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Assigning Hospitalists to units?

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  • #25333

    Ruddy
    Participant

    Has anyone completed or entertained projects that have to do with redesigning the flow of hospitalists? Specifically assigning hospitalists to units? The hospital I work for has come to the conclusion that by assigning hospitalists to units patients would no longer need to be assigned to physicians who may be anywhere in the hospital at any given time.
    The benefits cited are many: reduction in length of stay, improved prioritization of who needs to be seen first, reduction in walk time for hospitalists, better coordination of care between hospitalist and staff on each unit, better gage of case load per hospitalists etc…I’d like to kown if anyone has done this and what unforseen problems may arise? Thanks, Mike

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    #61041

    Sheri
    Member

    Michael,
    I have not conducted a formal project on this topic but have worked some with our hospitalists and would like to share my thoughts on your idea of unit assignments.
    I’m not convinced that the LOS would necessarily decrease.  If the patient remains on the same unit for their entire stay, the LOS may decrease and would most likely improve coordination of care between the hospitalist and the staff.  The concern I have, however, is if the patient is transferred to a different unit, they would receive a “new” hospitalist which may cause confusion to the patient and/or the staff especially if the two hospitalists have differing diagnoses/treatments.
    Just my two cents…

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    #61057

    Saucke
    Participant

    Michael,
    I agree with Sheri.  We have not done a formal study either, although the issue was discussed as part of a process map.  Elderly people especially want to see their own doctor and don’t consider a visit by the hospitalist as a visit by the doctor.  They become very stressed if they don’t see their own MD.

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