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Building a Better Mortality Prediction Rule
You will often hear the lament from people within and outside of the hospice and palliative care fields, that doctors are pretty bad at making effective prognostication. Patients and families frequently search for a predictable road map to understand the course they are likely on, and even when they cede the understandable uncertainty to the physician, the doctors will often reply with an unhelpful retorts like, “I don’t know what may happen. There is only one person who does.” I doubt all of those physicians are referring to Dr. Mark Cowen, but they may want to take notice of what he and his colleagues at St. Joseph...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 22, 2014 Category: Palliative Carer Workers Authors: Christian Sinclair Source Type: blogs

Looking Back on 10 Years of Palliative Medicine
by Drew RosielleJuly 1, 2006 was the day I became a staff palliative care physician at the Medical College of Wisconsin, after having completed my fellowship there. So it's been 10 years I've been doing this, and I've been reflecting a little on what's changed in those years. So here are my thoughts. I don't want to pretend all of these are profound, most of them have been said by others before, and better, but things have changed in these 10 years - I've changed - and I decided to write a little about it. Much of this is just my own perceptions of things, a lot of them are my own misconceptions probably, and I don't want ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - June 30, 2016 Category: Palliative Care Tags: opioids palliative care physician rosielle The profession Source Type: blogs

Preventive Medicine is the Key to Value-Based Care
The following is a guest article by Dr. Ed Cladera, Medical Director at AristaMD We’re amid a massive provider shortage, and it’s only getting worse. According to data from the Association of American Medical Colleges, the U.S. is on track to face a shortage of up to 124,000 physicians by 2034. As a result of being unable to access care, patients are pushing off routine health services. Neglected care comes with more complications down the line. Studies have shown that preventative care decreases the incidence of disease and patient mortality, resulting in better care outcomes. Preventive medicine proactively identifie...
Source: EMR and HIPAA - July 18, 2023 Category: Information Technology Authors: Guest Author Tags: Clinical Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System AristaMD Association of American Medical Colleges Decreasing Costs Ed Cladera MD Improving Outcomes Medicaid Medicare PCP Prev Source Type: blogs

Mystery Solved: Which Patients Are Good Candidates For Acute Inpatient Rehabilitation?
Occupational Therapy Environment, Saint Luke's Hospital, WA For most physicians who practice inpatient medicine, acute inpatient rehabilitation facilities are mysterious places with inscrutable admissions criteria. This is partly because physical medicine and rehabilitation (PM&R) has done the poorest job of public relations of any single medical specialty (Does anyone know what we do?), and also because rehab units have been in the cross hairs of federal funding cuts for decades. The restrictive CMS criteria for inpatient rehabilitation have resulted in contortionist attempts to practice our craft in an environmen...
Source: Better Health - June 16, 2014 Category: American Health Authors: Dr. Val Jones Tags: Health Policy Health Tips 60% Rule Acute Inpatient Rehabilitation Acute Rehab Admissions Coordinator Admissions Criteria Admissions Guidance ARF ARU Case Manager CMS Hospitalists Physical Medicine And Rehabilitation PM&R Rule Source Type: blogs

Hospital Pet Policy? Yes, You Can Bring Your Dog To The Hospital.
Over the last few years as a hospitalist I have had the honor of meeting some mighty fine service dogs in the hospital.  These amazing animals bring an incredible sense of happiness and independence to their chronically debilitated masters.  It's not only trained service dogs that bring such joy.   I've seen some amazing family pets, mostly dogs, brought to the bedside of the healing patient as well. I'm a dog lover.  We call our Italian greyhounds, Marty and Cooper,  our little angels!  If I ever found myself sick enough to be in the hospital, I would hope my little pups would be allowed to ...
Source: The Happy Hospitalist - January 9, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Calling an Audible: Leading Family-Centered Rounds Like a Quarterback
By: Jimmy Beck, MD, MEd, acting assistant professor of pediatrics, University of Washington School of Medicine, Division of Pediatric Hospital Medicine, Seattle Children’s Hospital Note: At the time of the study mentioned in this blog post, the author was a pediatric hospital medicine fellow at Children’s National Medical Center, Washington, DC. Despite the fact that a policy statement from the American Academy of Pediatrics published in 2003 asserted that “conducting attending physician rounds in patients’ rooms with the family present should be standard practice,” I had not experienced family-centered rounds (F...
Source: Academic Medicine Blog - July 23, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective effective teaching behaviors family members and nurses family-centered rounds interdisciplinary teams patient centered care Source Type: blogs

"Immersion Day" to Expose Hospital Board Members to Real Health Care for a Day - A Great Idea, but Why Should It Be News?
Last week, the New England Journal of Medicine published an article by Bock and Paulus describing an innovative program at Mission Health in Asheville, NC to expose health system board members to the real world of health care.(1)  The article was nice, but begged an important question: why was such a program news?The Immersion Day Program The article asserted:The U.S. health care industry has long been beset by seemingly intractable problems: incomplete and unequal access to care; perverse payment incentives; fragmented, uncoordinated care that threatens patient safety and wastes money; and much more.So the hypot...
Source: Health Care Renewal - April 7, 2016 Category: Health Management Tags: boards of trustees generic managers hospital systems hospitals managerialism Source Type: blogs

Shouldering the experiences in medicine is both a burden and an honor
I’ve been a doctor for one year. Two years of clinical rotations in medical school ill-prepared me for the reality of this job. Not that I went to bad medical school by any means; working in health care is simply something you can’t learn from a textbook or even on the sidelines as a marginally involved medical student. It is immersive. Working around death and dying individuals can be mentally and physical exhausting, especially in an acute setting like a hospital. Only a few months of residency and everyone has at least one code blue story, that time that things went so badly it would be laughable if only the result ...
Source: Kevin, M.D. - Medical Weblog - June 25, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/laura-selby" rel="tag" > Laura Selby, DO < /a > Tags: Physician Hospital-Based Medicine Source Type: blogs

Transcript for Using Machine Learning in Residency Applicant Screening
We reported one year in the paper, but we’ve done it two years now. And filled 20 spots of individuals who, for whatever reason, were not invited on the initial review. But the algorithm suggested, “Hey, this person could be an amazing fit for our program.” And what was probably the most interesting thing, and again, it’s sort of qualitative findings but was that when you asked the program directors to look back at those folks who were not invited initially, but the algorithm said, let’s give them a consideration it was often metrics related issues. Jesse Burk-Rafel: They came from maybe...
Source: Academic Medicine Blog - September 20, 2021 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast Transcript Audio AI machine learning medical education residency application resident selection RIME Source Type: blogs

Hospital Patient Chart Dropped = More Work For Nurses.
If I drop a patient's hospital chart, I would never expect someone else to put it back together.  I dropped it.  I put it back together.  I expect the same if I drop a cup of coffee all over the computers at the nurses station.  I spilled the coffee, I clean it up.   That's just my perspective.  That's why I'm surprised to see some nurses come to the rescue of the poor helpless doctor who dropped the patient's chart.  "I can clean that up for you", they say.  "Just leave it and I will put it back together", say other clerks and nurses.  It's almost as if there is a class in nurs...
Source: The Happy Hospitalist - April 3, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

From hospitalist as clinician to hospitalist as off-loader: how we've changed!
Source: Notes from Dr. RW - June 17, 2013 Category: Internists and Doctors of Medicine Tags: hospital medicine Source Type: blogs

Physician Assistant Specialty: Inpatient (Hospitalist) Medicine
What does a Hospitalist Physician Assistant do? In October, I was fortunate enough to get a week off of work to attend the California Academy of Physician Assistants annual conference in Palm Springs, California.  It was a blast, and I ran into my friend and former PA school classmate, Jevon, who is now a physician […]
Source: Inside PA Training - November 12, 2013 Category: Physician Assistants Authors: Paul Tags: Physician Assistant Specialties hospitalist Hospitalist PA inpatient PA inpatient physician assistant physician assistant specialty Source Type: blogs

Should hospitals manage hospitalist programs?
I am presently doing locum tenens shifts in a lovely community in Oregon as a hospitalist. I have been to this hospital before and was glad to return when they needed some help. I like this place and noticed on my first go around that patients got good care and that physicians and nurses all seemed to get along pretty well together. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - November 30, 2014 Category: Journals (General) Authors: Tags: Physician Hospital Hospitalist Source Type: blogs

Hospital Bans Unauthorized Nurse Bathroom Breaks
Albuquerque, NM -- Pine View Hospital on Friday started banning unauthorized nurse bathroom breaks, cutting cost in anticipation of reduced payments next year.  Officials believe the move will allow 32 projected nurse retirement positions to go unfilled and save the hospital several million dollars."Thirty-five years ago, I remember taking at least 8-10 bathroom breaks a day.  Now, I'm lucky if I get one,"  said Sandy Berrymore, an outpatient surgery nurse who made sure to tell everyone around her she was just 78 days away from retirement. Starting last week, Pine View Hospital started authorizing nurse bath...
Source: The Happy Hospitalist - November 8, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Multi-system inflammatory syndrome in children: a pediatric hospitalist ’s conversation
Them:“I have never heard of this.” Me:“That’s OK, let me explain what is going on. Your child has a condition called multi-system inflammatory syndrome in children, which we call MIS-C. We see this condition after a COVID infection where the whole body becomes inflamed, causing fevers. You get inflammation in the small bloodRead more …Multi-system inflammatory syndrome in children: a pediatric hospitalist’s conversation originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - February 23, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/whitney-bossert" rel="tag" > Whitney Bossert, MD < /a > < /span > Tags: Conditions Hospital-Based Medicine Infectious Disease Pediatrics Source Type: blogs