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Successful Change Management Strategies for Improving Diabetes Care Delivery Among High-Performing Practices
CONCLUSIONS: Top-performing primary care practices identify a similar group of strategies as important for managing change during quality improvement activities. Practices involved in diabetes improvement activities, and perhaps other chronic conditions, should consider adopting these change management strategies.PMID:37748904 | PMC:PMC10519769 | DOI:10.1370/afm.3017 (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - September 25, 2023 Category: Primary Care Authors: Kevin A Peterson Leif I Solberg Caroline S Carlin Helen N Fu Rachel Jacobsen Milton Eder Source Type: research

2024 Proposed Rule for the Quality Payment Program Released
See key changes for the Merit-Based Incentive Payment System for the 2024 performance year as outlined in the proposed rule. (Source: The Rheumatologist)
Source: The Rheumatologist - August 17, 2023 Category: Rheumatology Authors: RISE Registry Team Tags: Practice Management Quality Assurance/Improvement Medicare Physician Fee Schedule (MPFS) Merit-Based Incentive Payment System (MIPS) MIPS Value Pathways physician quality reporting Quality Payment Program (QPP) Source Type: research

SHM ’s 2023 State of Hospital Medicine Report Includes New Data
SHM’s 2023 State of Hospital Medicine (SoHM) Report contains the first data on hospital medicine groups since before the COVID-19 pandemic started in early 2020. SHM paused the normal two-year cadence of the report in 2022 out of concern about the potential validity and utility of data collected during the height of the pandemic. This year’s report shows that while many aspects of the health care system have changed over the past three years, much has remained consistent in hospital medicine. The SoHM Report defines hospital medicine industry standards and is the most comprehensive resource on hospital medicine group c...
Source: The Hospitalist - August 10, 2023 Category: Hospital Management Authors: Lisa Casinger Tags: Business of Medicine Hospital Medicine Practice Management Source Type: research

Street Medicine on the Floors: A Promising Inpatient Model
Persons experiencing homelessness (PEH) can be some of the most complex patients on hospitalists’ services. Chronic conditions such as hypertension, hypercholesterolemia, and diabetes are inadequately controlled in this population.1,2 Similarly, high rates of cancer, heart disease, chronic obstructive pulmonary disease, and geriatric syndromes, such as functional impairment, frailty, and depression, have been described.3,4,5,6 Lastly, homelessness is associated with high rates of acute-care utilization and hospital readmission and is an independent risk factor for mortality.7,8,9,10 As homelessness in the U.S. continues ...
Source: The Hospitalist - August 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Clinical Guidelines Practice Management Source Type: research

PCP Shortage Affects Hospitalists; What are the Options?
With worsening doctor shortages expected in many areas of medicine, including hospital medicine, the expected shortfall in primary care doctors is particularly sobering. A 2021 report from the Association of American Medical Colleges (AAMC) estimated that by 2034 the U.S. will have a shortage of between 18,000 and 48,000 primary care physicians (PCPs), with a shortage of non-primary care specialists between 21,000 and 77,000.1 Dr. Kaufmann Lisa Kaufmann, MD, is the medical director of the Appalachian Regional Healthcare System hospitalist program and clinical inpatient faculty at the Mountain Area Health Education Center...
Source: The Hospitalist - August 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Practice Management Source Type: research

Empathy for the Rural Hospitalist
In residency, we had derisive nicknames for the hospitals in the surrounding rural areas that would frequently send us patients. After we were notified of the transfer, we stayed on edge until the patient arrived, unclear of what was going to show up. At best they were sending us a difficult patient who was going to require a great deal of work; occasionally, as we paged through the photocopied progress notes and labs, we expressed more and more righteous indignation at the decisions that were made that I as a cocky intern never would have done. In the end, it tended to leave us feeling like we were just a dumping ground f...
Source: The Hospitalist - August 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Practice Management Transitions of Care Source Type: research

Unit Medical Directors —Liaisons Between Physicians and Nurses
Dr. McFadden A variety of health care professionals contribute to caring for patients on hospital units. “Maintaining communication and optimizing processes among these multidisciplinary team members is critical to providing the best care possible,” said Vanessa McFadden, MD, PhD, a unit-based, hospital-medicine, medical director in the department of pediatrics at Medical College of Wisconsin in Milwaukee, a free-standing children’s hospital with about 300 beds. To achieve optimum care, some medical centers have hospitalists or other physicians serve in what’s called a “unit medical director” position. Dr. Mc...
Source: The Hospitalist - August 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Leadership Practice Management Source Type: research

The Value of Cultural Exchange in Health Care
On a Tuesday in February 2002, a happy little boy left home for school. Two hours later, he started feeling unwell, and his parents were called to pick him up. The next day, he insisted on going back to school, even though he was still unwell, and his parents allowed him. He got worse and was picked up early again and taken to the hospital. Heartbreakingly, he passed away the next day, on Thursday morning. That little boy was my younger brother, and he was only 12 years old. I was devastated and could not process what had happened. He was young, full of life and energy, and smart! In fact, I believe he was the smartest in ...
Source: The Hospitalist - August 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Diversity in Medicine Practice Management Source Type: research

Incidence and prevalence of alopecia areata in the Australian primary care setting: A retrospective analysis of electronic health record data
CONCLUSION: This is the first study to describe the epidemiology (incidence and point prevalence) and management of AA in the Australian primary health-care population through large-scale database analysis. Incidence and prevalence findings were consistent with earlier estimates from other regions.PMID:37408523 | DOI:10.1111/ajd.14126 (Source: The Australasian Journal of Dermatology)
Source: The Australasian Journal of Dermatology - July 6, 2023 Category: Dermatology Authors: R Sinclair S Eisman W Song B Heung C Surian C M Y Lee D Witcombe Source Type: research

Management of Acromioclavicular Joint Injuries
There has been a rapid evolution in best practice management of acromioclavicular (AC) joint injuries. AP, Zanca, scapular Y, and dynamic axillary radiographic views provide optimal visualization of the joint and may assess for the presence of horizontal AC instability. Severity of AC joint pathology is classified according to the 6-tier Rockwood scoring system. Over 160 surgical techniques have been described for AC joint repair and reconstruction in the last decade; as a result, determining the optimal treatment algorithm has become increasingly challenging secondary to the lack of consistently excellent clinical outcome...
Source: Clinics in Sports Medicine - July 6, 2023 Category: Sports Medicine Authors: Liam A. Peebles, Ramesses A. Akamefula, Matthew J. Kraeutler, Mary K. Mulcahey Source Type: research