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Social Determinants of Health and the Hospitalist Are Access to Housing and Food As Important As Therapeutics?

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Social Determinants of Health and the Hospitalist Are Access to Housing and Food As Important As Therapeutics? February 2020 HM20 PREVIEW KEY CLINICAL QUESTION IN THE LITERATURE Volume 24 No. 2 Course director When is a troponin Cardiac rehab p6 Dr. Benji K. Mathews p14 elevation an acute MI? p16 after valve surgery Social determinants of health and the hospitalist Are access to housing and food as important as therapeutics? By Larry Beresford hile physicians acknowledge that the social determinants of health can impact out- comes from medical care, Wsome may feel that trying to address factors such as homelessness, food insecurity, or lack of ready access to transportation or pharma- cy services is just not part of the doctor’s job. A majority of 621 physicians surveyed in the summer of 2017 by Salt Lake City–based health care intelligence firm Leavitt Partners say they are neither capable of nor responsible for ad- dressing such issues.1 Continued on page 8 HOTOGRAPHY P MENGUAL A DAM ® Dr. Ramon Jacobs-Shaw A the-hospitalist.org SURVEY INSIGHTS PRACTICE MANAGEMENT Paul Sandroni, MD Erica Remer, MD, FACEP Resetting your Documentation 500 PERMIT Denville, NJ 07834-3000 NJ Denville, PA HARRISBURG p3 compensation using p26 matters: Quality PAID P.O. Box 3000, 3000, Box P.O. POSTAGE U.S. CHANGE SERVICE REQUESTED SERVICE CHANGE THE HOSPITALIST THE STD PRSRT SHM research. over quantity. 01_8_9_10_HOSP20_02.indd 1 1/22/20 2:37 PM SOCIETY NEWS February 2020 Volume 24 No. 2 State of Hospital PHYSICIAN EDITOR THE SOCIETY OF HOSPITAL MEDICINE Danielle B. Scheurer, MD, SFHM, MSCR; Phone: 800-843-3360 [email protected] Fax: 267-702-2690 Website: www.HospitalMedicine.org Medicine Survey plays PEDIATRIC EDITOR Laurence Wellikson, MD, MHM, CEO Anika Kumar, MD, FAAP Vice President of Marketing & [email protected] Communications key role in operations COORDINATING EDITORS Lisa Zoks Dennis Chang, MD [email protected] Marketing Communications Manager THE FUTURE HOSPITALIST Results help establish hospitalist benchmarks Brett Radler Keri Holmes-Maybank, MD, FHM [email protected] KEY CLINICAL GUIDELINES Marketing Communications Specialist he Hospitalist recently accurate the data. Over the past 4 CONTRIBUTING WRITERS Caitlin Cowan Dani Babbel, MD; Larry Beresford; [email protected] spoke with Brian Schroe- years, SHM has improved the sub- Therese Borden; Tracy Cardin, ACNP-BC, SHM BOARD OF DIRECTORS der, MHA, FACHE, FHM, mission process of survey data – es- SFHM; Claire Ciarkowski, MD; President assistant vice president, pecially for practices with multiple Natalie Como, MD; Christopher Frost, MD, SFHM President-Elect THospital & Emergency Medicine, at locations. John Gerstenberger, MD; Abhinav Goyal, MD, MHS, FACC; Danielle Scheurer, MD, MSCR, SFHM Atrium Health Medical Group in Devin Horton, MD; Treasurer Charlotte, N.C., to discuss his par- How have the data in the report Richard Mark Kirkner; Joshua LaBrin, MD, Tracy Cardin, ACNP-BC, SFHM SFHM; Mark S. Lesney; Secretary ticipation in the State of Hospital impacted important business Jessica Nave, MD; Todd J. Ochs, MD; Rachel Thompson, MD, MPH, SFHM Medicine Survey, which is distrib- decisions for your group? Erica Remer, MD, FACEP; Immediate Past President uted every other year, and how he We rely heavily on the investment/ Austin Rupp, MD; Paul Sandroni, MD; Nasim Afsar, MD, MBA, SFHM Charlie M. Wray, DO, MS Board of Directors uses the resulting provider benchmark within the Steven B. Deitelzweig, MD, MMM, SFHM report to guide survey data. Over the years, as the FRONTLINE MEDICAL Bryce Gartland, MD, FHM important opera- investment/provider was decreas- COMMUNICATIONS EDITORIAL STAFF Flora Kisuule, MD, MPH, SFHM Executive Editor Kathy Scarbeck Kris Rehm, MD, SFHM tional decisions. ing nationally, our own investment/ Editor Richard Pizzi Mark W. Shen, MD, SFHM provider was increasing. Based on Creative Director Louise A. Koenig Jerome C. Siy, MD, SFHM Please describe the survey, we were able to closely Director, Production/Manufacturing Chad T. Whelan, MD, MHSA, FHM Rebecca Slebodnik your current evaluate our staffing models at role. each location and determine the ap- EDITORIAL ADVISORY BOARD FRONTLINE MEDICAL Geeta Arora, MD; Michael J. Beck, MD; COMMUNICATIONS ADVERTISING STAFF At Carolinas Hos- propriate skill mix–to-volume ratio. Harry Cho, MD; Marina S. Farah, MD, National Account Manager Mr. Schroeder pitalist Group, Through turnover and growth, we MHA; Stella Fitzgibbons, MD, FACP, FHM; Valerie Bednarz, 973-206-8954 we have approx- have strategically hired advanced Benjamin Frizner, MD, FHM; cell 973-907-0230 [email protected] Nicolas Houghton, DNP, RN, ACNP-BC; imately 250 providers at nearly practice providers to align our James Kim, MD; Melody Msiska, MD; Classied Sales Representative Venkataraman Palabindala, MD, SFHM; 20 care locations across North investment more closely with the Heather Gonroski, 973-290-8259 Raj Sehgal, MD, FHM; Rehaan Shafe, MD; Carolina. Along with my specialty benchmark. Over the past 2 years, [email protected] Kranthi Sitammagari, MD; Linda Wilson, 973-290-8243 medical director, I am responsible our investment/provider metric Amith Skandhan, MD, FHM; [email protected] Lonika Sood, MD, FACP, FHM; for the strategic growth, program has decreased significantly. We Senior Director of Classied Sales development, and financial perfor- were able to accomplish this while Amanda T. Trask, FACHE, MBA, MHA, SFHM; Amit Vashist, MD, FACP; Tim LaPella, 484-921-5001 mance for our practice. continuing to provide appropriate Jill Waldman, MD, SFHM cell 610-506-3474 [email protected] care to our patients. We also utilize Advertising Ofces 7 Century Drive, How did you first become the Report to monitor performance Suite 302, Parsippany, NJ 07054-4609 involved with the Society of incentive metrics, staffing model 973-206-3434, fax 973-206-9378 Hospital Medicine? trends, and encounter/provider When I first entered the hospital ratios. medicine world in 2008, I was look- THE HOSPITALIST is the official newspaper of the THE HOSPITALIST (ISSN 1553-085X) is published Society of Hospital Medicine, reporting on issues monthly for the Society of Hospital Medicine by ing for an organization that sup- What would you tell people and trends in hospital medicine. THE HOSPITALIST Frontline Medical Communications Inc., 7 Century ported our specialty. My physician who are on the fence about reaches more than 35,000 hospitalists, physician Drive, Suite 302, Parsippany, NJ 07054-4609. Print assistants, nurse practitioners, medical residents, and subscriptions are free for Society of Hospital Medi- leaders at the time pointed me to participating in the survey – health care administrators interested in the practice cine members. Annual paid subscriptions are avail- SHM. Since the beginning of my and ultimately, purchasing the and business of hospital medicine. Content for able to all others for the following rates: THE HOSPITALIST is provided by Frontline Medical time as a member, I have attended finished product? Communications. Content for the Society Pages is Individual: Domestic – $195 (One Year), the Annual Conference each year, Do it! Our practice would never provided by the Society of Hospital Medicine. $360 (Two Years), $520 (Three Years), Canada/Mexico – $285 (One Year), $525 (Two Years), attended the SHM Leadership Acad- skip a submission year. The data Copyright 2020 Society of Hospital Medicine. All $790 (Three Years), Other Nations - Surface – $350 emy, served on an SHM committee, produced from the survey help us rights reserved. No part of this publication may be (One Year), $680 (Two Years), $995 (Three Years), reproduced, stored, or transmitted in any form or by Other Nations - Air – $450 (One Year), $875 (Two and participate in SHM’s multisite improve our clinical operations any means and without the prior permission in writing Years), $1,325 (Three Years) Leaders group. Additionally, I have and maximize our financial af- from the copyright holder. The ideas and opinions expressed in The Hospitalist do not necessarily Institution: United States – $400; served as faculty at SHM’s annual fordability. The data also assist in reflect those of the Society or the Publisher. The Canada/Mexico – $485 All Other Nations – $565 conference for 3 years – and will defending staffing decisions and Society of Hospital Medicine and Frontline Medical Student/Resident: $55 Communications will not assume responsibility for be presenting for the third time at clinical operations change with damages, loss, or claims of any kind arising from Single Issue: Current – $35 (US), $45 (Canada/ HM20. senior leadership within the orga- or related to the information contained in this Mexico), $60 (All Other Nations) Back Issue – $45 publication, including any claims related to the (US), $60 (Canada/Mexico), $70 (All Other Nations) nization. products, drugs, or services mentioned herein. POSTMASTER: Send changes of address (with old Why is it important that Letters to the Editor: [email protected] mailing label) to THE HOSPITALIST, Subscription Services, P.O. Box 3000, Denville, NJ 07834-3000. people participate in the Don’t miss your chance to submit The Society of Hospital Medicine’s headquarters State of Hospital Medicine data that will help put together is located at 1500 Spring Garden, Suite 501, RECIPIENT: To subscribe, change your address, Philadelphia, PA 19130. purchase a single issue, file a missing issue claim, Survey? the latest snapshot of the hospital or have any questions or changes related to your Participation in the survey is key medicine specialty. The State of Editorial Offices: 2275 Research Blvd, Suite 400, subscription, call Subscription Services at 1-833-836- Rockville, MD 20850, 240-221-2400, fax 240-221-2548 2705 or e-mail [email protected]. for establishing benchmarks for Hospital Medicine Survey is open our specialty. The more people now and runs through Feb. 16, 2020. BPA Worldwide is a global industry resource for verified audience data and participate (from various arenas Learn more and register to par- The Hospitalist is a member. like private groups, health system ticipate at hospitalmedicine.org/ To learn more about SHM’s relationship with industry partners, visit www.hospitalmedicine.com/industry.
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