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…

Physicians Giving Medical Advice to Friends: Context is Key

When is it okay for a physician to give professional advice to a family or friend? That was the thrust of a study by researchers from the Care and Public Health Research Institute at Maastricht University of the Netherlands, who conducted…

Making the Business Case to Address Physician Burnout

As widespread exposure and news coverage continues on physician burnout, three researchers wanted to understand the economics of the problem and offer a possible solution. Called the Business Case for Investing in Physician Well-Being, the…

Interdepartmental Clinical Care Teams: Germinating in Colleges

Could the future of interdepartmental clinical care teams be germinating in colleges around the U.S.? As hospitals and other healthcare organizations continue to strive for the “triple aim” of improved population health, lower costs and…

Physicians and the Workaholic or Type A Personality

Do physicians themselves identify with the personality traits often ascribed to physicians, such as being a “workaholic, Type A, and “control freak”? It seems they do. In a study in 2014, researchers sent a questionnaire to nearly…

Weekend Continuity of Care and Length of Stay

 In a 2014 study, researchers wanted to evaluate the association between attending physician continuity of care on weekends and clinical outcomes. They wanted to know -- could increased length of stays be the result of delays in clinical decision-making,…

The Ongoing Challenge of Patient Handoffs

Are patient handoffs getting better? Considerable effort has been made to improve handoffs in the past several years, including using technology and programs like I-PASS, the mnemonic technique to help standardize the handoff process. But…