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Standard Discharge Communication Process Improves Verbal Handoffs between Hospitalists, PCPs
July 29, 2015
Clinical question: Can a standardized discharge communication process, coupled with an electronic health record (EHR) system, improve the proportion of completed verbal handoffs from in-hospital physicians to PCPs within 24 hours of patient discharge? Background: Discharge from the hospital setti
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Nomogram Predicts Post-Operative Readmission
July 29, 2015
Clinical question: Can a nomogram accurately predict a patient’s risk of post-operative 30-day readmission? Background: Medicare and Medicaid have implemented penalties for hospitals with high readmission rates.
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The Hospitalist Earns Pair of 2015 Awards for Publication Excellence for Health and Medical Writing
July 29, 2015
The Hospitalist has been honored with two 2015 Awards of Excellence in the Health and Medical Writing category from the Awards for Publication Excellence (APEX). The annual awards, presented to corporate and nonprofit publications, received 1,851 total entries, including nearly 400 entries to the
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Medical Professionalism: Its Evolution and What It Means to Hospitalists
July 29, 2015
Professionalism is an overused word in the medical industry. What exactly is meant by professionalism, and what should it mean to hospitalists?
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Antibiotic Stewardship and Hospitalists: How to Educate Patients on Antibiotics
July 29, 2015
Editor’s note: This article originally appeared on SHM’s official blog, “The Hospital Leader,” in June 2015. “Tell me what you know about antibiotics.” That’s the discussion I start with hospitalized patients all the time, right after they ask me to prescribe antibiotics for their simple cough
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Institute of Medicine Report Prompts Debate Over Graduate Medical Education Funding, Oversight
July 29, 2015
Ever since 1997, when the federal Balanced Budget Act froze Medicare’s overall funding for graduate medical education, debates have flared regularly over whether and how the U.S.
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The Difficulty of Predicting Physician Shortages
July 29, 2015
Much of the criticism directed at the IOM’s proposed revamping of federal GME funding stems from the idea that a graying population will place additional strains on a healthcare system that already is facing a significant doctor shortage. “Number one, they came out and said, ‘We don’t know that t
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Antiepileptic Drugs Reduce Risk of Recurrent Unprovoked Seizures
July 29, 2015
Clinical question: What are the updated recommendations for treating first unprovoked seizure in adults? Background: Approximately 150,000 adults present with an unprovoked first seizure in the U.S. annually, and these events are associated with physical and psychological trauma.
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New Expectations for Value-Based Healthcare
July 29, 2015
A new book by three leading hospital medicine advocates for maximizing efficiency and outcomes while managing costs and avoiding waste in healthcare—also known as value-based healthcare—offers a primer filled with practical advice for doctors and other clinicians.1 The hospitalist authors of Underst
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Experts Urge Extension to Medicaid’s Parity Program
July 29, 2015
On the last day of 2014, a provision of the Affordable Care Act (ACA) that increased payments to some physicians providing primary care services to the country’s poorest patients expired.