By  | August 29, 2018 |  1
By:  Chirag R. Patel, DO, SFHM, FACP The Ohio State University Wexner Medical Center [email protected] twitter.com/OSUBUCKQI Efficiency and timeliness in care are two of the Institute of Medicine’s six “Aims for Improvement”. Those are literally “million-dollar” topics for your institution, as millions are wasted annually due to throughput inefficiencies and increased length of stay. A […]
By  | August 21, 2018 |  2
By:  Richard Bottner, PA-C Hospitalist, Division of Hospital Medicine, Dell Seton Medical Center Assistant Clinical Professor, Internal Medicine, Dell Medical School at The University of Texas at Austin Alvin is a 42-year-old man who was never really given a chance. His parents both had severe alcohol use disorder. At age 12, his parents encouraged him to skip school […]
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 4, 2018 |  4
The question of appropriate ward garb is a problem for the ages. Compared to photo stills and films from the 1960s, the doctors of today appear like vagabonds. No ties, no lab coats, and scrub tops have become the norm for a number (a majority ?) of hospital-based docs—and even more so on the surgical […]
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  | March 27, 2018 |  1
There is an orange tree in our backyard planted around the birth of our first child. It thrives 11 years later, providing a plentiful bounty of fruit each winter. Nearby, a mango tree was planted when our second daughter was born. That tree never made it; the roots didn’t take hold, and it was gone […]