before.  But my perspective is decidedly different than it was a mere five years ago.  I used to see the high census as a long day ahead, but one that would ultimately benefit the hospital and hospitalist alike.  Sure, I was happy to make the extra money! Things have changed... (more…)