Hospital Medicine: Perspectives, Practices and Professional Development PDF
Preview Hospital Medicine: Perspectives, Practices and Professional Development
Robert J. Habicht Mangla S. Gulati Editors Hospital Medicine Perspectives, Practices and Professional Development 123 Hospital Medicine Robert J. Habicht Mangla S. Gulati (cid:129) Editors Hospital Medicine Perspectives, Practices and Professional Development 123 Editors RobertJ. Habicht Mangla S. Gulati Department ofMedicine Department ofMedicine University of Maryland Medical System University of Maryland Medical System Baltimore, MD Baltimore, MD USA USA ISBN978-3-319-49090-8 ISBN978-3-319-49092-2 (eBook) DOI 10.1007/978-3-319-49092-2 LibraryofCongressControlNumber:2016956630 ©SpringerInternationalPublishingAG2017 Thisworkissubjecttocopyright.AllrightsarereservedbythePublisher,whetherthewholeorpart of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission orinformationstorageandretrieval,electronicadaptation,computersoftware,orbysimilarordissimilar methodologynowknownorhereafterdeveloped. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publicationdoesnotimply,evenintheabsenceofaspecificstatement,thatsuchnamesareexemptfrom therelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authorsortheeditorsgiveawarranty,expressorimplied,withrespecttothematerialcontainedhereinor foranyerrorsoromissionsthatmayhavebeenmade. Printedonacid-freepaper ThisSpringerimprintispublishedbySpringerNature TheregisteredcompanyisSpringerInternationalPublishingAG Theregisteredcompanyaddressis:Gewerbestrasse11,6330Cham,Switzerland Preface Hospital Medicine: Perspectives, Practices and Professional Development exami- nes the field of hospital medicine and provides practical guidance on how to become successful in this evolving specialty. Given the rapid growth of hospital medicineanditsimpactonthecurrentandfuturelandscapeofmedicine,thisbook offers perspectives on the healthcare system as a whole and how hospitalist and hospitalmedicineteamscaneffectivelyengagethissystemtoprovidecost-effective and high-quality care. This book applies to all levels of hospital medicine expertise and proposes approaches to help guide the trainee, early career hospitalist and those more experienced along paths toward career success. It is structured in such a way that, regardless of one’s level of experience, each reader will walk away with insights into his/her own style, knowledge, and practice that will lead to greater success. Starting with a primer on the healthcare system, this book will walk the reader through the process of self-assessment, career planning and strategies to avoid pitfalls, approaches to patient and interdisciplinary care, and administrative tasks criticaltothehospitalist.Asthebookunfolds,chaptersgearedspecificallytowards more experienced hospitalists including how to “manage from the middle” and understandingfinancialandregulatorydriversinhospitalmedicinearediscussed.In addition, there are chapters geared specifically towards considering or actively engaged inanacademicsetting including how tobeaneffectiveteacherandbegin the process of delving into research. Webelievethisbookcanserveasablueprintforsuccessinthefieldofhospital medicine. We hope you enjoy reading it and gain perspectives, practical approa- ches, and professional development skills that will contribute to you becoming a highly successful hospitalist. Baltimore, MD, USA Robert J. Habicht Mangla S. Gulati v Contents 1 Primer on the Healthcare System... .... .... .... .... ..... .... 1 Norman F. Retener and Andrew Delapenha 2 Knowing Yourself and Your Style.. .... .... .... .... ..... .... 9 Neda Frayha and Robert J. Habicht 3 Planning for a Career in Hospital Medicine .. .... .... ..... .... 25 Kathryn Novello Silva and Abel Joy 4 Common Career Pitfalls: Real-World Guidance of Common Mistakes to Avoid that May Impact a Hospitalist’s Ability to Be Successful.... .... ..... .... .... .... .... .... ..... .... 35 Christopher Jason and Himati P. Patel 5 Goal Setting: Effective Strategies to Plan for a Successful Career .... 45 Christopher Jason and Lana R. Elpert 6 Work–Life Balance and Preventing Burnout . .... .... ..... .... 55 Lana R. Elpert and Lee-Ann Wagner 7 Women in Medicine .... ..... .... .... .... .... .... ..... .... 63 Ada Ibe Offurum, Kathryn Novello Silva and Mangla S. Gulati 8 Basics of Billing and Coding: A Primer for the New Hospitalist Attending. .... .... .... ..... .... .... .... .... .... ..... .... 75 Himati P. Patel and Negin J. Ahadi 9 Incorporating Evidence-Based Medicine into Your Daily Life. .... 85 Negin J. Ahadi and Robert J. Habicht 10 Interprofessional Collaboration .... .... .... .... .... ..... .... 95 Abel Joy and Philip C. Dittmar 11 Transitions of Care. .... ..... .... .... .... .... .... ..... .... 105 Danielle Y. Baek and Nidhi Goel vii viii Contents 12 The Patient Experience.. ..... .... .... .... .... .... ..... .... 117 Brian E. Edwards and Christopher Jason 13 Consultative Medicine and Co-management .. .... .... ..... .... 125 Lee-Ann Wagner and Saverio Mirarchi 14 Introduction to Patient Safety and Quality... .... .... ..... .... 133 Mangla S. Gulati and Kathryn Novello Silva 15 Financial and Regulatory Drivers in Health Care . .... ..... .... 145 Mangla S. Gulati and Shiva K. Ganji 16 Demonstrating Value and Gaining Visibility: 13 Key Questions to Success. .... .... .... ..... .... .... .... .... .... ..... .... 159 Ada Ibe Offurum 17 Cost-Conscious Care.... ..... .... .... .... .... .... ..... .... 169 Philip C. Dittmar and Brian E. Edwards 18 Managing from the Middle.... .... .... .... .... .... ..... .... 179 Ada Ibe Offurum 19 Teaching and Feedback . ..... .... .... .... .... .... ..... .... 191 Darlene Tad-y and Ethan Cumbler 20 Engaging Others in Patient Safety and Quality Improvement. .... 203 Darlene Tad-y and Patrick Kneeland 21 Introduction to Research as an Early Career Hospitalist..... .... 215 Nidhi Goel and Robert J. Habicht Index .... .... .... .... .... ..... .... .... .... .... .... ..... .... 227 Contributors Negin J. Ahadi General Internal Medicine, University of Maryland Medical Center, Baltimore, MD, USA Danielle Y. Baek Department of General Internal Medicine, University of Maryland School of Medicine, Baltimore, MD, USA Ethan Cumbler Department of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO, USA Andrew Delapenha Department of Internal Medicine, University of Maryland Medical Center, Baltimore, MD, USA Philip C. Dittmar Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA BrianE.Edwards AshevilleHospitalistGroup,MissionMedicalAssociates,Inc., Asheville, NC, USA LanaR.Elpert DepartmentofMedicine,UniversityofMarylandMedicalCenter, UMMC, Baltimore, MD, USA Neda Frayha Department of Medicine, University of Maryland Medical Center, Baltimore, MD, USA Shiva K. Ganji Internal Medicine, University of Maryland Medical Center, Baltimore, MD, USA Nidhi Goel Departments of Medicine and Pediatrics, University of Maryland School of Medicine, Baltimore, MD, USA Mangla S. Gulati University of Maryland Medical Center, University of Maryland School of Medicine, Baltimore, MD, USA Robert J. Habicht Department of Medicine, University of Maryland Medical Center, Baltimore, MD, USA ix x Contributors Christopher Jason General Internal Medicine, University of Maryland Medical Center, Baltimore, MD, USA AbelJoy DepartmentofInternalMedicine,DivisionofGeneralInternalMedicine, University of Maryland School of Medicine, Baltimore, MD, USA Patrick Kneeland Department of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO, USA Saverio Mirarchi Department of Medicine, University of Maryland, Baltimore, MD, USA Ada Ibe Offurum Department of Medicine, University of Maryland Medical Center, Baltimore, MD, USA Himati P. Patel General Internal Medicine, University of Maryland Medical Center, Baltimore, MD, USA Norman F. Retener Department of Internal Medicine, University of Maryland School of Medicine, Baltimore, MD, USA Kathryn Novello Silva Department of Medicine, Internal Medicine Residency, DivisionofGeneralInternalMedicine,UniversityofMarylandSchoolofMedicine, Baltimore, MD, USA Darlene Tad-y Department of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO, USA Lee-Ann Wagner Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA Chapter 1 Primer on the Healthcare System Norman F. Retener and Andrew Delapenha Dr. Lane is a new graduate and has entered into the field of hospital medicine. During her limited time as a hospitalist, it has become clear to Dr. Lane that she has a gap in her working knowledge of the healthcare system as a whole. During residency, she focused most of her attention on patient care and less on under- standing the system in which she works. She is also starting to realize the impact the current healthcare system has not only on her patients but on herself as a healthcare provider. Understandingthebasicsofhealthcareandthehealthcaresystemsinwhichyou workisanimportantaspectofbeingasuccessfulhospitalist.Thischapterwillaim toprovide abrief overview of theU.S. healthcare system andintroduceyou tothe different aspects of the Affordable Care Act. The Healthcare System Before the Affordable Care Act On a basic level, the healthcare in the U.S. prior to the affordable care act was not reallyasystem,butwasamixofpublicandprivateinsuranceaswellas“safetynets” for the uninsured that has developed overtime [1]. Private companies in the U.S. coveredthevastmajorityofhealthcarecosts,accountingfor58.3 %ofthepopula- tion, compared to 26.4 % who had public insurance. The remaining 15.3 % were N.F.Retener(&) DepartmentofInternalMedicine,UniversityofMarylandSchoolofMedicine, 22SouthGreenStreet,N10W51A,Baltimore,MD21201,USA e-mail:[email protected] A.Delapenha DepartmentofInternalMedicine,UniversityofMarylandMedicalCenter, 22SouthGreeneStreet,N3E09,Baltimore,MD21201,USA e-mail:[email protected] ©SpringerInternationalPublishingAG2017 1 R.J.HabichtandM.S.Gulati(eds.),HospitalMedicine, DOI10.1007/978-3-319-49092-2_1
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