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Is reactive scheduling for hospitalists a good idea?
My earliest memories of medicine take me back to dinner table conversations with my mother, who is a physician. She would share with us her daily stories, telling us about patients she took care of in her clinics and in the hospital. As an internist, she often found herself traveling between many locations. I grew up knowing this to be medicine. As I have progressed in my career as a hospitalist, I have seen how physicians’ practice has evolved and changed in many ways. Some of us stick to the inpatient world, some of us the outpatient, and many still partake in the ‘traditional’ model my mother practiced in. Through...
Source: Kevin, M.D. - Medical Weblog - December 27, 2014 Category: Journals (General) Authors: Sowmya Kanikkannan, MD Tags: Physician Hospital Hospitalist Source Type: blogs
Why can’t more hospitalists and emergency physicians be friends?
One of the things that I love about my job as a hospitalist is the ease with which we can develop friendships with colleagues from other disciplines. Since I am an inpatient physician, it’s not surprising that some of my good friends are cardiologists, nurses, endocrinologists, physical therapists and, of course, other hospitalists. In fact, I met my neurosurgeon husband while co-managing his patients at the hospital. While thinking about this two years ago, I realized there were very few ED physicians on my list of friends. I was perplexed because while I interact with ED docs more than any other group of physicians, I ...
Source: Kevin, M.D. - Medical Weblog - January 6, 2015 Category: Journals (General) Authors: Sowmya Kanikkannan, MD Tags: Physician Emergency Hospital Hospitalist Source Type: blogs
It ’s time to widen the clinical footprint of hospitalists
“We are playing the same sport, but a different game,” the wise, thoughtful emergency medicine attending physician once told me. “I am playing speed chess – I need to make a move quickly, or I lose – no matter what. My moves have to be right, but they don’t always necessarily need to be the optimal one. I am not always thinking five moves ahead. You guys [in internal medicine] are playing master chess. You have more time, but that means you are trying to always think about the whole game and make the best move possible.”
In recent years, the drive toward “efficiency” has intensified on the wards. I am see...
Source: Kevin, M.D. - Medical Weblog - March 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/christopher-moriates" rel="tag" > Christopher Moriates, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs
"Discussion Of Case With Another Health Care Provider" and CMS Definition of Health Care Provider
Trying to code everyevaluation and management (E/M) visit correctly, every time, is difficult. Why? Because Medicare, by default, established rules which were vague and open to interpretation. While not a product of CMS, the Marshfield Clinic audit tool is used by many Medicare carriers to help define the medical decision making component of the E/M rules as low, medium or high. These rules are complicated. After a decade, I still use a bedsideE/M reference card I created as a reference to try and help me get my correct level of care every time.In the medical decision making (MDM) component of E/M coding there are th...
Source: The Happy Hospitalist - September 3, 2012 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
" Discussion Of Case With Another Health Care Provider " and CMS Definition of Health Care Provider
Trying to code everyevaluation and management (E/M) visit correctly, every time, is difficult. Why? Because Medicare, by default, established rules which were vague and open to interpretation. While not a product of CMS, the Marshfield Clinic audit tool is used by many Medicare carriers to help define the medical decision making component of the E/M rules as low, medium or high. These rules are complicated. After a decade, I still use a bedsideE/M reference card I created as a reference to try and help me get my correct level of care every time.In the medical decision making (MDM) component of E/M coding there are th...
Source: The Happy Hospitalist - September 3, 2012 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
5 mistakes hospitalists should avoid when starting a locum tenens position
For the last 8 years, I have worked as a locum tenens hospitalist. I began on this path when it was the least popular option upon graduation from residency.
I did countless hours of research trying to find accurate information about locum tenens companies, but never found anything written by physicians, only by the companies themselves. So, I stepped into this field blindfolded and learned the hard way. Since then, I have worked with over 16 locum tenens companies, 14 hospitals, and 8 electronic medical record systems.
Through these experiences, I’ve realized that, unfortunately, some locum tenens companies do not act w...
Source: Kevin, M.D. - Medical Weblog - June 15, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/geeta-arora" rel="tag" > Geeta Arora, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs
The failed primary care-hospitalist exchange: Who’s to blame?
Recently, I spent two days in Greenville, SC as a guest lecturer. During that trip, I had time to chat with some hospitalists. During our conversations, I explored a classic problem: the inpatient-outpatient handoff.
Talk with hospitalists and you will discover their angst about getting outpatient information on their admitted patients. Talk with primary care physicians and they echo the angst when seeing recently discharged patients.
Personally, I have experienced both sides of this conundrum. It would seem to the average person that this problem would have an easy answer.
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Source: Kevin, M.D. - Medical Weblog - September 6, 2015 Category: Journals (General) Authors: Robert Centor, MD Tags: Physician Hospital Hospitalist Primary care Source Type: blogs
Hospital Emergency Department Testing Drones To Deliver Bad News.
Newport, Connecticut - Trendy Hospital in Newport Connecticut is the first medical center in the United States to implement a drone program for delivering bad news in the emergency department.Frank Gilmore, Chief Technical Drone Operator at Trendy Hospital, says "Our beta testing results are through the roof."Drone is slang for an unmanned aerial vehicle. Their use has rapidly expanded into many facets of everyday life. At Trendy Hospital, drone use is currently limited to the delivery of bad news. "We don't want our patients associating bad news with any single physician. The risk of bad pati...
Source: The Happy Hospitalist - August 11, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Dyscrazia: A Diagnostic Conundrum Solved.
NEAR CRAZY WOMAN CREEK, WY - Hospitalists in Wyoming have discovered a remarkable illness that has eluded physicians for decades. Dyscrazia, first reported in the Journal Of Throw Away Journals, was coined by Park Ranger and Father of Native American Hospitalist Mountain Medicine, Dr Run Fast Like Bear PR, MD, MPH, FHM, PHD, PQRI, ABIM, CPOE.After years of being terrorized by nonsensical middle-of-the-night patient requests, Dr Bear hypothesized, "We always thought dyscrazia was the only rational medical diagnosis to explain why healthy women with 62 complaints but no actual medical problems would demand an or...
Source: The Happy Hospitalist - July 8, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Give and Take Medicine (Good Doctor and Nurse Humor).
Being a great doctor or nurse means learning how to give and take. Healthcare professionals are not dictators and patients are not entitled to whatever they read on the internet. Nursing and doctoring are an art of skillful negotiation with patients and their families. As professionals, doctors and nurses have an obligation to seek out the care plan that is in the best interests of their patients. The Happy Hospitalists wants all patients to know that your doctor and nurse are there for you. They are ALWAYS thinking about how to make you the most satisfied patient. They have to because ...
Source: The Happy Hospitalist - January 26, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Level 2 vs. Level 3 H & P Coding Comparison.
This lecture will assist physicians and other non-physician practitioners (NPPs) determine if their initial hospital admission note documentation meets criteria for a level 2 (mid level H&P) or a level 3 (high level H&P)evaluation and management (E/M) code. Recovery Audit Contractors will likely continue to target high level initial hospital encounters for improper payments. Physicians and other NPPs must continue to pursue documentation education to prevent accusations of overbilling and to prevent under billing for work provided. I am an internal medicine physician with over 10 years experience ...
Source: The Happy Hospitalist - April 10, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
Celebrate Banana Cream Pie Day with your friendly hospitalist
I am smart, I swear. I graduated near the top of my class in medical school, I swear. I kicked butt on the Step exams, I swear. But ask me to manage someone’s diabetes or hypertension; No, thank you! Thank God for hospitalists, a set of remarkable physicians that allow me to do my job
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Celebrate Banana Cream Pie Day with your friendly hospitalist originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - March 2, 2023 Category: General Medicine Authors: Aaron Morgenstein, MD &
