By  | July 19, 2018 |  5
So out in the varied land of hospital medicine, I have noticed something that I have no clear explanation for. It turns out there is often a gap in productivity between that of NP/PA providers and physicians. The range of the gap varies wildly – I just got off the phone with a HM group […]
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 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  | 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 […]
By  | February 26, 2018 |  2
The sudden resignation of White House staff secretary Rob Porter got me to thinking. Let me say up front this post isn’t about politics. And by the time it gets uploaded, our national ten-minute news cycle will probably have moved on to some other world crisis or titillating disclosure and people will be saying, “Rob […]