‘Hospitalists’

  List of Contents  

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Definitions, introduction  

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Utilization of hospital services

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Core competencies

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Objectives of a hospitalist program

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Primary physician concerns 

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Utilization of hospital services by hospitalists 

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Pediatric/Neonatal hospitalist programs

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Interactions between hospitalists and ED physicians

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Lessons learned (or should be learned)

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Starting a program - process example

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Laboratory Reports – failure to review and act on results

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Hospitalist Policy - example

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Intensivists; ICU discharge planning  

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Nocturnists 

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Observation unit care

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Rapid Response Teams (RRT)

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Hospitalist program model in a SNF

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Hospitalist job descriptions

bulletHand-held cCardiac ultrasound examination
bulletTreadmill te Treadmill Stress Tests (ETTs) by hospitalists;
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Performance standards

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Program manual 

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Hospitalist discharge dictation for medical record - responsibility 

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Hospitalist - post-discharge transitional management of care

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Work loads

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Patient ‘handoffs’ (SBAR, checklists, resources)

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Position qualifications  

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End-of-life Care Decisions;

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Observation care unit - hospitalist management;

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PICC/Medical Procedures Teams - hospitalist model

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Co-management by hospitalists of surgical patients

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Hyperbaric chamber therapy - supervision and management

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Pediatric Hospitalists

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Obstetrical Hospitalists ('Laborists')

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Robot rounders

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Education re: Hospitalist programs for Patients, Others

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Explanatory letter to patients re: hospitalist program  

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Hospitalist recruitment 

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Collecting charge data

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Compensation; Pay for Performance

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Legal Issues

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Quality Issues: Weekend admits; Pneumonia management;

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Job description example: Group Director of Business Operations, Hospitalists Services;

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Medical Records; Chart audit form

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References

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Resources

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Web Sites, Hospitalist-related

Hospitalist: Physician whose primary professional focus is the general medical care of hospitalized patients. Hospitalists may engage in clinical care, teaching, research or leadership in the field of general hospital medicine.

National Association of Inpatient Physicians

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"If you keep doing what you’ve always done, you’ll keep getting what you’ve always got."

Peter Francisco