Synergistic strategies: Optimizing outcomes through a multidisciplinary approach to clinical rounds
Proc (Bayl Univ Med Cent). 2023 Dec 20;37(1):144-150. doi: 10.1080/08998280.2023.2274230. eCollection 2024.ABSTRACTMultidisciplinary rounds (MDR) constitute a patient-centered care model wherein professionals from diverse disciplines collaborate in real time to provide specialized expertise. The MDR team, encompassing care partners, hospitalists, nurses, pharmacists, and more, employs a collaborative approach that optimizes patient care through shared goals, electronic record access, regular reviews, and patient involvement. MDRs have evolved to reduce patient mortality, complications, length of stay, and readmissions, and...
Source: Baylor University Medical Center Proceedings - January 4, 2024 Category: Universities & Medical Training Authors: Varsha Srinivas Udit Choubey Jatin Motwani Fnu Anamika Chaitanya Chennupati Nikita Garg Vasu Gupta Rohit Jain Source Type: research
Synergistic strategies: Optimizing outcomes through a multidisciplinary approach to clinical rounds
Proc (Bayl Univ Med Cent). 2023 Dec 20;37(1):144-150. doi: 10.1080/08998280.2023.2274230. eCollection 2024.ABSTRACTMultidisciplinary rounds (MDR) constitute a patient-centered care model wherein professionals from diverse disciplines collaborate in real time to provide specialized expertise. The MDR team, encompassing care partners, hospitalists, nurses, pharmacists, and more, employs a collaborative approach that optimizes patient care through shared goals, electronic record access, regular reviews, and patient involvement. MDRs have evolved to reduce patient mortality, complications, length of stay, and readmissions, and...
Source: Baylor University Medical Center Proceedings - January 4, 2024 Category: Universities & Medical Training Authors: Varsha Srinivas Udit Choubey Jatin Motwani Fnu Anamika Chaitanya Chennupati Nikita Garg Vasu Gupta Rohit Jain Source Type: research
Clinical progress notes: ACC/AHA/HFSA 2022 heart failure guideline pearls for hospitalists
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - January 4, 2024 Category: Hospital Management Authors: Prateeti Khazanie,
Mel L. Anderson Tags: PROGRESS NOTES Source Type: research
“Can you help me think this through?” How pediatric hospitalists learn from informal peer consultation
AbstractInformal peer consultation (IPC), also called curbside consultation, is a common practice in medicine. Research has shown that physicians use IPC but how this learning occurs during the process has not been studied. This basic qualitative study describes how pediatric hospitalists learn during IPC, framed by Kolb's (2015) Experiential Learning Theory of Growth and Development. Eleven pediatric hospitalists were interviewed. Deidentified transcripts were coded for key themes using inductive methods. The main prompt for informal peer consultation was the perception of uncertainty. Three themes describe the learning p...
Source: Journal of Hospital Medicine - January 3, 2024 Category: Hospital Management Authors: Laura B. O'Neill,
Priti Bhansali,
Ellen Goldman Tags: BRIEF REPORT Source Type: research
Clinical progress notes: ACC/AHA/HFSA 2022 heart failure guideline pearls for hospitalists
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - January 3, 2024 Category: Hospital Management Authors: Prateeti Khazanie,
Mel L. Anderson Tags: PROGRESS NOTES Source Type: research
Coding Corner: Billing for Straightforward Pneumonia in a Hospitalized Patient
A 64-year-old woman with a history of heart failure with reduced ejection fraction (HFrEF) was admitted to the hospital with decompensated heart failure one day ago. On day two, the patient is still short of breath and now develops a temperature of 100.9 degrees F. You order blood cultures, urinalysis (UA), and a chest X-ray. You review the UA and personally review the chest X-ray with findings documented that reveal left lower lobe pneumonia. Complete blood count and basic metabolic panels from the same day are also reviewed. The patient’s oxygen saturation is 92% on room air.
You start intravenous ceftriaxone and oral ...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Business of Medicine Clinical Guidelines Coding Source Type: research
Message from Dr. Eric Howell: The SoHM Annual Report
This report has been a key resource for many years on hospital medicine group composition and finances, including salary and hospital financial support. Hospitalists now earn as much as $323,500 annually!
But just as importantly, given the pivotal role played by hospitalists during the COVID-19 pandemic, SHM deployed a new, first-ever Workforce Experience Survey which captured patient load, perceived safety, and hospitalist well-being.
With more than 560 survey responses, there was a mixed picture of how hospitalists are doing. About 68% of respondents reported feeling at least some burnout, but at the same time, 86% repo...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Advocacy Leadership Source Type: research
Message from Dr. Eric Howell: The SHM Annual Report
This report has been a key resource for many years on hospital medicine group composition and finances, including salary and hospital financial support. Hospitalists now earn as much as $323,500 annually!
But just as importantly, given the pivotal role played by hospitalists during the COVID-19 pandemic, SHM deployed a new, first-ever Workforce Experience Survey which captured patient load, perceived safety, and hospitalist well-being.
With more than 560 survey responses, there was a mixed picture of how hospitalists are doing. About 68% of respondents reported feeling at least some burnout, but at the same time, 86% repo...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Advocacy Leadership Source Type: research
Hospitalists Discover Research Can Extend Their Patient Care Impact
Through their integral role in patient care, hospitalists are uniquely situated to identify problems on medical wards and to design research interventions to address these issues. Clinicians who’ve gone down this path have found it incredibly rewarding but emphasize that education and mentoring are crucial steps to research success.
Looking at why
Dr. Bonafide
A research career for hospitalists starts with the question, “Why?” Researchers often share three common characteristics: curiosity, attention to detail, and creativity, according to Chris Bonafide, MD, MSCE, (@chris_bonafide), associate division chief for re...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Career People in HM Source Type: research
SHM Chapter Leaders Look Forward in New Year
New years typically start with goals and preparations for things to come. We caught up with several SHM chapter leaders and asked about their chapters’ goals, what they’re looking forward to (professionally and/or personally), and what they think the biggest challenge in health care will be for 2024. Here’s what they had to share.
Atlanta chapter president Mohamad Moussa, MD, SFHM
Hospitalist at Emory University in Atlanta, and site director of Emory Johns Creek Hospital in Johns Creek, Ga.
Dr. Moussa
Chapter goals: Our goal is to expand our reach by intentionally planning meetings with academic sessions outside th...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Chapters Leadership Source Type: research
How Do You Ethically Integrate a GIP Hospice Service into the Hospital?
Case
An 86-year-old female with a history of metastatic pancreatic cancer and diabetes was admitted for chest pain and dyspnea and found to have an acute pulmonary embolism. The hospital course was complicated by gastric outlet obstruction. She continued to decline despite maximal medical intervention and required intravenous hydromorphone every two hours and scheduled intravenous antiemetics every six hours, despite a nasogastric tube to suction. The patient lacked the capacity to make medical decisions, so her son was assigned durable power of attorney. During goals-of-care conversations, the patient’s son felt this on...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Clinical Guidelines Uncategorized Source Type: research
Budgeting Tips: Keeping Division Finances on Track
Dr. Brotman
For a hospitalist, managing a budget shouldn’t be that much different than maintaining a household budget. “Ideally, you should know approximately how much income you’ll generate and how much you expect to spend on a monthly or quarterly basis, and these numbers need to roughly match up,” said Daniel J. Brotman, MD, FACP, MHM, director of the division of hospital medicine at Johns Hopkins Hospital, an urban academic medical center with more than 1,000 beds at Johns Hopkins University in Baltimore.
Dr. Bonsall
Most commonly, a hospital-medicine group leader who makes staffing decisions and creates sta...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Business of Medicine Career Practice Management Source Type: research
SIG Spotlight: Health IT
The world of 2024 isn’t your grandfather’s health information technology (IT). Heck, it’s not even the world that existed when the first iPhone debuted in 2007.
The breakneck pace of health IT in the past decade-plus—from electronic health records (EHR) to telemedicine to ChatGPT and beyond—makes keeping abreast of the latest best practices a challenge.
Say hello to the Health IT Special Interest Group at SHM. Launched in 2018 as one of the original SHM committees to transition to a SIG, the group has 564 members focused on navigating the ever-evolving landscape.
Dr. Patel
“This is day-to-day work that hospit...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Career SIGs Source Type: research
Chapter Spotlight: Hampton Roads
The Hampton Roads chapter of SHM in southeastern Virginia was long run by Dr. Thom Miller, so a few years ago when he recruited Gwendolyn Williams, (@GwentheDoctor), MD, FHM, as his successor, she felt she had big shoes to fill.
Dr. Williams
Well, in her first year, the chapter won a 2022 Platinum Excellence Award and a District 4 Shining Star Award. And she personally won the Unsung Hero Award (for which her board nominated her behind her back).
“You feel this sense of honor and pride,” Dr. Williams said. “You should feel a sense of honor and pride when you take over. You want to make it greater and more amazing. ...
Source: The Hospitalist - January 2, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Chapters Source Type: research
