By  | July 11, 2018 |  3
In my previous post, I discussed the challenges associated with measuring hospitalists’ patient satisfaction scores. I noted that CMS never designed the HCAHPS survey to evaluate the performance of individual providers or groups; it is only valid for assessing hospital-level performance related to patients’ experience of care. I also reviewed some structural impediments that likely […]
By  | June 26, 2018 |  2
JAMA just published the largest trial I have seen on a Hospital at Home (HAH) model to date and the first one out in the last few years. It comes from Mount Sinai in NYC–who have led the pack in this style of care if national presentations are the judge. They launched the program three […]
By  | June 7, 2018 |  0
Everywhere I go these days, one of the top questions on the minds of hospital leaders and hospitalists alike is, “How can we improve hospitalist patient satisfaction scores?” It’s a dilemma. There are people who know way more about this subject than me, but I’m not aware of anyone who has really cracked the nut. […]
By  | May 1, 2018 |  0
Prices from a chargemaster are “what a drunken billionaire would pay a hospital if his wife were not around to control the bastard.” — Uwe Reinhardt You might be asking why such an outlandish quote? Last week CMS proposed* to change the way patients see the costs of hospital bills.  So what you might utter. […]
By  | April 23, 2018 |  0
“You can teach a canary in a coal mine to meditate, but it is still going to die.” I have seen this canary sentiment as a metaphor for health care and burnout pop up a few times on Twitter recently, attributed to a couple different thoughtful doctors, including Dr. Jenny Ramsey (at Hospital Medicine 2018), […]
By  | April 3, 2018 |  0
I’m so excited that it’s (finally!) almost time for SHM’s annual conference! Last year I missed HM17 – for the first time in a dozen years – due to a death in the family, so I’ve been experiencing “annual conference withdrawal syndrome” for a long time now. There’s no cure for that, other than a […]