The Growing  Importance of   Hospitalists With guest speaker John Fani Srour, MD Instructor in Medicine Harvard Medical Sc...
Growing Importance of the Hospitalists <ul><li>PCPs are much less involved in inpatient care </li></ul><ul><li>Super speci...
Growing Importance of the Hospitalists  (cont’d) <ul><li>2003 survey: 39% of the 813,248 community hospital beds are at ho...
Growing Number of Hospitalists Lurie,  Am J Med , 1999 Number of U.S. Physicians
What Do Hospitalists Do?
Training Required  <ul><li>Medical School </li></ul><ul><li>3 years of internal medicine residency training (some programs...
Hospitalists’ Specialties <ul><li>General IM only 82% </li></ul><ul><li>Subspecialty IM 4% (Nephrology, ID, etc) </li></ul...
Involvement in Patient Care  <ul><li>Hospital Care </li></ul><ul><li>Peri-Operative Care </li></ul><ul><li>Palliative Care...
Hospital Care/Types of Medical Cases We Handle  <ul><li>•  Pneumonia </li></ul><ul><li>•  Acute heart failure </li></ul><u...
<ul><li>Acute stroke and related complications </li></ul><ul><li>Cellulitis and soft tissues infections </li></ul><ul><li>...
Influence in Drug Utilization Policies  <ul><li>Most hospitalist are involved in committees including hospital pharmacy co...
Medications We Use… <ul><li>Antibiotics </li></ul><ul><li>Anticoagulants (blood thinners) </li></ul><ul><li>Heart medicati...
Our Challenges  <ul><li>•  High expectations </li></ul><ul><li>•  Cost reduction </li></ul><ul><li>•  Reduce LOS </li></ul...
Dilip Phadnis - Director, New Product Development, HRA Hospitalists— A syndicated study now available from HRA Research <u...
Hospitalists— A syndicated study now available from HRA Research Contact Your HRA Representative Today to Inquire About th...
Tips for Pharmaceutical Representatives  <ul><li>Hospital Medicine is the fastest growing specialty in the U.S </li></ul><...
How and when to reach any hospitalists  <ul><li>Clinical work: one week on and one week off  </li></ul><ul><li>Week off:  ...
Hospitalists— A syndicated study now available from HRA Research Contact Your HRA Representative Today to Inquire About th...
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HRA "The Growing Role of Hospitalists"

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HRA "The Growing Role of Hospitalists"

  1. 1. The Growing Importance of Hospitalists With guest speaker John Fani Srour, MD Instructor in Medicine Harvard Medical School Department of Internal Medicine Hospital Medicine Program at Beth Israel Deaconess Medical Center Boston presents…
  2. 2. Growing Importance of the Hospitalists <ul><li>PCPs are much less involved in inpatient care </li></ul><ul><li>Super specialists </li></ul><ul><li>Overcrowded ERs/hospitals </li></ul><ul><li>Increased cost pressures on hospitals/practices </li></ul><ul><li>Sicker and older patients </li></ul><ul><li>Complex hospital systems (committees, administration) </li></ul><ul><li>24h (in house) MD availability </li></ul><ul><li>Medical errors </li></ul>
  3. 3. Growing Importance of the Hospitalists (cont’d) <ul><li>2003 survey: 39% of the 813,248 community hospital beds are at hospitals with HM Groups </li></ul><ul><li>2003 survey: 51% of teaching hospitals have hospitalists </li></ul><ul><li>Near future: all except small hospitals (teaching and non teaching) will have hospitalists </li></ul>
  4. 4. Growing Number of Hospitalists Lurie, Am J Med , 1999 Number of U.S. Physicians
  5. 5. What Do Hospitalists Do?
  6. 6. Training Required <ul><li>Medical School </li></ul><ul><li>3 years of internal medicine residency training (some programs have hospital medicine tract included in the 3 yrs) </li></ul><ul><li>Some do 1 year of GIM fellowship (mostly research) </li></ul><ul><li>ABIM moving forward with “Focused Recognition in Hospital Medicine” </li></ul><ul><li>SHM recognition: FHM, SFHM, etc </li></ul>
  7. 7. Hospitalists’ Specialties <ul><li>General IM only 82% </li></ul><ul><li>Subspecialty IM 4% (Nephrology, ID, etc) </li></ul><ul><li>TOTAL Internal Medicine 86% </li></ul><ul><li>Pediatric Training 9% (Pediatric Hospitalist) </li></ul><ul><li>Internal Medicine-Pediatrics 2% </li></ul><ul><li>Family Practice 3% </li></ul>
  8. 8. Involvement in Patient Care <ul><li>Hospital Care </li></ul><ul><li>Peri-Operative Care </li></ul><ul><li>Palliative Care </li></ul><ul><li>Critical Care </li></ul><ul><li>Quality Improvement </li></ul><ul><li>Hospital Committees including pharmacy committees </li></ul>
  9. 9. Hospital Care/Types of Medical Cases We Handle <ul><li>• Pneumonia </li></ul><ul><li>• Acute heart failure </li></ul><ul><li>• COPD/emphysema exacerbation </li></ul><ul><li>• Pulmonary embolism/DVT </li></ul><ul><li>• Gastrointestinal bleeding </li></ul><ul><li>• Acute asthma </li></ul><ul><li>• Diabetic complications </li></ul>
  10. 10. <ul><li>Acute stroke and related complications </li></ul><ul><li>Cellulitis and soft tissues infections </li></ul><ul><li>Pyelonephritits (UTIs) </li></ul><ul><li>Altered mental status/delirium </li></ul><ul><li>Chest pains including myocardial infarctions </li></ul><ul><li>Abdominal pain </li></ul><ul><li>Acute and chronic pancreatitis, cholecystitis, and biliary disease </li></ul><ul><li>AND THE LIST IS ENDLESS….. </li></ul>Hospital Care/Types of Medical Cases We Handle (cont’d)
  11. 11. Influence in Drug Utilization Policies <ul><li>Most hospitalist are involved in committees including hospital pharmacy committees </li></ul><ul><li>Hospitalists treat with medications versus surgery or procedures. </li></ul><ul><li>Compliance with guidelines or pathways for diseases’ treatments and drug utilization </li></ul>
  12. 12. Medications We Use… <ul><li>Antibiotics </li></ul><ul><li>Anticoagulants (blood thinners) </li></ul><ul><li>Heart medications (diuretics, blood pressure medications, cholesterol lowering agents, etc.) </li></ul><ul><li>Steroids </li></ul><ul><li>Pulmonary medications </li></ul>
  13. 13. Our Challenges <ul><li>• High expectations </li></ul><ul><li>• Cost reduction </li></ul><ul><li>• Reduce LOS </li></ul><ul><li>• Provide measurable QI </li></ul><ul><li>• Standards & Compliance </li></ul><ul><li>• Uncompensated care </li></ul><ul><li>• Committee service/administration </li></ul>
  14. 14. Dilip Phadnis - Director, New Product Development, HRA Hospitalists— A syndicated study now available from HRA Research <ul><li>Comprehensive and in-depth study </li></ul><ul><li>Based on two focus groups, 200 questionnaire responses, </li></ul><ul><li>internal search and thought leader interviews </li></ul>
  15. 15. Hospitalists— A syndicated study now available from HRA Research Contact Your HRA Representative Today to Inquire About the Hospitalist Study: Jeff Chase 973-240-1216 [email_address] Marc Goveia 973-240-1219 [email_address] Christina Giordano 973-240-1205 [email_address] Vicki Longo 973-240-1192 [email_address] Henry Steinbock 973-240-1215 [email_address]
  16. 16. Tips for Pharmaceutical Representatives <ul><li>Hospital Medicine is the fastest growing specialty in the U.S </li></ul><ul><li>Most hospitalists are in committees and/or leadership positions including pharmacy committees, systems improvement, case management, utilization review, and clinical operations as pertains to hospital setting </li></ul><ul><li>Hospitalists are seen as a possible solution to the current health care crisis and they have strong influence on hospitals’ decision making </li></ul>
  17. 17. How and when to reach any hospitalists <ul><li>Clinical work: one week on and one week off </li></ul><ul><li>Week off: </li></ul><ul><li>Vacation </li></ul><ul><li>Research </li></ul><ul><li>Administration </li></ul><ul><li>Best way: email (hospitals’ website), call administrator, email program director </li></ul>
  18. 18. Hospitalists— A syndicated study now available from HRA Research Contact Your HRA Representative Today to Inquire About the Hospitalist Study: Jeff Chase 973-240-1216 [email_address] Marc Goveia 973-240-1219 [email_address] Christina Giordano 973-240-1205 [email_address] Vicki Longo 973-240-1192 [email_address] Henry Steinbock 973-240-1215 [email_address]

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