The impact of fragmentation of hospitalist care on length of stay

Journal of Hospital Medicine

Volumn 5, Issue 6, 2010, Pages 335-338

  Epstein, Kenneth ^a,b   Juarez, Esther ^a   Epstein, Anne ^c   Loya, Kathy ^a   Singer, Adam ^a  

^a IPC The Hospitalist Company   (United States)

^b UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

^c Hospitlalist Consultants Incorporated   (United States)

Author keywords

Continuity of patient care; Hospitalists; Length of stay; Personnel staffing

Indexed keywords

ADULT; AGED; ARTICLE; COMORBIDITY; DIAGNOSIS RELATED GROUP; DISEASE SEVERITY; FEMALE; HEART FAILURE; HOSPITAL; HOSPITAL CARE; HOSPITAL PERSONNEL; HOSPITAL PHYSICIAN; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; PATIENT CARE; PNEUMONIA; PRIORITY JOURNAL; RISK; SCORING SYSTEM; SHOCK;

AGED; AGED, 80 AND OVER; CONTINUITY OF PATIENT CARE; DIAGNOSIS-RELATED GROUPS; FEMALE; HEART FAILURE; HOSPITALISTS; HUMANS; INSURANCE CLAIM REVIEW; LENGTH OF STAY; MALE; PATIENT ADMISSION; PNEUMONIA; REGRESSION ANALYSIS; SEVERITY OF ILLNESS INDEX; SHOCK;

EID: 77956637121     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.675     Document Type: Article

References (15)

1. Lofgren RP, Gottlieb D, Williams RA, Rich EC. Post-call transfer of resident responsibility; its effect on patient care. J Gen Intern Med. 1990;5:501-505.
2. Schuberth J, Elasy T, Butler J, et al. Effect of short call admission on length of stay and quality of care for acute decompensated heart failure. Circulation. 2008;117:2637-2644.
3. Petersen LA, Brennan TA, O'Neill AC, Cook EF, Lee TH. Does housestaff discontinuity of care increase the risk for preventable adverse effects? Ann Intern Med. 1994;121:866-872.
4. Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical outcomes. Am J Med. 2007;120:968-974. (Pubitemid 47633492)
5. Horwitz LI, Kosibored M, Lin Z, Krumholz HM. Changes in outcomes for internal medicine inpatients after work-hour regulations. Ann Intern Med. 2007;147:97-103. (Pubitemid 351664613)
6. Shetty K, Bhattacharya J. Changes in hospital mortality associated with resident work-hour regulations. Ann Intern Med. 2007;147:73-80. (Pubitemid 351664610)
7. Barnett MJ, Kaboli PJ, Sirio CA, Rosenthal GE. Day of the week of intensive care admission and patient outcomes. Med Care. 2002;40:530-539.
8. 3M Health Information Systems, 3M All Patient Refined DRG Software. Available at: http://3m.com/market/healthcare/his/us/products/apr-drg/brochure. html. Accessed February 2010.
9. Dearinger AT, Wilson JF, Griffith CH, Scutchfield FD. The effect of physician continuity on diabetic outcomes in a resident continuity clinic. J Gen Intern Med. 2008;23:937-941.
10. Halasyamani L, Valenstein P, Friedlander M, Cowen M. A comparison of two hospitalist models with traditional care in a community teaching hospital. Am J Med. 2005;118:536-543. (Pubitemid 40615478)
11. Information Related to the ACGME's Effort to Address Resident Duty Hours and Other Relevant Resource Materials. Available at: http://www.acgme.org/ acWebsite/dutyHours/dh-index.asp. Accessed February 2010.
12. Horwitz LI, Krumholz HM, Green ML, Huot SJ. Transfers of patient care between house staff on internal medicine wards. Arch Intern Med. 2006;166:1173-1177.
13. Medicare Short-Stay Hospital DRGs ranked by Discharges. Fiscal Year 2006. Available at: http://www.cms.hhs.gov/DataCompendium/17-2007-Data-Compendium. asp#TopOfPage. Accessed February 2010.
14. Joint Commission. 2008 National Patient Safety Goals. Hospital Program. Goal 02.05.01, formerly called Requirement 2E. Available at: http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/ 08-hap-npsgs.htm. Accessed February 2010.
15. Runy LA. Patient Handoffs. Available at: http://www.hhnmag.com/hhnmag- app/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/05MAY2008/ 0805HHN-FEA-Gatefold&domain=HHNMAG. Accessed February 2010.