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…
Nursing workloads could use a fix

CMO Brief: Continuity and Patient Satisfaction

Last time, we began to talk about continuity of care and the lessons we as hospitalists may be able to learn from the outpatient world.  We’re going to continue to talk about the outpatient world to see what we glean from it today, focusing…

CMO Brief: Continuity of Care

Awhile back, I wrote about hospitalists truly being PCPs in the hospital by improving long-term continuity of care in the hospital setting.  Let’s explore that a little bit more. While there is not much data on long-term continuity of…
Charge INFUSION automatically converts infusion therapies into billable codes.

MedAptus’ Automated Charge Infusion Coding Solution – Charge INFUSION - Now Available in Epic App Orchard

The only computer-generated and fully automated charge infusion coding solution in healthcare today is now available in the Epic App Orchard. Charge INFUSION from MedAptus automatically pulls infusion encounters residing in Epic – including…

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…
clinical implementation consultant

Team-based Care and Physician Burnout

Can high-quality, team-based care be one of the solutions for clinician burnout? That’s what a group of researchers wanted to understand in a recent review of the literature. While they found that the relationship is not as well-defined…
Nursing workloads could use a fix

Predicting Patient Acuity

Can Accurate Predictions Be Made Using a Mathematical Model? Predicting patient acuity would be a powerful tool for any hospital, especially for nurses. But is it possible? Can estimations and predictions for the care of patients be produced…

Physician Burnout and Unsafe Patient Care

Is physician burnout associated with low-quality, unsafe patient care? In a meta-analysis of 47 studies on 42,473 physicians, researchers found that physicians with burnout were twice as likely to be involved in patient safety incidents.…

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…
Patient assignment software can improve care.

EHRs and Easy Access to Information for Physicians. Not Quite

More health information may be collected than ever before, but that doesn't mean it's accessible to physicians. In a recent study of 300 physicians by Surescripts, only one-half of U.S. physicians said they were very or extremely satisfied…

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…

Physicians Interrupting Patients

According to a new study, physicians only spend 11 seconds on average listening to patients before interrupting them. Also, only one in three physicians provides their patients with an adequate opportunity to describe their situation. Those…

Physician Burnout Responsible for Medical Errors

A recent study published in the Mayo Clinic Proceedings indicates that physician burnout is at least equally responsible for medical errors as unsafe medical workplace conditions, if not more so. The study was led by researchers at the…

Values Congruence and Physician Burnout

Substantial research exists that suggests when employees hold values that match the values of their employer, those employers are satisfied with their jobs, identify with the organization, and see to maintain the employment relationship. For…
Physician burnout survey continues to show it's a major problem in healthcare

CMO Brief: Physician Burnout and My Perspective

I‘ve been thinking about burnout quite a bit lately (mostly in relation to my own career), but I think that there are lessons that are more broadly applicable, so I figured I’d share over the next few posts. I began my hospitalist career…
Patient assignment software can improve care.

The Underlying Cause of Physician Burnout

In a recent opinion article in JAMA Psychiatry, authors Frederick Seacrest Southwick, MD, and Steven Mark Southwick, MD, suggest that loss of control may be the underlying cause for physician burnout and stress. The effects of stress and…
Physician burnout survey continues to show it's a major problem in healthcare

The Inherent Weaknesses of the Manual Patient Assignment Process

Ever since the emergence of hospitalists 20 years ago, the process of assigning patients to physicians has been an operational staple in hospital medicine. In fact, it hasn’t changed much in those years. A person or group (which could be administrative…

Charbonneau Named Vice President of Implementation Services

Malachi Charbonneau has been named Vice President of Implementation Services at MedAptus. Charbonneau is responsible for  building and leading a highly effective cross-functional implementation team which prides itself in delivering value…