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Featured blog post: The direct approach

Hospitalist Leadership Connection, October 5, 2010

An interesting discussion took place on the American College of Physician Executives listserv recently. Someone posted a question about guidelines for accepting direct admissions to the hospitalist service from physician offices. I have always been wary of this practice because the patients are often too sick to be sitting in the admitting office or not sick enough to be in the hospital at all. The responses to the question were very illuminating and caused me to alter my thinking in this area. Some hospital medicine groups find that direct admissions work well for them and are an excellent way to draw referrals from primary physicians. Others feel that very careful screening is needed to avoid negative outcomes. . . Read more of this blog post by Richard Rohr, MD, MMM, FACP, FHM, on MedicalStaffLeader.com.

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