September 2021 FUTURE HOSPITALIST INTERNATIONAL KEY CLINICAL QUESTION Volume 25 l No. 9 A road map to HM in India during Albumin for infections in p8 diversity and justice p16 COVID p22 cirrhosis Dr. Swati Mehta is director of quality and performance and patient experience at Vituity in Emeryville, Calif. PHOTO BY VITUITY Hospitalists address patient experience during the pandemic Adopt strategies to communicate with compassion By Larry Beresford all – of these factors are captured in policies as doctors and other hospital the “patient experience” questions on staff donned masks, visors, and other patient’s lived experience the Hospital Consumer Assessment emotionally distancing personal pro- of being in the hospital is of Healthcare Providers and Systems tective equipment (PPE). All of these shaped by a variety of fac- (HCAHPS) survey that is sent to ran- factors impacted patients’ experience tors, according to Minesh Pa- domly selected patients shortly after as well as their hospitals’ HCAHPS Atel, MD, Mid-Atlantic regional medical their discharge from the hospital. scores, Dr. Patel said. And since these director for the Tacoma, Wash.–based In March 2020, the COVID-19 pan- policies applied to all hospitalized pa- ® hospitalist performance company demic caused hospitals to institute tients, a patient did not need to have the-hospitalist.org Sound Physicians. Some – but not quarantining measures and “no visitor” Continued on page 12 SURVEY INSIGHTS PHM FELLOWS Romil Chadha, Daniel MD, MPH, Herchline, MD, SFHM MSED 500 PERMIT Denville, NJ 07834-3000 NJ Denville, PA HARRISBURG PAID P.O. Box 3000, 3000, Box P.O. POSTAGE U.S. The mean and median of Use of growth mindset to CHANGE SERVICE REQUESTED SERVICE CHANGE THE HOSPITALIST THE STD PRSRT p6 leadership data. p30 tackle challenges. NEWS September 2021 Volume 25 l No. 9 SHM, 55 other groups PHYSICIAN EDITOR THE SOCIETY OF HOSPITAL MEDICINE Weijen W. Chang, MD, SFHM, FAAP Phone: 800-843-3360 [email protected] Fax: 267-702-2690 Website: www.HospitalMedicine.org urge health care vax PEDIATRIC EDITOR Anika Kumar, MD, FHM, FAAP Chief Executive Officer [email protected] Eric E. Howell, MD, MHM mandate COORDINATING EDITORS Alan Hall, MD Director of Communications THE FUTURE HOSPITALIST Brett Radler By Ken Terry An analysis by WebMD and Med- [email protected] scape Medical News estimated that Keri Holmes-Maybank, MD, FHM s COVID-19 cases, hospi- 25% of hospital workers who had INTERPRETING DIAGNOSTIC TESTS Communications Specialist Myles Daigneault talizations, and deaths contact with patients were unvacci- [email protected] mount again across the nated at the end of May. CONTRIBUTING WRITERS country, the Society of More than 38% of nursing workers Jessica Nave Allen, MD, FHM; SHM BOARD OF DIRECTORS AHospital Medicine, the American were not fully vaccinated by July 11, Eileen Barrett, MD, MPH; Jaleesa President Baulkman; Larry Beresford; Romil Chadha, Medical Association, and 54 oth- according to an analysis of Centers Jerome C. Siy, MD, MHA, SFHM MD, MPH, SFHM; Jeff Craven; Liam President-Elect er medical and allied health care for Medicare & Medicaid Services Davenport; Andrew Delapenha, MD, MPH; Rachel Thompson, MD, MPH, SFHM associations released a joint state- data by LeadingAge, which was cited Richard Franki; Marcia Frellick; Tara Haelle; Treasurer ment calling on “all health care by the Washington Post. And more Daniel Herchline, MD, MSED; Kris Rehm, MD, SFHM Eric E. Howell, MD, MHM; Flora Kisuule, Secretary and long-term care employers” to than 40% of nursing home employ- MD, MPH; Shannon K. Martin, MD, MS; Flora Kisuule, MD, MPH, SFHM require their workers to receive the ees have not been fully vaccinated, Matt Pesyna; Aksharananda Rambachan, Immediate Past President COVID-19 vaccine. according to the Centers for Disease MD, MPH; Heidi Splete; Steve Stiles; Danielle Scheurer, MD, MSCR, SFHM Ken Terry; Gwendolyn Williams, MD Board of Directors “SHM’s mission is to promote Control and Prevention. Tracy Cardin, ACNP-BC, SFHM high-quality care for hospitalized The joint statement did not give Bryce Gartland, MD, SFHM patients. As an organization, we sup- any indication of how many em- FRONTLINE MEDICAL Efren C. Manjarrez, MD, SFHM COMMUNICATIONS EDITORIAL STAFF Mark W. Shen, MD, SFHM port vaccinating health care work- ployees of physician practices have Executive Editor Kathy Scarbeck, MA Darlene Tad-y, MD, SFHM ers, including hospitalists, to help failed to get COVID shots. However, Editor Richard Pizzi Chad T. Whelan, MD, MHSA, SFHM stop the spread of COVID-19 and the a recent AMA survey shows that Creative Director Louise A. Koenig Robert P. Zipper, MD, MMM, SFHM Director, Production/Manufacturing increasingly dominant Delta vari- 96% of physicians have been fully Rebecca Slebodnik FRONTLINE MEDICAL ant,” said Eric E. Howell, MD, MHM, vaccinated. COMMUNICATIONS ADVERTISING STAFF chief executive officer of SHM. “We The main reason for vaccine EDITORIAL ADVISORY BOARD Senior Director Business Development aim to uphold the highest standards mandates, according to the health Ramesh Adhikari, MD, MS, SFHM; Hyung Angelique Ricci, 973-206-2335 among hospitalists and other health care associations’ statement, is “the (Harry) Cho, MD, SFHM; cell 917-526-0383 [email protected] Recruitment Sales Representative care providers to help protect our ethical commitment to put patients Ilaria Gadalla, DMSc, PA-C; James Kim, MD; Linda Wilson, 973-290-8243 fellow health care professionals, our as well as residents of long-term Ponon Dileep Kumar, MD, FACP, CPE; [email protected] patients, and our communities.” care facilities first and take all steps Shyam Odeti, MD, MS, SFHM; Senior Director of Classified Sales The document, issued July 26, necessary to ensure their health and Venkataraman Palabindala, MD, SFHM; Tim LaPella, 484-921-5001 Tiffani M. Panek, MA, SFHM, CLHM; cell 610-506-3474 [email protected] covers everyone in health care, well-being.” Kranthi Sitammagari, MD; Emanuel Ezekiel, MD, PhD, chair of In addition, the statement noted, Amith Skandhan, MD, FHM; Advertising Offices 7 Century Drive, the department of medical ethics vaccination can protect health care Lonika Sood, MD, FACP, FHM; Suite 302, Parsippany, NJ 07054-4609 Amit Vashist, MD, FACP 973-206-3434, fax 973-206-9378 and health policy at the University workers and their families from get- of Pennsylvania, Philadelphia, and ting COVID-19. the organizer of the joint statement, The statement also pointed out said in an interview. that many health care and long- That includes not only hospitals, term care organizations already 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 but also physician offices, ambu- require vaccinations for influenza, and trends in hospital medicine. THE HOSPITALIST Frontline Medical Communications Inc., 7 Century latory surgery centers, home care hepatitis B, and pertussis. 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- agencies, skilled nursing facilities, Workers who have certain medical health care administrators interested in the practice cine members. Annual paid subscriptions are avail- pharmacies, laboratories, and imag- conditions should be exempt from and business of hospital medicine. Content for able to all others for the following rates: THE HOSPITALIST is provided by Frontline Medical ing centers, he said. the vaccination mandates, the state- Communications. Content for the Society Pages is Individual: Domestic – $195 (One Year), The exhortation to get vaccinated ment added. provided by the Society of Hospital Medicine. $360 (Two Years), $520 (Three Years), Canada/Mexico – $285 (One Year), $525 (Two Years), also extends to federal and state While recognizing the “historical Copyright 2021 Society of Hospital Medicine. All $790 (Three Years), Other Nations - Surface – $350 health care facilities, including mistrust of health care institutions” 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 those of the military health system among some health care workers, any means and without the prior permission in writing Years), $1,325 (Three Years) – TRICARE and the Department of the statement said, “We must contin- from the copyright holder. The ideas and opinions expressed in The Hospitalist do not necessarily Institution: United States – $400; Veterans Affairs – which instituted a ue to address workers’ concerns, en- reflect those of the Society or the Publisher. The Canada/Mexico – $485 All Other Nations – $565 mandate the same day. gage with marginalized populations, Society of Hospital Medicine and Frontline Medical Student/Resident: $55 Communications will not assume responsibility for The American Hospital Associa- and work with trusted messengers damages, loss, or claims of any kind arising from Single Issue: Current – $35 (US), $45 (Canada/ tion and other hospital groups re- to improve vaccine acceptance.” 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