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SHM ’ s New President, Dr. Thompson, Talks about the Future
Dr. Thompson In February of 2019, I wrote The Amazing Work We Get To Do 10 months before the first case of COVID-19 at Providence Everett in Washington was diagnosed. In that article, I wrote of the evolving health care landscape in our country, the opportunities ahead, and how “our hospital medicine workforce is innovative, diverse, tech-savvy, and poised for leading.” It’s unreal to think about what’s happened since then. On a personal note, I moved back to my home state in the Northwest to develop an acute care division. Within a year, it was facing previously unimaginable events head-on. We were at the epi...
Source: The Hospitalist - May 2, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Leadership Training Practice Management Source Type: research

SIG Spotlight: Hospital Medicine Administrators
The opening minutes of the monthly online gathering for SHM’s Hospital Medicine Administrators (HMA) Special Interest Group (SIG) can sound more like a support group than anything else. “We go around checking in,” said chair Elda Dede, MPA, FHM, a hospital medicine administrator with the University of Kentucky in Lexington, Ky. “’How are things in your practice?’ And we share all the crises and victories—and how it’s going and how we’re handling it. This is our time to seek solutions and exchange best practices.” Really, that’s the point. SHM has 27 SIGs that are designed to “create communiti...
Source: The Hospitalist - May 2, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Source Type: research

Hospitalists Talk about Rebuilding Trust in Health Care
We present three elements that bolster trust: compassion, competence, and credibility. These exist on both interpersonal and organizational levels. Trust in health care has gradually eroded in the U.S. over the last four decades. While 80% of Americans showed confidence in the medical system in 1975, only 37% expressed confidence in 2015, a dramatic fall of more than 50%.2 And, the U.S. ranked 24 out of 29 in patients agreeing with the statement “all things considered, doctors in the U.S. can be trusted.”3 These pre-pandemic reports on public trust were an augury of signs to come. Dr. Mathews The cause for this ste...
Source: The Hospitalist - May 2, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Hospital Medicine Leadership Training Practice Management Source Type: research

SHM Advocates for Hospitalists and Their Patients
Advocacy, simply put, is the act of pleading or arguing in favor of something. It’s raising the concerns and voices of a group to efficiently influence decisions and affect change within political, economic, and social institutions. This is exactly what SHM has been doing on behalf of its members and their patients for decades. Often the process and results of advocacy go unseen and seem to move at a snail’s pace. Regardless, SHM staff and volunteer clinician members of SHM’s public policy committee (PPC) constantly find effective ways to combat issues that negatively impact hospitalists’ ability to deliver high-...
Source: The Hospitalist - May 2, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Advocacy Business of Medicine Career Health Policy Medicare Source Type: research

Practical Considerations in the Administration of Aducanumab for the Neurologist
Aducanumab (Aduhelm), developed by the biotechnology firm Biogen in Cambridge, MA, was approved using the less common accelerated approval pathway by the Federal Drug Administration (FDA) reserved for treatments that fill a significant unmet need.1 Its approval on June 7, 2021, has been met with an outpouring of opinions from prescribers, insurers, advocacy groups, and hospital systems regarding its risk-benefit profile.2-4 Originally approved for all forms of Alzheimer disease (AD), the FDA updated aducanumab's labeling on July 8, 2021, for "treatment in patients with mild cognitive impairment (MCI) or mild dementia stage...
Source: Neurology Clinical Practice - April 12, 2022 Category: Neurology Authors: Coerver, K., Yu, M. M., D'Abreu, A., Wasserman, M., Nair, K. V. Tags: Alzheimer's disease, All Practice Management, Practice Current Commentary Source Type: research

SHM ’ s Leadership Academy
Invest in yourself and the leader you want to be SHM’s Leadership Academy was created to address an education gap common among physicians—leadership skills. These skills are not uniformly taught in medical school or post-graduate training programs but they’re vital to the success of aspiring hospital medicine leaders. In this article, we share insights on the value of Leadership Academy via shared experiences of participants and faculty. Insight from a PA Dr. Gadalla Ilaria Gadalla, DMSc, PA-C, associate professor, interim assistant dean, physician assistant (PA) department chair, South University, West Palm Beach,...
Source: The Hospitalist - April 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Leadership Training Practice Management Source Type: research

Drinking from the fire hose of emerging medical literature
We’ve all said to ourselves hundreds of times, “I need to stay more up to date on the medical literature.” For hospitalists with ever-increasing patient care and administrative responsibilities, it can be challenging to keep up with the updates in our field. If you, like us, have the best intentions but sometimes find yourself falling behind on medical literature and expert recommendations, we want to share tips and resources to help you stay current without being overwhelmed. The volume of medical literature has grown exponentially; even more so because of the pandemic. Despite the overwhelming amount of information...
Source: The Hospitalist - April 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Leadership Training Practice Management Source Type: research

The Business of Employed Plastic Surgery: Creating Your Seat at the Table
Conclusions: A surgeon’s ability to present objective financial data and develop leadership roles within the hospital system can lead to a favorable outcome for both physician and hospital. An objective dialogue with hospital administration is critical and offers an avenue to negotiate the development of your practice. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - April 1, 2022 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Business & Practice Management Source Type: research

Overview of cardiothoracic surgeon compensation: practice setting, productivity, and payment structures
Ann Thorac Surg. 2022 Mar 22:S0003-4975(22)00353-8. doi: 10.1016/j.athoracsur.2022.02.061. Online ahead of print.ABSTRACTThe Centers for Medicare and Medicaid Services recently proposed a substantial cut to reimbursement for surgical services, punctuating a steady decline in reimbursement for clinical services provided by cardiothoracic surgeons over the last several decades. Meanwhile, the costs of practicing cardiothoracic surgery continue to increase. In an effort to defect against diminishing control over patient care and further negative changes affecting reimbursement, cardiothoracic surgeons must be able to convinci...
Source: The Annals of Thoracic Surgery - March 26, 2022 Category: Cardiovascular & Thoracic Surgery Authors: J Michael DiMaio John J Squiers Linda W Martin Jennifer C Romano Shanda H Blackmon STS Workforce on Practice Management Writing Task Force Source Type: research

It ’ s time for a change
Much has been written about the challenges frontline health care workers have faced during the COVID-19 pandemic. Long hours, excessive death, and fear for one’s own safety and the welfare of family and colleagues have been a consistent theme over the past 22 months. Physicians and nurses started as heroes, but due to strained politics and social-media misuse, they’re now branded by a substantial swath of society as pariahs and purveyors of a medical hoax. The timing of this pandemic could not have been worse: According to the Medscape National Physician Burnout & Suicide Report 2021, 79% of physicians stated their...
Source: The Hospitalist - March 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Business of Medicine COVID-19 Hospital Medicine Practice Management Source Type: research

Team players or lone fighters? Importance and utilization of practice staff in primary care dementia detection
CONCLUSIONS: Practice staff can provide invaluable support when it comes to the timely and consistent detection of incipient dementia in general practice. In addition to sensitizing GPs and optimizing practice management, targeted training with regard to geriatric issues will be instrumental in achieving this. Accordingly, more advanced training formats should be developed that are tailored to the perspective of practice employees and convey important dementia-specific diagnostics, action and communication skills.PMID:35190285 | DOI:10.1016/j.zefq.2021.12.009 (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - February 22, 2022 Category: Health Management Authors: Julian Wangler Michael Jansky Source Type: research