Workload Management

Had a very interesting discussion here on day #2 of the SHM Leadership Academy.  I was speaking with a potential client of our ASSIGNCARE product suite, and to continue the theme from yesterday, we were discussing workload management. About…

Workload Balancing

I’d like to take a quick break from our series on physician inertia to discuss one of the more interesting things I’ve learned exhibiting at SHM Leadership Academy taking place right now in Nashville.  At this gathering, hospitalist leaders…

Slow to Change - Part 2

It is a commonly held belief that medicine (being inherently conservative with the lives of patients at risk) is quite slow to change.  It is often cited that it takes 17 years for research evidence to reach clinical practice.  While the estimate…

Slow to Change - Part 1

I was reading the Journal of Hospital Medicine the other day, and after enjoying the Things We Do For No Reason column again (which is one of my very favorite things to read, given an unfortunate contrarian bias I have), I began to look at all…

Inertia and Its Impact on Patients

Is inertia in medical practices harming or helping patients?   According to the Journal of Hospital Medicine, physicians believe that medical practices are in a state of inertia. The inactivity of advancement in medicine can potentially…

Physicans Workflow Interrupted Every 11 Minutes, According to Study

Could workflow interruptions be one more reason for physician frustration and burnout? They could if they’re being interrupted five times an hour. That’s the conclusion reached by a group of researchers who studied physicians in Germany.…
MedAptus | Charge Capture

CMO Brief: Continuity and Length of Stay (LOS)

As we continue our ongoing series on continuity of care, it’s time to start looking at the data on the impact of continuity of care on metrics that matter to us.  One of the biggest drivers of costs in the hospital, and thus a prime concern…

“Waterfall” Shifts Improve Hospital Efficiencies

Could “waterfall” shifts improve hospital medicine operations, including reducing cognitive workloads and increase collaboration? A recent study of a busy pediatric emergency department may provide some clues. The Seattle Children’s…

CMO Brief: Inpatient Continuity of Care

Last time, we completed our discussion of the impact of outpatient continuity of care, so now we’ll begin to look at the available literature on inpatient continuity of care.  This is not as well studied as the outpatient world, so we have…

5 Principles of High-Performing Healthcare Teams

Many value-based payment models that are gaining traction in healthcare are built on the premise that team-based care improves outcomes. But does it? The evidence suggests it does. For example, a 2015 review of 52 studies of team-based…