Inpatient Telemedicine Can Help Address Hospitalist Pain Points COVID-19 Has Increased Confidence in the Technology
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March 2021 COMMENTARY IN THE LITERATURE COMMENTARY Volume 25 No. 3 Hospital-level care Morphine safe for Hospitalists prepare for p10 provided at home p23 COPD patients p30 X’ing of the X Waiver Dr. Sareer Zia, hospitalist and physician advisor Inpatient telemedicine can help address hospitalist pain points COVID-19 has increased confidence in the technology By Sareer Zia, MD, MBA Scenario 1 A patient presents to an emergency department of a ince the advent of COVID-19, health care has small community hospital. He needs to be seen by a spe- seen an unprecedented rise in virtual health. cialist, but (s)he is not available, so patient gets trans- COM . Telemedicine has come to the forefront of our ferred out to the ED of a different hospital several miles conversations, and there are many speculations away from his hometown. HOTOGRAPHY P Saround its future state. One such discussion is around He is evaluated in the second ED by the specialist, the sustainability and expansion of inpatient telemedi- has repeat testing done – some of those tests were al- REGORY G cine programs post COVID, and if – and how – it is going ready completed at the first hospital. After evaluating ® TEVEN to be helpful for health care. him, the specialist recommends that he does not need .S the-hospitalist.org Continued on page 18 WWW Consider the following scenarios: SURVEY INSIGHTS PHM FELLOWS Andrew White, Catherine Ezzio, MD, SFHM MD HM groups are getting Inclusivity needed in 500 PERMIT Denville, NJ 07834-3000 NJ Denville, PA HARRISBURG p4 larger. p12 PAID fellowships. P.O. Box 3000, 3000, Box P.O. POSTAGE U.S. CHANGE SERVICE REQUESTED SERVICE CHANGE THE HOSPITALIST THE STD PRSRT CAREER NEWS March 2021 Volume 25 No. 3 Hospitalist PHYSICIAN EDITOR THE SOCIETY OF HOSPITAL MEDICINE Weijen W. Chang, MD, SFHM, FAAP Phone: 800-843-3360 Movers and Shakers [email protected] Fax: 267-702-2690 Website: www.HospitalMedicine.org PEDIATRIC EDITOR By Matt Pesyna and its Informatics Committee for Anika Kumar, MD, FHM, FAAP Chief Executive Officer Impatient and Outpatient Electronic [email protected] Eric E. Howell, MD, MHM Vivek H. Murthy, MD, was named Health Records. COORDINATING EDITORS by President Biden as his selection Alan Hall, MD Director of Communications THE FUTURE HOSPITALIST Brett Radler for Surgeon General of the United Lyon County Kansas recently an- [email protected] States. Dr. Murthy filled the same nounced that Ladun Oyenuga, MD, Keri Holmes-Maybank, MD, FHM role from 2014 to has been appointed as public health INTERPRETING DIAGNOSTIC TESTS Communications Specialist CONTRIBUTING WRITERS Caitlin Cowan 2017 during Pres- officer for the county. She began her [email protected] ident Obama’s tenure on Jan. 1. Debra L. Beck; Larry Beresford; Richard Bottner, DHA, PA-C; Haley Briggs, PA-C; administration. Dr. Oyenuga is a hospitalist at Eric Butterman; Victoria Cooremans, MD; SHM BOARD OF DIRECTORS Dr. Murthy Newman Regional Health (Emporia, Khooshbu Dayton, MD; Randy Dotinga; President was a hospitalist Kan.). She is a native of Nigeria and Catherine Ezzio, MD; Marina S. Farah, MD, Danielle Scheurer, MD, MSCR, SFHM President-Elect and an instructor did her residency at Harlem (N.Y.) MHA; Marcia Frellick; Reem Hanna, MD; Clarissa Johnston MD, FACP; Mark Kissler, Jerome C. Siy, MD, SFHM at Brigham and Hospital Center. She has been with MD; Maria Klimenko, MD; Mark S. Lesney, Treasurer Women’s Hospi- Newman since 2017. PhD; Chandra S. Lingisetty, MD, MBA, Rachel Thompson, MD, MPH, SFHM Secretary MHCM; Marlene Martin, MD; Jordan tal at Harvard Dr. Murthy Kris Rehm, MD, SFHM Messler, MD, SFHM; Robert Metter, Immediate Past President Medical School, Cherese Mari Laulhere BirthCare MD; Kirsten Nieto, MD; Venkataraman Boston, prior to becoming surgeon Center (Long Beach, Calif.) recent- Christopher Frost, MD, SFHM Palabindala, MD, MBA, FACP, SFHM; Board of Directors general the first time. ly announced the addition of an Snehal Patel, MD, FACP; Matt Pesyna Tracy Cardin, ACNP-BC, SFHM OB hospitalist program at Miller Rupesh Prasad, MD, MPH, CPE, SFHM; Steven B. Deitelzweig, MD, Joshua Raines, MD; Sherine Salib, MD, FACP; David Tupponce, MD, recently was Children’s & Women’s Hospital. OB MMM, FACC, SFHM Allison Shelley; Alexander Sun, MD; Bryce Gartland, MD, FHM named the new president of Allegh- hospitalists, or laborists, care for Michael Tozier, MD; Patrice Wendling Flora Kisuule, MD, MPH, SFHM eny Health Network’s Grove City women with obstetrical issues while Andrew White, MD, SFHM; Bethany Mark W. Shen, MD, SFHM (Pa.) Medical Center. He takes over in the hospital. Zablotsky, PA-C; Sareer Zia, MD, MBA Darlene Tad-y, MD, SFHM Chad T. Whelan, MD, FACP, FHM for interim president Allan Klapper, At Cherese Mari Laulhere, OB hos- FRONTLINE MEDICAL MD, who filled the position since pitalists will be on hand 24 hours a COMMUNICATIONS EDITORIAL STAFF Executive Editor Kathy Scarbeck, MA FRONTLINE MEDICAL August 2020. day to assist patients’ OB/GYNs or to Editor Richard Pizzi COMMUNICATIONS ADVERTISING STAFF Dr. Tupponce fill in if the personal physician can- Creative Director Louise A. Koenig Senior Director Business Development comes to Grove not get to the hospital quickly. Director, Production/Manufacturing Angelique Ricci, 973-206-2335 Rebecca Slebodnik cell 917-526-0383 [email protected] City Medical Classified Sales Representative EDITORIAL ADVISORY BOARD Center after a Hospitalists at Nationwide Chil- Heather Gonroski, 973-290-8259 Hyung (Harry) Cho, MD, SFHM; Marina [email protected] successful tenure dren’s (Columbus, Ohio) are now S. Farah, MD, MHA; Ilaria Gadalla, DMSc, as president of providing care for children who are PA-C; James Kim, MD; Ponon Dileep Linda Wilson, 973-290-8243 Kumar, MD, FACP, CPE; Shyam Odeti, MD, [email protected] Central Maine hospitalized at Adena Regional Med- Senior Director of Classified Sales Medical Center, ical Center (Chillicothe, Ohio). MS, FHM; Venkataraman Palabindala, MD, SFHM; Tiffani M. Panek, MA, SFHM, CLHM; Tim LaPella, 484-921-5001 cell 610-506-3474 [email protected] Lewiston, where It is an expansion of an ongoing Adhikari Ramesh, MD, MS; Raj Sehgal, he grew its phy- Dr. Tupponce partnership between the two hos- MD, FHM; Kranthi Sitammagari, MD; Amith Advertising Offices 7 Century Drive, sician group and pitals. Adena and Nationwide Chil- Skandhan, MD, FHM; Lonika Sood, MD, Suite 302, Parsippany, NJ 07054-4609 fine-tuned the hospital quality pro- dren’s have been working together FACP, FHM; Amit Vashist, MD, FACP 973-206-3434, fax 973-206-9378 gram. Prior to that, he was chief ex- in helping to care for children in the ecutive officer at Tenet Healthcare’s south central and southern Ohio 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 Abrazo Scottsdale (Ariz.) Campus region since 2011. Nationwide Chil- and trends in hospital medicine. THE HOSPITALIST Frontline Medical Communications Inc., 7 Century and CEO at Paradise Valley Hospital, dren’s hospitalists will round in spe- 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- Phoenix,. cial care and the well-baby nursery health care administrators interested in the practice cine members. Annual paid subscriptions are avail- Dr. Tupponce is familiar with at Adena, as well as provide educa- and business of hospital medicine. Content for able to all others for the following rates: THE HOSPITALIST is provided by Frontline Medical western Pennsylvania, having tion programs for Adena providers Communications. Content for the Society Pages is Individual: Domestic – $195 (One Year), earned a master’s degree in medical and staff. provided by the Society of Hospital Medicine. $360 (Two Years), $520 (Three Years), Canada/Mexico – $285 (One Year), $525 (Two Years), management from Carnegie Mellon Copyright 2021 Society of Hospital Medicine. All $790 (Three Years), Other Nations - Surface – $350 University in Pittsburgh. He also MultiCare Health System (Tacoma, 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 was chief resident at the University Wash.) has announced that it will any means and without the prior permission in writing Years), $1,325 (Three Years) of Pittsburgh Medical Center. expand its hospitalist program part- from the copyright holder. The ideas and opinions expressed in The Hospitalist do not necessarily Institution: United States – $400; nership with Sound Physicians, also reflect those of the Society or the Publisher. The Canada/Mexico – $485 All Other Nations – $565 Malcolm Mar Fan, MD, has been based in Tacoma, to create a region- Society of Hospital Medicine and Frontline Medical Student/Resident: $55 Communications will not assume responsibility for elevated to medical director of the wide, cohesive group of providers. damages, loss, or claims of any kind arising from Single Issue: Current – $35 (US), $45 (Canada/ Hospitalist Group at Evangelical The goal is to help ensure efficient 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) Community Hospital (Lewisburg, management of inpatient popula- products, drugs, or services mentioned herein. POSTMASTER: Send changes of address (with old Pa.). In this new position, Dr. Mar tions as a region instead of at the Letters to the Editor: [email protected] mailing label) to THE HOSPITALIST, Subscription Services, P.O. Box 3000, Denville, NJ 07834-3000. Fan will oversee all operations for individual hospital level, and will The Society of Hospital Medicine’s headquarters the facility’s hospitalist program.