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, […]
January 14, 2019 |  0
“The Joint Commission – [insert name of your institution here] is in the survey window.” A message you have become accustomed to seeing every few years at your hospital–and one administrators liken to habanero sauce on a gaping cold sore. But there is something else you should know. Bet you were not aware of this […]
December 10, 2018 |  8
Seen the State of Hospital Medicine report for 2018? I have, and there is erudition galore. Here is one that has me contemplating. I was surprised to see the breakdown below. Not so long ago, I would say less than ten years, the scatter for adults was more balanced. By that I mean, the 99222 codes were […]
By Rich Bottner, PA-C; Victoria Valencia, MPH
October 16, 2018 |  0
By: Rich Bottner, PA-C and Victoria Valencia, MPH You submit an issue to your Event Reporting System and never hear back. You discuss the need for institutional improvement with your colleagues around the water cooler, but few things seem to change. Sound familiar? Instead of passively waiting for quality improvement to happen in hospitals, organizations […]