She is based in Lake Oswego, Ore. Contact Us Nurses caring for the hospitalists’ patients … When patient advocacy is needed, as in situations in which patients are informed by their physician’s office that no appointment slots are available for several weeks, IPC physicians or staff intervene. The lack of administrative and other support “from hospital dictation departments or understaffed and time-crunched hospitalist services “was identified as a key factor. Communication and continuity of care breaks down for all kinds of reasons that often depend on the hospital, the patient base, and the community in which hospitalists and primary care physicians work. Hospitalists have some of the highest expected growth rates amongst all the medical specialties and by 2030, the Hospitalist profession is expected to grow by 26%(1). 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That finding, however, paled in comparison to some of the other data the group uncovered during its literature review: Solutions included template-driven discharge summaries and communication “prompters,” as well as the old-fashioned, tried-and-true telephone call to the outpatient physician at the time of discharge. Dr. Gorman urged hospitalist practices to develop at least a simple post-discharge algorithm “with triggers for key questions “for those follow-up calls. Hospitalist jobs will be somewhat less exciting than positions in different facilities. Even worse, nearly half of those events could have been either prevented or ameliorated through adequate communication between the hospital caregiver and the outpatient physician or patient. In addition to these questions, it can't hurt to double-check the accuracy of the information the hospitalist and their team have regarding your loved one's current prescription medications and their past medical history. “Units have different cultures, as do doctors, so it takes a lot of time and patience. Pre-hospital records 2. Together, they direct a team of supporting personnel, including a hospitalist investigator, clinical research nurse, research associate, and clinical epidemiologist. Hospitalists can come from any medical background. Half or more of discharged patients contacted their primary care physician before the physician received any discharge information, including notification that the patient had been hospitalized. In the same way a cardiologist specializes in the care of heart patients, a hospitalist is a physician who specializes in the care and treatment of hospitalized patients. Most doctors are independent, working for themselves or a small group practice (LLC). When Dr. Gorman arrived at the emergency department, the patient looked at her and said, “I’m glad to see you, doctor. Advantages of being treated by a hospitalist include: Patients are seen daily by a physician who is familiar with care management in a hospital setting. Ensure that the medical content of discharge summaries covers the basics: discharge medications (and reasons for changes); discharge diagnoses; results of procedures or abnormal labs; needed appointments or other follow-up; pending tests; and specialist consults and conclusions. Survey items assessed social disadvantage (minority race/ethnicity, limited English proficiency, low education, and low income), difficulty/delays accessing care, and baseline and follow-up HRQoL physical functioning using the Pediatric Quality of Life Inventory (PedsQL, range 0-100). 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