The Hospitalist Imperative: Alignment

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The Hospitalist Imperative: AlignmentO’Neil Pyke, MD, SFHM

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Healthcare is Changing

✚ The payers of healthcare services are moving away from a quantity based payment system to embrace patient safety and quality

✚ The new healthcare environment is demanding more accountability and higher quality of care, with an overarching goal of cutting cost

Hospital Medicine has been tasked with championing the healthcare changes within the hospital, and in many cases beyond.


What is Hospital Medicine?

Hospital Medicine:

“A medical specialty dedicated to the delivery of comprehensive medical care to hospitalized patients.” (Society of Hospital Medicine)

The HM service must present itself as a visible partner in the care of patients to complete the Inpatient Care Continuum (right).


What is a Hospitalist?

Hospitalist:

“A physician who specializes in the practice of hospital medicine. Following medical school, hospitalists typically undergo residency training in general internal medicine, general pediatrics or family practice, but may also receive training in other medical disciplines.” (Society of Hospital Medicine)


In today’s healthcare landscape, a Hospitalist must be more, do more and accomplish more with fewer

resources.


My Definition of the New Hospitalist

Hospitalist:

“A generalist (Internal Medicine or Family Practice Physician or Advanced Practice Provider) who merges a strong clinical skill set with a superior understanding of the operational components necessary to implement systems improvement and efficient coordination of patient care.”


Staffing the Service is No Longer Enough

✚ Full alignment is demanded (as it should be)

✚ Payers of healthcare services hold hospitals accountable

✚ Hospitals hold the providers accountable

✚ A Hospitalist staffing partner must meet the client hospitals where they underperform and help guide them toward innovative solutions


The key is partnership


More Engaged. Better Results.

O’Neil Pyke, MD, SFHMNational Director of Hospital MedicineDr. Pyke is a practicing hospitalist with over 14 years of clinical, administrative and advisory experience in Hospital Medicine and hospital management. He is an active member of the Society of Hospital Medicine and serves on the Practice Management Committee.

The Hospitalist Imperative: Alignment

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