Planning (strategic, business plans)

Hound Dog Holiday

Why do we love "home?"  Why is home,  despite the worn sofa with the faint but persistent odor of hound dog and the kitchen table with the varnish worn off from gazillions of spilled glasses of milk the place of satisfaction and ease? I started thinking about this concept when recently given re-credentialing forms.  At my hospital, these forms were absolutely developed and deployed for physician providers.   These forms are, dare I say it, a symbolic representation of the lack of our "home" in the hospital! So often hospital or hospitalist group leaders do not know where to put us.  I mean, as I have already said, I'm not a nurse; I do not perform any nursing type activities so I shouldn't be placed under nursing per se.  I'm more like a physician in my duties and my administrative needs, but so much of the language given to me…

Who is the most productive hospitalist in the country? Guess what. It’s not you.

  Some of you might know CMS released our Part B productivity data earlier in 2014.  We have discussed on the policy side of SHM how we might use the data to learn about our field.  Unlike other specialties, we do not have a unique billing identifier.  Without the information, we cannot easily interrogate the database and view the patterns of the more than 40,000 hospital-based practitioners within our healthcare system.  The absence of such a feature creates gaps in our learning.  And as they say, you can't manage what you can't measure. We will acquire a unique code at some point, my conjecture, but until we do, we use inpatient-billing figures to assist in tagging physicians who practice hospital medicine. Most guess ambulatory docs do not bill greater than 25% of their codes on the hospital side, and as the hospitalist majority have their boards in IM or FP…

Q&A with David Meltzer MD, PhD: Back to the future with the hospital prone patient

Firstly, thank you David for taking the time to answer questions for the blog.  You got my attention when you expressed, "the greatest excitement you have ever had in your career," for your current CMS Innovation Center endeavor.  Given your list of accomplishments, that is a tall order. Secondly, I want readers to take note of David's latest paper in Health Affairs describing his project, Redesigning Care For Patients At Increased Hospitalization Risk: The Comprehensive Care Physician Model, as well as his presentation at the accompanying publication briefing. 1.  Let me say, if your paper delivers on its promise, we will see a real shake up in the way we deliver care to chronically ill, hospital prone patients.  Based on the oversized attention you received at the Q&A following the briefing, others felt similarly.  Can you review your project and give us the nidus behind developing the intervention? The basic…

Hospitalists and the Federation of State Medical Boards (FSMB): A CEO Q&A

Humayun J. Chaudhry, D.O., M.S., MACP, FACOI, President and Chief Executive Officer, Federation of State Medical Boards    1. Firstly, Hank, thanks so much for spending a few minutes with our readers.  As you know, hospitalists devote most of their time in acute and subacute settings. Many of their clinical apprehensions relate to hospital and physician regulation and quality monitoring and how these rules intersect with inpatient care.  The Federation of State Medical Boards (FSMB) has a broad mission. What should hospitalists know about your organization given these concerns and do you have a role to play in assisting inpatient providers to improve patient care? To understand the mission of the Federation of State Medical Boards (FSMB), it’s helpful to understand the mission of state medical boards. States are authorized under the 10th Amendment to the U.S. Constitution to establish laws and regulations protecting the health, safety and general welfare of their citizens. To…

Characteristics of an Effective Hospital Medicine Group

It’s here.  Today in the Journal of Hospital Medicine, SHM is publishing The Key Principles and Characteristics of an Effective Hospital Medicine Group: An Assessment Guide for Hospitals and Hospitalists. That’s a mouthful of a title but really a simple document. The main thrust of the paper is to be a guide and a tool for reflection for our nation’s hospital medicine groups (and maybe the C-suite too!).  We are still a young specialty populated with young hospital medicine groups.  The oldest groups we have are only 20-25 years old, many are less than five years.  With that broad range of clinical experience comes a broad range of business and leadership experience, too. The Society asked itself, how could it put a tool in the hands of those leaders that showed them some of the key characteristics of our more experienced and successful groups.  Over 200 leaders in the field of…
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