November 8, 2019 |  0
Do you have a stack of journals piling up on your desk, beside your bed or in your email inbox? In 1950, medical knowledge was estimated to double every 50 years, but now the doubling time is every few months. At this rate, it is impossible to keep up with the literature, but a group […]
November 5, 2019 |  0
I have written frequently over the last few years on topics related to the sustainability of the hospital medicine practice model, beginning with this post in August, 2015. I continue to be concerned by what I see as a confluence of significant trends that are conspiring to challenge hospital medicine’s status quo. On one hand, […]
October 31, 2019 |  4
I have hit this topic before-copying and pasting notes—about a year ago. Let’s revisit. First, note the figure below. To the far right of the x-axis, you see the number of notes with > 60% + of manual entries, i.e., not pasted, in a large sample of studied notes—this from a JAMA study out of […]
October 17, 2019 |  0
I distinctly remember my first stint on night float rotation — it did not come until I was a third-year resident since most of my rotations were pre-duty hours. It was a “novel innovation” in our program and the job seemed simple — admit overnight, handoff to the day team, go home and sleep. Get […]
By Moises Auron, MD, SFHM
September 27, 2019 |  0
By: Moises Auron, MD, SFHM It is a well-known fact that healthcare expenditure in the United States occupies a large proportion of its gross domestic product, being 17.8% in 2016, which was almost twice to what is expended in other advanced countries; however, this expenditure does not necessarily translate into optimal patient outcomes. In 2012, […]
September 18, 2019 |  2
There is at least one aspect of “Obamacare” that my mother-in-law and I can firmly agree on: hospitals should not get paid for frequent readmissions. The Hospital Readmission Reduction Program (HRRP), enacted by the Centers for Medicare and Medicaid Services (CMS) in 2012 with the goal of penalizing hospitals for excessive readmissions, has great face […]