Featured blog post: A contrarian view of hospital medicine
Hospitalist Leadership Connection, July 21, 2009
I wrote several months ago about the necessity of hospital medicine. While I still think that hospitalists occupy a vital niche in the healthcare system, let’s consider a perspective that generally has not been expressed.
One of the reasons why hospitalists have become necessary is that hospitals have become unmanageable places for doctors to practice. When I finished training in 1985 and joined the medical staffs at several small hospitals, I was greeted by a vice president in each of those institutions. Each VP asked the same questions: “What can we do for you?” and “Can we buy any equipment for you?” Utilization review was rudimentary in those days; formulary controls were few and far between; and there were not many computers in nursing stations. Doctors did pretty much what they wanted to do when they wanted to do it, and hospitals catered to their whims.
These days, only a few specialists who perform highly lucrative procedures get the red carpet treatment. Case managers want to know why the patient is still here in the hospital; coding specialists look for additional diagnoses that are not fully documented; and the computerized order entry system ensures that only medications on the approved list are ordered, if you can find them.
. . .Read more of the "Contrarian View" post by Richard Rohr, MD, MMM, FACP, FHM on HospitalistLeadership.com.
Related Products
-
Medical Staff Briefing
This monthly resource acts as a support system by providing time-saving tools, expert advice, and analyses to help you...
-
Medical Staff Leader Connection
Subscribe to our weekly e-mail newsletter for medical staff leaders that provides them encouragement, tips, tools, and...
-
Tools and Strategies for an Effective Hospitalist Program
A complete soup-to-nuts guide, this book and CD-ROM set provides proven forms, schedules, and tools you need to effectively...
-
The Hospitalist Program Management Guide, Second Edition
Challenged to build and manage a hospitalist program? Overcome the challenge with the latest hospitalist program management...
-
The Surgical Hospitalist Program Management Guide:
The Surgical Hospitalist Program Management Guide: Tools and Strategies for Executives and Physicians is a first-of-its-kind...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- QA:Coding multiple initial infusions
- Capturing all necessary codes for IUD insertion and removal can be challenging
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- OB services: Coding inside and outside of the package
- HIPAA Q&A: Level of encryption needed for email
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- What does case-mix index mean to you?
- Q&A tackles coding questions about injections and infusions
- Joint Commission Center announces handoff communication solutions
- Inside best practice: Reduce patient falls with a stoplight
- Identify modifiable risk factors to prevent patient falls
- HIPAA Q&A: Level of encryption needed for email
- Searched