Perspectives on the Acute Care Continuum

The Acute Care Continuum is the integration of urgent, emergent, inpatient and post-discharge care of patients with acute medical conditions.

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Do you find yourself wondering how you can find more enjoyment in your life and work as a high-performing medical professional? Do you sometimes feel held back by circumstances beyond your control or stuck in an antiquated system of unrealistic demands and expectations on your time and human capacity?
If so, the techniques of Mental Contrasting and Implementation Intentions may help you bring about the change you need to thrive. In this post, we'll discuss how healthcare professionals can use these research-tested methods to bring their current work lives more in line with their ideals.
11/20/2014 12:25:11 PM | 0 comments
​Engaging patients in their own health management is a perennial problem for healthcare providers — and for society as a whole. Preventable chronic illnesses like obesity and heart disease cost our country a trillion dollars per year in medical costs and lost productivity.
Study after study demonstrates that even modest lifestyle changes can slash the mortality and morbidity associated with these conditions — and curb the crippling costs of caring for these patients. However, providers can only do so much when an estimated 50 percent of patients don't adhere to their recommendations.
11/18/2014 5:31:50 AM | 0 comments

In a recent post, Gregg Miller, MD, CEP America’s director of performance and quality, discussed best practices for responding to potential cases of Ebola virus disease (EVD). In today’s post, James Kim, MD, describes how his hospital is putting these principals into practice. Dr. Kim is emergency department (ED) medical director at Pomona Valley Hospital Medical Center (PVHMC) in Pomona, Calif.

Perspectives: Thanks for joining us, Dr. Kim. Can you tell us a little about your department’s experience with EVD?

Dr. Kim: Sure. PVHMC is a 65-bed emergency department located in East Los Angeles County. Because Los Angeles is a port of entry with a large international population, EVD preparation has been a huge priority for us. So far, we’ve had two ambulatory patients present to the ED who screened "high-risk" at triage. While both of them were ruled out, they provided us with the opportunity for a "trial run" to test the protocols we’ve been developing. So it was a very valuable experience.

11/13/2014 4:49:30 PM | 0 comments
The recent American Society of Anesthesiologists (ASA) meeting in New Orleans, ANESTHESIOLOGYTM 2014, was an outstanding opportunity to hear leaders from across the United States discuss the future of our specialty. As Drs. Sibert and Chamberlin have written, it is a future with a significant amount of uncertainty, but one absolute certainty … change is coming.

Where I practice, at Group Anesthesia Services (GAS), in Los Gatos, Calif., we have been trying to figure out how to deal with these changes while respecting the values upon which our group was founded: autonomy, ownership and quality.
11/11/2014 10:46:30 AM | 1 comments
This month in Mindfulness in Medicine, I am honored to showcase my good friend Marlene Chism’s work. Marlene’s consultancy background includes numerous hospitals and professional healthcare associations, physician groups, nursing associations and others. The following piece regarding the myths and realities of being too busy seems extremely timely and topical when it comes to dealing with busy schedules facing everyone in healthcare today.

Healthcare Professionals: Myths and Realities of Being Too Busy

If you listen closely, almost every healthcare professional talks about being too busy.
Being busy is a great way to stunt your leadership growth. After all, if you are busy, you have an excuse that covers many mistakes, including "missing" on a core clinical measure or looking the other way when a team member shortcuts the agreed-upon process. You feel better about putting off large-scale changes that could reap big rewards for your patients.
11/5/2014 2:20:48 PM | 0 comments
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