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An Official Publication of
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    • In the Literature
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    • Interpreting Diagnostic Tests
    • Coding Corner
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The Life of a Task Force

The Performance and Standards Task Force (PSTF) was formed a little more than a year ago after SHM leadership recognized the need for a coordinated approach to working with external organizations in the performance and standards quality arena.

As SHM’s senior adviser for quality standards and compliance, I work with PSTF Chairman Patrick Torcson, MD, (medical director of hospital medicine at the St. Tammany Parish Hospital in Covington, La.) along with senior staff and leadership of the Public Policy Committee (PPC). We monitor the performance and quality landscape at national organizations charged with measuring development and building consensus. We also develop relationships with other professional medical societies and organizations.

Chapters Summary

Chicago

The Chicago Chapter of SHM met June 7. Attendees came from organizations such as Signature Healthcare Solutions, Advocate Healthcare, Northwestern University, and University of Chicago. The meeting began with an update from the SHM national annual meeting given by Chapter President Tarek Karaman, MD, lead hospitalist, Advocate Health Centers, and hospitalist program director, Department of Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago. This was followed by a presentation on DVT/pulmonary embolism prophylaxis and treatment from SHM board member Alpesh Amin, MD, executive director of the hospitalist program and vice chair for clinical affairs and quality in the department of medicine at the University of California, Irvine. For the first time, the chapter had a panel discussion with two primary care physicians from Northwestern University. John Butter, MD, and Sean O’Conner, MD, shared their thoughts regarding the interaction between primary care physicians and hospitalists. Ideas were given on how to strengthen working relationships between the two.

St. Louis

SHM’s St. Louis chapter met June 11. Michael Cox, MD, gave a presentation on DVT prevention and treatment followed by a presentation given by SHM CEO Larry Wellikson, MD, on the challenges and opportunities for hospital medicine. The meeting was attended by more than 50 hospitalists from the greater St. Louis area, as well as numerous hospital administrative personnel, vice presidents of medical affairs, and internal medicine residents. The presentation was well received, and numerous individuals spoke with Dr. Wellikson after the presentation. Dr. Wellikson also met with leaders of various hospitalist groups to discuss topics of interest and ways to energize the local chapter. Six hospitalist groups attended. The group discussed challenges in recruitment and in training internists to be true hospitalists.

The task force intends to be at the helm of the development of performance measures that more accurately reflect services provided by hospitalists.

HOSPITALIST MEASURES

Physician Quality Reporting Initiative measures with specifications allowing reporting by hospitalists.

  • ACE inhibitor or angiotensin receptor blocker therapy for left ventricular systolic dysfunction;
  • Oral antiplatelet therapy for patients with coronary artery disease;
  • Beta-blocker for patients with prior myocardial infarction;
  • Beta-blocker at time of arrival for acute myocardial infarction;
  • Stroke and stroke rehabilitation measures, including, deep-vein thrombosis, prophylaxis, discharge on antiplatelet therapy, anticoagulant therapy prescribed for atrial fibrillation at discharge, tissue plasminogen activator considered on arrival, screening for dysphagia, and consideration of rehabilitation services; and
  • Documentation of an advanced care plan.

Since its inception in spring 2006, the PSTF has become engaged in the American Medical Association’s (AMA) Physician Consortium for Performance Improvement (PCPI) and the National Quality Forum (NQF). The NQF is a nonprofit organization instructed by Congress to endorse consensus-based national standards for measurement and public reporting of healthcare performance data. Specifically, NQF aims to influence the development of physician-level performance measures as part of the Centers for Medicare and Medicaid Service’s (CMS) Physician Quality Reporting Initiative (PQRI).

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    The Life of a Task Force

    October 1, 2007

  • Psychiatric hospitalists diagnose, treat mental illness

    October 1, 2007

  • Flexibility Is Key

    October 1, 2007

  • Hyphenate Hospitalists

    October 1, 2007

  • 1

    Curbside Consequences

    September 1, 2007

  • 1

    A Unit-Based Approach

    September 1, 2007

  • 1

    Transitions of Care

    September 1, 2007

  • 1

    Readmission or the Egg?

    September 1, 2007

  • 1

    More Patients Pick Acupuncture

    September 1, 2007

  • Drugs and the Elderly

    September 1, 2007

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