Carolinas HealthCare System

Physician Leader Co-Authors National Guidelines for Hospital Medicine Groups

Scott Rissmiller, MD, senior medical director of Carolinas HealthCare System’s adult acute care division and president of Carolinas Hospitalist Group, co-authored a manuscript that was published in the Journal of Hospital Medicine. The article, titled “The Key Principles and Characteristics of an Effective Hospital Medicine Group: An Assessment Guide for Hospitals and Hospitalists,” (PDF) provides a self-assessment tool for assessing the performance of hospital medicine groups (HMGs).

Despite the growth of hospital medicine, few guidelines exist to guide the effective management of HMGs. Therefore, the Society of Hospital Medicine Board of Directors appointed a workgroup consisting of individuals, including Dr. Rissmiller, who have experience with a wide array of HMG models.

“This is a very exciting achievement for the Society of Hospital Medicine and for our specialty as a whole,” said Dr. Rissmiller. “This document showcases the value of hospitalists and establishes pathways to improve and hopefully inspire excellence.”

Third Annual Multiprofessional Adult Critical Care Symposium

Register today for the Third Annual Multiprofessional Adult Critical Care Symposium on Thursday and Friday, April 3 - 4, 2014.

This educational symposium allows participants to meet and interact with local and national leaders in various aspects of critical care, with the ability to tailor their education by choosing from a variety of smaller breakout sessions. We encourage all critical care disciplines to attend, including physicians, advanced clinical practitioners (ACPs), nurses, pharmacists, technicians and others.

The Critical Care Symposium is divided into two days: Thursday, April 3, will focus on the operational side of critical care, and Friday will be more clinically-focused. We strongly encourage you to attend both sessions for a comprehensive overview, or divide up the two days amongst your staff.

Download the agenda (PDF)

View additional details and register

Over an 18-month period, Dr. Rissmiller co-authored this manuscript with seven other physicians and researchers from various healthcare institutions, such as the Medical University of South Carolina and Ochsner Health System in New Orleans. The goal of this manuscript was to:

  • Be aspirational, helping to “raise the bar” for hospital medicine
  • Provide a framework for HMGs seeking to conduct self-assessments
  • Promote dialog between hospital executives and HMG leaders

The result of their collaboration is a framework with 47 key characteristics of an effective HMG in 10 areas:

  • Alignment with the Hospital/Health System
  • Clinician Engagement
  • Leadership
  • Planning/Management Infrastructure
  • Resources
  • Approach to Scope of Clinical Activities
  • Care Coordination
  • Clinician Recruitment/Retention
  • Patient/Family-Centered, Team-Based Practice Model
  • Role in Addressing Key Clinical Issues in the Hospital/
    Health System

These principles and characteristics provide a framework for HMGs seeking to conduct self-assessments, outlining a pathway for improvement and better defining the central role of hospitalists in coordinating team-based, patient-centered care in the acute care setting.

The manuscript is also being featured on the American Hospital Association, The Hospitalist Magazine and the American College of Physicians websites. This work exposes Carolinas Hospitalist Group as a national leader in best practices of hospital medicine.

Learn more by visiting the Society for Hospital Medicine website.

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