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 15, 2019 |  1
This from NEJM: “However, it is unclear whether current rating systems are meeting stakeholders’ needs. Such rating systems frequently publish conflicting ratings: Hospitals rated highly on one publicly reported hospital quality system are often rated poorly on another. This provides conflicting information for patients seeking care and for hospitals attempting to use the data to identify real […]
September 24, 2019 |  0
Look up from your stack of journals lately? You will note DNA analysis has gotten awfully popular. Mom, dad, and the rest of the clan want in and the temptation to obtain the blueprint that makes you, you has an almost hypnotic-like draw. You are curious if what grandma told you—half of your “G, C, […]
By Mark Shapiro
March 13, 2019 |  2
By: Mark Shapiro, MD, Hospitalist Medical Director at Santa Rosa Memorial Hospital; Associate Medical Director for Hospital Services with St. Joseph Health Medical Group-Sonoma County There are few experiences more formative and challenging for any hospitalist than working during a disaster. Be it natural or man-made, a disaster brings challenges that are immediate, profound, disorienting, […]
March 6, 2019 |  0
You have read constant references about ACOs (accountable care organizations) in every journal you pick up until you are blue in the face, I’m sure. You or your hospital might even be participating in one. Mostly all straight Medicare patients (the two-thirds not in Managed Medicare) are eligible for inclusion. You need two things to […]
January 28, 2019 |  6
There are so much evolution and progression with NP/PA practice. States are passing independent practice statutes for NPs; twenty-two states now allow more independent practice. Our own Institute of Medicine has acknowledged the benefit of NP/PA practice related to alleviating work shortages. And there have been rigorously controlled studies that definitively demonstrate the safety, efficacy, […]