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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As a long-time hospitalist, I have a vision that one day, our specialty will be the "brains" of the hospital, the preeminent driver of acute care quality. As practitioners of internal medicine, hospitalists have a holistic understanding of the human body. And as hospital-based practitioners, we know the processes, pathways and relationships that keep acute care moving forward.
 
But as a new specialty, we have a lot to prove. If we don't add value and deliver great care, we're going to be looked upon as interns, not internists. The onus is on us to step up and earn the respect of colleagues and administrators. Read More...
2/19/2015 6:13:39 AM | 1 comments

Hospital medicine has been called the fastest-growing medical specialty of all time and is poised to play a key role in reforming the American healthcare system. In 2015, Jeffrey Frank, MD, MBA, FACP, CEP America's Hospitalist Director for Quality and Performance, will join Perspectives to discuss trends, challenges and opportunities in this important field. In his first post, he looks at how recent events have shaped the specialty and created growing demand for hospitalists.
 
In his best-selling book Outliers, Malcolm Gladwell posits that great successes happen when highly talented people collide with favorable circumstances. For example, hobbyist teen programmer Bill Gates might never have founded Microsoft if he'd come of age a few years before (or after) the personal computer revolution. And the fortuitous timing of the industrial revolution made millionaires out of rising young businessmen like Andrew Carnegie and John D. Rockefeller.
 
Could a similar collision of ideas, readiness, and history explain the current boom in hospital medicine? Read More...
12/9/2014 3:38:46 PM | 0 comments

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. Read More...
11/20/2014 12:25:11 PM | 0 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.
 
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11/5/2014 2:20:48 PM | 0 comments

By Christina Ballejos-Campos, PhD, RN; Andres Smith, MD; Pablo Velez, PhD, RN; Christine Basiliere, MSN, RN; and Sherri Navedo, MSN, RN

Sharp HealthCare of San Diego has been working toward an important goal: to provide all emergency department (ED) patients presenting with long bone fractures appropriate pain medication within 30 minutes. When they surveyed EDs across the system, they found one that was already taking an innovative approach to the problem.

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10/7/2014 10:22:10 AM | 2 comments
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