Hospital Medicine Has a Specialty Code. Is the Memo Still in the Mail?

Abstract:

:The Centers for Medicare and Medicaid Services awarded Hospital Medicine a Medicare specialty code, "C6", in 2016. We examined the early uptake of C6 code using the 2017 Medicare Part B utilization data. We also compared the actual C6 specialty code usage against estimated rates of overall hospitalist billing using threshold-based hospitalist rates of Evaluation and Management codes to assess the integration of the newly introduced code. Billing activity associated with the C6 code was approximately one-tenth of expected rates.

journal_name

J Hosp Med

authors

Flansbaum B,Leykum L,Lapps J

doi

10.12788/jhm.3303

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

91-93

issue

2

eissn

1553-5592

issn

1553-5606

pii

jhm.3303

journal_volume

15

pub_type

杂志文章
  • A Method for Attributing Patient-Level Metrics to Rotating Providers in an Inpatient Setting.

    abstract:BACKGROUND:Individual provider performance drives group metrics, and increasingly, individual providers are held accountable for these metrics. However, appropriate attribution can be challenging, particularly when multiple providers care for a single patient. OBJECTIVE:We sought to develop and operationalize individu...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.12788/jhm.2897

    authors: Herzke CA,Michtalik HJ,Durkin N,Finkelstein J,Deutschendorf A,Miller J,Leung C,Brotman DJ

    更新日期:2018-07-01 00:00:00

  • Comparison of Hospital Consumer Assessment of Healthcare Providers and Systems patient satisfaction scores for specialty hospitals and general medical hospitals: confounding effect of survey response rate.

    abstract:BACKGROUND:Specialty hospitals are a subset of acute-care hospitals that provide a narrower set of services than general medical hospitals (GMHs), predominantly in areas such as cardiac disease and surgery. Although specialty hospitals also advertise high patient satisfaction, this has not been examined using national ...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.2225

    authors: Siddiqui ZK,Wu AW,Kurbanova N,Qayyum R

    更新日期:2014-09-01 00:00:00

  • Childhood obesity and in-hospital asthma resource utilization.

    abstract:OBJECTIVE:To examine the relationship between pediatric obesity and inpatient length of stay (LOS), resource utilization, readmission rates, and total billed charges for in-hospital status asthmaticus. DESIGN/METHODS:We conducted a cross-sectional study of patients 5 to 17 years old hospitalized with status asthmaticu...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.2296

    authors: Bettenhausen J,Puls H,Queen MA,Peacock C,Burrus S,Miller C,Daly A,Colvin JD

    更新日期:2015-03-01 00:00:00

  • Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide.

    abstract:BACKGROUND:Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE:To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: SETTING/PATIENTS:Cross-sectiona...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.12788/jhm.3039

    authors: Alexandrou E,Ray-Barruel G,Carr PJ,Frost SA,Inwood S,Higgins N,Lin F,Alberto L,Mermel L,Rickard CM,OMG Study Group.

    更新日期:2018-05-30 00:00:00

  • Opioid Utilization and Perception of Pain Control in Hospitalized Patients: A Cross-Sectional Study of 11 Sites in 8 Countries.

    abstract:BACKGROUND:Hospitalized patients are frequently treated with opioids for pain control, and receipt of opioids at hospital discharge may increase the risk of future chronic opioid use. OBJECTIVE:To compare inpatient analgesic prescribing patterns and patients' perception of pain control in the United States and non-US ...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章,多中心研究

    doi:10.12788/jhm.3256

    authors: Burden M,Keniston A,Wallace MA,Busse JW,Casademont J,Chadaga SR,Chandrasekaran S,Cicardi M,Cunningham JM,Filella D,Hoody D,Hilden D,Hsieh MJ,Lee YS,Melley DD,Munoa A,Perego F,Shu CC,Sohn CH,Spence J,Thurman L,To

    更新日期:2019-12-01 00:00:00

  • Risk factors of workplace violence at hospitals in Japan.

    abstract:BACKGROUND:Patients and their relatives exposed to mental stress caused by hospitalization or illness might use violence against healthcare staff and interfere with quality healthcare. OBJECTIVE:The aim of this study was to investigate incidences of workplace violence and the attributes of healthcare staff who are at ...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.976

    authors: Fujita S,Ito S,Seto K,Kitazawa T,Matsumoto K,Hasegawa T

    更新日期:2012-02-01 00:00:00

  • Impact of Displaying Inpatient Pharmaceutical Costs at the Time of Order Entry: Lessons From a Tertiary Care Center.

    abstract:BACKGROUND:A lack of cost-conscious medication use is a major contributor to excessive healthcare expenditures in the inpatient setting. Expensive medicines are often utilized when there are comparable alternatives available at a lower cost. Increasing prescriber awareness of medication cost at the time of ordering may...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.12788/jhm.2779

    authors: Conway S,Brotman D,Pinto B,Merola D,Feldman L,Miller R,Shermock K

    更新日期:2017-08-01 00:00:00

  • Training Residents in Hospital Medicine: The Hospitalist Elective National Survey.

    abstract::As the field of hospital medicine expands, internal medicine residency programs can play a role in preparing future hospitalists. To date, little is known of the prevalence and characteristics of hospitalist-focused resident rotations. We surveyed the largest 100 Internal Medicine Residency Programs to better understa...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.12788/jhm.2952

    authors: Ludwin S,Harrison JD,Ranji S,Sharpe BA,Kneeland P

    更新日期:2018-09-01 00:00:00

  • Increasing Inpatient Consultation: Hospitalist Perceptions and Objective Findings. In Reference to: "Hospitalist Perspective of Interactions with Medicine Subspecialty Consult Services".

    abstract:OBJECTIVE: DESIGN: SETTING: PATIENTS: MEASUREMENTS: RESULTS: CONCLUSIONS: ...

    journal_title:Journal of hospital medicine

    pub_type: 评论,信件

    doi:10.12788/jhm.2992

    authors: Kachman M,Carter K,Martin S

    更新日期:2018-11-01 00:00:00

  • Sensitivity of superficial cultures in lower extremity wounds.

    abstract:BACKGROUND:Superficial wound cultures are routinely used to guide therapy, despite a lack of clear supporting evidence. PURPOSE:To conduct a systematic review of the correlation between superficial wound cultures and the etiology of skin and soft tissue infections. DATA SOURCES:Medline, EMBASE, CINAHL, Scopus. STUDY...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/jhm.688

    authors: Chakraborti C,Le C,Yanofsky A

    更新日期:2010-09-01 00:00:00

  • Pediatric hospitalists: training, current practice, and career goals.

    abstract:OBJECTIVE:To determine the range and frequency of experiences, clinical and nonclinical roles, training, work expectations, and career plans of practicing pediatric hospitalists. DESIGN:Mail survey study of a national sample of 530 pediatric hospitalists of whom 67% (N = 338) were from teaching hospitals, 71% (N = 374...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.458

    authors: Freed GL,Dunham KM,Research Advisory Committee of the American Board of Pediatrics.

    更新日期:2009-03-01 00:00:00

  • Association of Stress Biomarkers With 30-Day Unplanned Readmission and Death.

    abstract:BACKGROUND:The theory that posthospitalization stress might increase the risk of postdischarge complications has never been investigated. OBJECTIVE:To assess whether serum levels of stress biomarkers at discharge are associated with readmission and death after an acute-care hospitalization. DESIGN:We prospectively in...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.12788/jhm.2766

    authors: Aubert C,Folly A,Mancinetti M,Hayoz D,Donze J

    更新日期:2017-07-01 00:00:00

  • Thirty-day mortality risk associated with the postoperative nonresumption of angiotensin-converting enzyme inhibitors: a retrospective study of the Veterans Affairs Healthcare System.

    abstract:BACKGROUND:Angiotensin-converting enzyme inhibitors (ACE-Is) are a widely used class of cardiovascular medication. However, limited data exist on the risks of postoperative nonresumption of an ACE-I. OBJECTIVE:To evaluate the factors and 30-day mortality risks associated with the postoperative nonresumption of an ACE-...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.2182

    authors: Mudumbai SC,Takemoto S,Cason BA,Au S,Upadhyay A,Wallace AW

    更新日期:2014-05-01 00:00:00

  • Early detection, prevention, and mitigation of critical illness outside intensive care settings.

    abstract::Patients who deteriorate outside the intensive care unit (ICU) are known to have elevated mortality and morbidity. Rapid response teams (RRTs) were developed to address such deterioration. It has not been possible to establish that RRTs employing manual detection methods have definitively improved hospital outcomes. B...

    journal_title:Journal of hospital medicine

    pub_type:

    doi:10.1002/jhm.2653

    authors: Escobar GJ,Dellinger RP

    更新日期:2016-11-01 00:00:00

  • Medical management of patients on clozapine: A guide for internists.

    abstract::Clozapine was approved by the US Food and Drug Administration in 1989 for the management of treatment-resistant schizophrenia, and has since proven to reduce symptom burden and suicide risk, increase quality of life, and reduce substance use in individuals with psychotic disorders. Nevertheless, clozapine's psychiatri...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章,评审

    doi:10.1002/jhm.2345

    authors: Lundblad W,Azzam PN,Gopalan P,Ross CA

    更新日期:2015-08-01 00:00:00

  • Perceptions of readmitted patients on the transition from hospital to home.

    abstract:BACKGROUND:Hospital leaders have had mixed success reducing readmissions Little is known about the readmitted patient's perspective. METHODS:A cross-sectional 36-item survey was administered to 1084 readmitted inpatients of The Hospital of the University of Pennsylvania (an urban academic medical center) and Penn Pres...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.1966

    authors: Kangovi S,Grande D,Meehan P,Mitra N,Shannon R,Long JA

    更新日期:2012-11-01 00:00:00

  • The use of smartphones for clinical communication on internal medicine wards.

    abstract:BACKGROUND:Communication between clinicians is hampered by the frequent difficulty in reaching the most responsible physician for a patient as well as the use of outdated methods such as numeric paging. The aim of this study was to evaluate the use of smartphones to improve communication on internal medicine wards. ME...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.775

    authors: Wu RC,Morra D,Quan S,Lai S,Zanjani S,Abrams H,Rossos PG

    更新日期:2010-11-01 00:00:00

  • An uncommon etiology of small bowel obstruction: gallstone ileus.

    abstract::Gallstone ileus is a rare etiology of small bowel obstruction, occurring typically in the elderly population. The delay in diagnosis often results in significant morbidity and mortality. Here, we describe a case of 67 year old woman who presented with non specific abdominal symptoms and on evaluation was found to have...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.582

    authors: Verma A,Moonat A,Lo A

    更新日期:2010-02-01 00:00:00

  • Feeding during High-Flow Nasal Cannula for Bronchiolitis: Associations with Time to Discharge.

    abstract:BACKGROUND:High-flow nasal cannula (HFNC) is increasingly used to treat children hospitalized with bronchiolitis; however, the best practices for feeding during HFNC and the impact of feeding on time to discharge and adverse events are unknown. The study objective was to assess whether feeding exposure during HFNC was ...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.12788/jhm.3306

    authors: Shadman KA,Kelly MM,Edmonson MB,Sklansky DJ,Nackers K,Allen A,Barreda CB,Thurber AS,Coller RJ

    更新日期:2019-09-18 00:00:00

  • Reliability of a point-based VTE risk assessment tool in the hands of medical residents.

    abstract:BACKGROUND:Venous thromboembolic events (VTE) are a significant cause of mortality in hospitalized medical and surgical patients. Despite recommendations and guidelines, current evidence demonstrates that VTE prophylaxis remains underutilized in at-risk patients. The process of providing VTE prophylaxis begins with ass...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.860

    authors: Beck MJ,Haidet P,Todoric K,Lehman E,Sciamanna C

    更新日期:2011-04-01 00:00:00

  • Short-term mortality among older persons hospitalized for pneumonia: influence of baseline patient characteristics beyond severity of illness.

    abstract:BACKGROUND:Although severity of illness indices such as pneumonia severity index (PSI) are good predictors of short-term mortality for community-acquired pneumonia (CAP) and healthcare-associated pneumonia (HCAP), other patient factors may have added prognostic value. OBJECTIVE:To identify patient factors beyond the P...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.985

    authors: Ding YY,Abisheganaden J,Chong WF,Heng BH,Lim TK

    更新日期:2012-03-01 00:00:00

  • Imaging Strategies and Outcomes in Children Hospitalized with Cervical Lymphadenitis.

    abstract:OBJECTIVES:This study aimed to describe variation in imaging practices and examine the association between early imaging and outcomes in children hospitalized with cervical lymphadenitis. METHODS:This multicenter cross-sectional study included children between two months and 18 years hospitalized with cervical lymphad...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.12788/jhm.3333

    authors: Desai S,Shah SS,Hall M,Richardson TE,Thomson JE,Pediatric Research in Inpatient Settings (PRIS) Network.

    更新日期:2020-04-01 00:00:00

  • Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations.

    abstract:BACKGROUND:Patient whiteboards can serve as a communication tool between hospital providers and as a mechanism to engage patients in their care, but little is known about their current use or best practices. METHODS:We surveyed bedside nurses, internal medicine housestaff, and hospitalists from the medical service at ...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.638

    authors: Sehgal NL,Green A,Vidyarthi AR,Blegen MA,Wachter RM

    更新日期:2010-04-01 00:00:00

  • Successful implementation of outpatient parenteral antimicrobial therapy at a medical respite facility for homeless patients.

    abstract:BACKGROUND:Outpatient parenteral antimicrobial therapy (OPAT) is a safe way to administer intravenous (IV) antimicrobial therapy to patients with the potential to decrease hospital length of stay (LOS). Often, homeless patients with complex infections, who could otherwise be treated as an outpatient, remain in the hosp...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章,评审

    doi:10.1002/jhm.2597

    authors: Beieler AM,Dellit TH,Chan JD,Dhanireddy S,Enzian LK,Stone TJ,Dwyer-O'Connor E,Lynch JB

    更新日期:2016-08-01 00:00:00

  • Behaviors of successful interdisciplinary hospital quality improvement teams.

    abstract:BACKGROUND:Although interdisciplinary hospital quality improvement (QI) teams are both prevalent and associated with success of (QI) efforts, little is known about the behaviors of successful interdisciplinary QI teams. OBJECTIVE:We examined the specific behaviors of interdisciplinary QI teams in hospitals that succes...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.927

    authors: Santana C,Curry LA,Nembhard IM,Berg DN,Bradley EH

    更新日期:2011-11-01 00:00:00

  • Hospitalists caring for patients with advanced cancer: An experience-based guide.

    abstract::Every year, nearly 5 million adults with cancer are hospitalized. Limited evidence suggests that hospitalization of the cancer patient is associated with adverse morbidity and mortality. Hospitalization of the patient with advanced cancer allows for an intense examination of health status in the face of terminal illne...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章,评审

    doi:10.1002/jhm.2511

    authors: Koo DJ,Tonorezos ES,Kumar CB,Goring TN,Salvit C,Egan BC

    更新日期:2016-04-01 00:00:00

  • Nephrogenic systemic fibrosis: what the hospitalist needs to know.

    abstract::Nephrogenic systemic fibrosis (NSF) has now been linked to gadolinium-based contrast (GBC) exposure in those with compromised kidney function, particularly those with end-stage renal disease (ESRD). When ESRD is present, symptoms can be quite devastating for the patient including severe pain and immobility and even de...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.493

    authors: Fine DM,Perazella MA

    更新日期:2010-01-01 00:00:00

  • A matter of priorities? Exploring the persistent gender pay gap in hospital medicine.

    abstract:BACKGROUND:Gender earnings disparities among physicians exist even after considering differences in specialty, part-time status, and practice type. Little is known about the role of job satisfaction priorities on earnings differences. OBJECTIVE:To examine gender differences in work characteristics and job satisfaction...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.1002/jhm.2400

    authors: Weaver AC,Wetterneck TB,Whelan CT,Hinami K

    更新日期:2015-08-01 00:00:00

  • Hospital Privileging Practices for Bedside Procedures: A Survey of Hospitalist Experts.

    abstract::Many hospitalists are routinely granted hospital privileges to perform invasive bedside procedures, but criteria for privileging are not well described. We conducted a survey of 21 hospitalist procedure experts from the Society of Hospital Medicine Point-of-Care Ultrasound Task Force to better understand current privi...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.12788/jhm.2837

    authors: Jensen TP,Soni NJ,Tierney DM,Lucas BP

    更新日期:2017-10-01 00:00:00

  • Impact of Preoperative Specialty Consults on Hospitalist Comanagement of Hip Fracture Patients.

    abstract:BACKGROUND:Hip fractures typically occur in frail elderly patients. Preoperative specialty consults, in addition to hospitalist comanagement, are often requested for preoperative risk assessment. OBJECTIVE:Determine if preoperative specialty consults meaningfully influence management and outcomes in hip fracture patie...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章

    doi:10.12788/jhm.3264

    authors: Bellas N,Stohler S,Staff I,Majk K,Lewis C,Davis S,Kumar M

    更新日期:2020-01-01 00:00:00