This single center analysis studied the effects of localizing 2 hospitalist teams on a single nursing unit; compared to historical and concurrent controls, they found the localized teams had about 1 more patient encounter and between 1.4 and 2.2 more RVUs per day. They also received 50% fewer pages, walked fewer steps, and had no difference in 30 day readmissions or charges. They did, however, have a LOS ~10% higher. For hospitalist teams considering geographic localization, there appear to be many benefits, although LOS should be closely tracked (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.