Movers and Shakers in Hospital Medicine

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Dr. Kosaraju
Dr. Kosaraju Dr. Hendricks Dr. Taher Hilliard Dr. Harris

Michael Campbell, MD, has been named one of the 2013 Physicians of the Year at Lake Health community health system in Lake County, Ohio. Dr. Campbell is a hospitalist who is board certified in family practice. He has been with Lake Health since 2011.

Nitish Kosaraju, MD, and Jocelyn Hendricks, DO, both received the 2013 Hospitalist of the Year award for an acute care practice from IPC The Hospitalist Company, based in North Hollywood, Calif. Dr. Kosaraju is a practice group leader for IPC in Houston and has been an IPC hospitalist since 2010. Dr. Hendricks is a practice group leader in Tucson, Ariz., and has been part of IPC since 2004.

Pedram Taher, MD, received IPC’s 2013 Hospitalist of the Year award for a post-acute care practice. Dr. Taher has worked for IPC since 2009 and is a practice group leader in the San Francisco Bay area.

Tammy Hilliard, FNP-C, earned IPC’s 2013 Hospitalist of the Year award for a non-physician provider. Hilliard has been with IPC since 2009 and now serves as a nurse practitioner and practice group representative in Phoenix, Ariz.

Jeffrey Harris, MD, received IPC’s 2013 Newcomer Clinician of the Year award. Dr. Harris is a neuro-hospitalist in San Antonio, Texas, and joined IPC in January 2013.

Corbi Milligan, MD, was featured in Murfreesboro Magazine for her exemplary leadership as the EmCare hospitalist site medical director for TriStar StoneCrest Medical Center in Smyrna, Tenn. Dr. Milligan oversees 10 hospitalists in her role and has been with TriStar StoneCrest since 2004.

Business Moves

St. Anthony’s Memorial Hospital in Effingham, Ill., has announced a brand new hospitalist program. The 146-bed acute care center will staff two full-time hospitalists.

Laurens County Memorial Hospital (LCMH) in Clinton, S.C., has partnered with the hospitalist program at Greenville Health System (GHS) in Greenville, S.C., to provide 24-hour hospitalist services. GHS’s lead hospitalist, Kevin Gilroy, MD, will oversee the new program at LCMH. GHS is a public, nonprofit healthcare system comprising seven regional medical centers, including LCMH, as well as numerous post-acute care facilities and offices.

The hospitalist program at Erlanger Health System in Chattanooga, Tenn., will now be managed by MDP Management, a Chattanooga-based physician management company. Erlanger’s hospitalist program has 18 full-time physicians at the nonprofit, level-one trauma center.

IPC The Hospitalist Company has acquired the post-acute hospitalist practice CAP Medical Group, PLLC, in New Hartford, N.Y. CAP Medical Group has served the Oneida County area of upstate New York since 2007. IPC oversees hospitalist services in over 400 hospitals and 1,100 post-acute care practices across the country.

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Dr. Kosaraju
Dr. Kosaraju Dr. Hendricks Dr. Taher Hilliard Dr. Harris

Michael Campbell, MD, has been named one of the 2013 Physicians of the Year at Lake Health community health system in Lake County, Ohio. Dr. Campbell is a hospitalist who is board certified in family practice. He has been with Lake Health since 2011.

Nitish Kosaraju, MD, and Jocelyn Hendricks, DO, both received the 2013 Hospitalist of the Year award for an acute care practice from IPC The Hospitalist Company, based in North Hollywood, Calif. Dr. Kosaraju is a practice group leader for IPC in Houston and has been an IPC hospitalist since 2010. Dr. Hendricks is a practice group leader in Tucson, Ariz., and has been part of IPC since 2004.

Pedram Taher, MD, received IPC’s 2013 Hospitalist of the Year award for a post-acute care practice. Dr. Taher has worked for IPC since 2009 and is a practice group leader in the San Francisco Bay area.

Tammy Hilliard, FNP-C, earned IPC’s 2013 Hospitalist of the Year award for a non-physician provider. Hilliard has been with IPC since 2009 and now serves as a nurse practitioner and practice group representative in Phoenix, Ariz.

Jeffrey Harris, MD, received IPC’s 2013 Newcomer Clinician of the Year award. Dr. Harris is a neuro-hospitalist in San Antonio, Texas, and joined IPC in January 2013.

Corbi Milligan, MD, was featured in Murfreesboro Magazine for her exemplary leadership as the EmCare hospitalist site medical director for TriStar StoneCrest Medical Center in Smyrna, Tenn. Dr. Milligan oversees 10 hospitalists in her role and has been with TriStar StoneCrest since 2004.

Business Moves

St. Anthony’s Memorial Hospital in Effingham, Ill., has announced a brand new hospitalist program. The 146-bed acute care center will staff two full-time hospitalists.

Laurens County Memorial Hospital (LCMH) in Clinton, S.C., has partnered with the hospitalist program at Greenville Health System (GHS) in Greenville, S.C., to provide 24-hour hospitalist services. GHS’s lead hospitalist, Kevin Gilroy, MD, will oversee the new program at LCMH. GHS is a public, nonprofit healthcare system comprising seven regional medical centers, including LCMH, as well as numerous post-acute care facilities and offices.

The hospitalist program at Erlanger Health System in Chattanooga, Tenn., will now be managed by MDP Management, a Chattanooga-based physician management company. Erlanger’s hospitalist program has 18 full-time physicians at the nonprofit, level-one trauma center.

IPC The Hospitalist Company has acquired the post-acute hospitalist practice CAP Medical Group, PLLC, in New Hartford, N.Y. CAP Medical Group has served the Oneida County area of upstate New York since 2007. IPC oversees hospitalist services in over 400 hospitals and 1,100 post-acute care practices across the country.

Dr. Kosaraju
Dr. Kosaraju Dr. Hendricks Dr. Taher Hilliard Dr. Harris

Michael Campbell, MD, has been named one of the 2013 Physicians of the Year at Lake Health community health system in Lake County, Ohio. Dr. Campbell is a hospitalist who is board certified in family practice. He has been with Lake Health since 2011.

Nitish Kosaraju, MD, and Jocelyn Hendricks, DO, both received the 2013 Hospitalist of the Year award for an acute care practice from IPC The Hospitalist Company, based in North Hollywood, Calif. Dr. Kosaraju is a practice group leader for IPC in Houston and has been an IPC hospitalist since 2010. Dr. Hendricks is a practice group leader in Tucson, Ariz., and has been part of IPC since 2004.

Pedram Taher, MD, received IPC’s 2013 Hospitalist of the Year award for a post-acute care practice. Dr. Taher has worked for IPC since 2009 and is a practice group leader in the San Francisco Bay area.

Tammy Hilliard, FNP-C, earned IPC’s 2013 Hospitalist of the Year award for a non-physician provider. Hilliard has been with IPC since 2009 and now serves as a nurse practitioner and practice group representative in Phoenix, Ariz.

Jeffrey Harris, MD, received IPC’s 2013 Newcomer Clinician of the Year award. Dr. Harris is a neuro-hospitalist in San Antonio, Texas, and joined IPC in January 2013.

Corbi Milligan, MD, was featured in Murfreesboro Magazine for her exemplary leadership as the EmCare hospitalist site medical director for TriStar StoneCrest Medical Center in Smyrna, Tenn. Dr. Milligan oversees 10 hospitalists in her role and has been with TriStar StoneCrest since 2004.

Business Moves

St. Anthony’s Memorial Hospital in Effingham, Ill., has announced a brand new hospitalist program. The 146-bed acute care center will staff two full-time hospitalists.

Laurens County Memorial Hospital (LCMH) in Clinton, S.C., has partnered with the hospitalist program at Greenville Health System (GHS) in Greenville, S.C., to provide 24-hour hospitalist services. GHS’s lead hospitalist, Kevin Gilroy, MD, will oversee the new program at LCMH. GHS is a public, nonprofit healthcare system comprising seven regional medical centers, including LCMH, as well as numerous post-acute care facilities and offices.

The hospitalist program at Erlanger Health System in Chattanooga, Tenn., will now be managed by MDP Management, a Chattanooga-based physician management company. Erlanger’s hospitalist program has 18 full-time physicians at the nonprofit, level-one trauma center.

IPC The Hospitalist Company has acquired the post-acute hospitalist practice CAP Medical Group, PLLC, in New Hartford, N.Y. CAP Medical Group has served the Oneida County area of upstate New York since 2007. IPC oversees hospitalist services in over 400 hospitals and 1,100 post-acute care practices across the country.

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Movers and Shakers in Hospital Medicine

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Robert Wachter, MD, MHM

Robert Wachter, MD, MHM, has been named to the board of directors and chair of the quality committee for IPC: The Hospitalist Company, based in North Hollywood, Calif. Dr. Wachter currently serves as director of the division of hospital medicine and associate chair of the department of medicine at the University of California at San Francisco. A well-known and respected authority on quality and safety, he was recognized with the John M. Eisenberg Award for excellence in patient safety in 2004. He also pens the Wachter’s World blog at www.wachtersworld.com.

Raffi Hodikian, MD

Raffi Hodikian, MD, a hospitalist and longtime member of SHM, was named the 2013 Physician of the Year at Foothill Presbyterian Hospital in Glendora, Calif. “Not only was this the greatest honor of my career, but I thought it further reaffirmed the vital role hospitalists play in our community hospitals,” Dr. Hodikian said of the award.

Kimberly A. Bell, MD, is the new associate vice president of hospital medicine for Franciscan Health System (FHS) in Tacoma, Wash. In her new role, Dr. Bell will oversee hospitalist services at five of FHS’ seven area hospitals. FHS employs nearly 100 hospital medicine providers, including physicians and physician extenders.

Felix T. Cabrera, MD, has been named associate medical director at Guam Memorial Hospital (GMH) in Tamuning, Guam, after working as a hospitalist at GMH for more than two years. In his new role, Dr. Cabrera hopes to improve the technological infrastructure within the hospital. He will continue with his regular hospitalist rounds and private practice at International Health Providers Medical Group in Dededo, Guam. GMH is a 158-bed acute-care facility and the only hospital dedicated to civilian care on the island.

Troy Martin, MD, has been appointed chief medical officer for Questcare Hospitalists, based in Dallas. Dr. Martin comes to the Questcare executive team from the Medical Center of McKinney in McKinney, Texas, where he served as medical director of Questcare’s hospitalist program.

Business Moves

Dallas-based Eagle Hospital Physicians recently named its new executive team after receiving more than $20 million in new company funding. The leadership team includes executive chair Edward R. Casas, MD, MM, MPH, a seasoned investment executive and decorated U.S. Navy flight surgeon; CEO Peter Harris, a former CEO and COO of several major health care firms; president and COO Talbot “Mac” McCormick, MD, a practicing Eagle hospitalist since 2003; CMO David Gates, MD, PhD, FACP, a hospitalist with Eagle since 2010; and senior vice president of practice development John D. Johnston, MD, a 10-year hospitalist with Eagle.

IPC: The Hospitalist Company announced the acquisition of two private hospitalist groups. IPC will oversee operations at Baldwin Physician Services Inc. (BPS), a post-acute-care practice in Mobile, Ala., and Steward Health Care System LLC in Boston. IPC held a previous contract at one of Steward’s locations. Now IPC will be responsible for administering the hospitalist services at nine of Steward’s acute-care hospitals in and around the greater Boston area.

St. Elizabeth Community Hospital (SECH) in Red Bluff, Calif., has begun offering 24-hour hospitalist inpatient services now that it has partnered with nearby Lassen Hospitalist Group Inc. (LHG) and its internal-medicine team. SECH is a 76-bed acute-care hospital that serves most of Tehama County, Calif. LHG employs 29 physician and midlevel providers in the areas of urgent care, family practice, internal medicine, pediatrics, and dermatology at its two nonemergency locations in Red Bluff and Cottonwood.

McPherson (Kan.) Hospital is now offering hospitalist services to inpatients. The hospitalist program will be provided by Michael Bloustine, MD, and Jennifer Alexander, APRN-C, with plans to expand the number of hospitalist providers as the demand for 24-hour inpatient care grows.

Questcare Partners, a private hospitalist-solutions group based in Dallas, has partnered with the University of Oklahoma Medical Center (OUMC) in Oklahoma City to provide hospitalist services at the state’s largest hospital. OUMC serves the University of Oklahoma School of Medicine and is Oklahoma’s only Level 1 trauma center. Questcare Partners has been providing private physician staffing for emergency and hospital medicine since 1996.

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Robert Wachter, MD, MHM

Robert Wachter, MD, MHM, has been named to the board of directors and chair of the quality committee for IPC: The Hospitalist Company, based in North Hollywood, Calif. Dr. Wachter currently serves as director of the division of hospital medicine and associate chair of the department of medicine at the University of California at San Francisco. A well-known and respected authority on quality and safety, he was recognized with the John M. Eisenberg Award for excellence in patient safety in 2004. He also pens the Wachter’s World blog at www.wachtersworld.com.

Raffi Hodikian, MD

Raffi Hodikian, MD, a hospitalist and longtime member of SHM, was named the 2013 Physician of the Year at Foothill Presbyterian Hospital in Glendora, Calif. “Not only was this the greatest honor of my career, but I thought it further reaffirmed the vital role hospitalists play in our community hospitals,” Dr. Hodikian said of the award.

Kimberly A. Bell, MD, is the new associate vice president of hospital medicine for Franciscan Health System (FHS) in Tacoma, Wash. In her new role, Dr. Bell will oversee hospitalist services at five of FHS’ seven area hospitals. FHS employs nearly 100 hospital medicine providers, including physicians and physician extenders.

Felix T. Cabrera, MD, has been named associate medical director at Guam Memorial Hospital (GMH) in Tamuning, Guam, after working as a hospitalist at GMH for more than two years. In his new role, Dr. Cabrera hopes to improve the technological infrastructure within the hospital. He will continue with his regular hospitalist rounds and private practice at International Health Providers Medical Group in Dededo, Guam. GMH is a 158-bed acute-care facility and the only hospital dedicated to civilian care on the island.

Troy Martin, MD, has been appointed chief medical officer for Questcare Hospitalists, based in Dallas. Dr. Martin comes to the Questcare executive team from the Medical Center of McKinney in McKinney, Texas, where he served as medical director of Questcare’s hospitalist program.

Business Moves

Dallas-based Eagle Hospital Physicians recently named its new executive team after receiving more than $20 million in new company funding. The leadership team includes executive chair Edward R. Casas, MD, MM, MPH, a seasoned investment executive and decorated U.S. Navy flight surgeon; CEO Peter Harris, a former CEO and COO of several major health care firms; president and COO Talbot “Mac” McCormick, MD, a practicing Eagle hospitalist since 2003; CMO David Gates, MD, PhD, FACP, a hospitalist with Eagle since 2010; and senior vice president of practice development John D. Johnston, MD, a 10-year hospitalist with Eagle.

IPC: The Hospitalist Company announced the acquisition of two private hospitalist groups. IPC will oversee operations at Baldwin Physician Services Inc. (BPS), a post-acute-care practice in Mobile, Ala., and Steward Health Care System LLC in Boston. IPC held a previous contract at one of Steward’s locations. Now IPC will be responsible for administering the hospitalist services at nine of Steward’s acute-care hospitals in and around the greater Boston area.

St. Elizabeth Community Hospital (SECH) in Red Bluff, Calif., has begun offering 24-hour hospitalist inpatient services now that it has partnered with nearby Lassen Hospitalist Group Inc. (LHG) and its internal-medicine team. SECH is a 76-bed acute-care hospital that serves most of Tehama County, Calif. LHG employs 29 physician and midlevel providers in the areas of urgent care, family practice, internal medicine, pediatrics, and dermatology at its two nonemergency locations in Red Bluff and Cottonwood.

McPherson (Kan.) Hospital is now offering hospitalist services to inpatients. The hospitalist program will be provided by Michael Bloustine, MD, and Jennifer Alexander, APRN-C, with plans to expand the number of hospitalist providers as the demand for 24-hour inpatient care grows.

Questcare Partners, a private hospitalist-solutions group based in Dallas, has partnered with the University of Oklahoma Medical Center (OUMC) in Oklahoma City to provide hospitalist services at the state’s largest hospital. OUMC serves the University of Oklahoma School of Medicine and is Oklahoma’s only Level 1 trauma center. Questcare Partners has been providing private physician staffing for emergency and hospital medicine since 1996.

Robert Wachter, MD, MHM

Robert Wachter, MD, MHM, has been named to the board of directors and chair of the quality committee for IPC: The Hospitalist Company, based in North Hollywood, Calif. Dr. Wachter currently serves as director of the division of hospital medicine and associate chair of the department of medicine at the University of California at San Francisco. A well-known and respected authority on quality and safety, he was recognized with the John M. Eisenberg Award for excellence in patient safety in 2004. He also pens the Wachter’s World blog at www.wachtersworld.com.

Raffi Hodikian, MD

Raffi Hodikian, MD, a hospitalist and longtime member of SHM, was named the 2013 Physician of the Year at Foothill Presbyterian Hospital in Glendora, Calif. “Not only was this the greatest honor of my career, but I thought it further reaffirmed the vital role hospitalists play in our community hospitals,” Dr. Hodikian said of the award.

Kimberly A. Bell, MD, is the new associate vice president of hospital medicine for Franciscan Health System (FHS) in Tacoma, Wash. In her new role, Dr. Bell will oversee hospitalist services at five of FHS’ seven area hospitals. FHS employs nearly 100 hospital medicine providers, including physicians and physician extenders.

Felix T. Cabrera, MD, has been named associate medical director at Guam Memorial Hospital (GMH) in Tamuning, Guam, after working as a hospitalist at GMH for more than two years. In his new role, Dr. Cabrera hopes to improve the technological infrastructure within the hospital. He will continue with his regular hospitalist rounds and private practice at International Health Providers Medical Group in Dededo, Guam. GMH is a 158-bed acute-care facility and the only hospital dedicated to civilian care on the island.

Troy Martin, MD, has been appointed chief medical officer for Questcare Hospitalists, based in Dallas. Dr. Martin comes to the Questcare executive team from the Medical Center of McKinney in McKinney, Texas, where he served as medical director of Questcare’s hospitalist program.

Business Moves

Dallas-based Eagle Hospital Physicians recently named its new executive team after receiving more than $20 million in new company funding. The leadership team includes executive chair Edward R. Casas, MD, MM, MPH, a seasoned investment executive and decorated U.S. Navy flight surgeon; CEO Peter Harris, a former CEO and COO of several major health care firms; president and COO Talbot “Mac” McCormick, MD, a practicing Eagle hospitalist since 2003; CMO David Gates, MD, PhD, FACP, a hospitalist with Eagle since 2010; and senior vice president of practice development John D. Johnston, MD, a 10-year hospitalist with Eagle.

IPC: The Hospitalist Company announced the acquisition of two private hospitalist groups. IPC will oversee operations at Baldwin Physician Services Inc. (BPS), a post-acute-care practice in Mobile, Ala., and Steward Health Care System LLC in Boston. IPC held a previous contract at one of Steward’s locations. Now IPC will be responsible for administering the hospitalist services at nine of Steward’s acute-care hospitals in and around the greater Boston area.

St. Elizabeth Community Hospital (SECH) in Red Bluff, Calif., has begun offering 24-hour hospitalist inpatient services now that it has partnered with nearby Lassen Hospitalist Group Inc. (LHG) and its internal-medicine team. SECH is a 76-bed acute-care hospital that serves most of Tehama County, Calif. LHG employs 29 physician and midlevel providers in the areas of urgent care, family practice, internal medicine, pediatrics, and dermatology at its two nonemergency locations in Red Bluff and Cottonwood.

McPherson (Kan.) Hospital is now offering hospitalist services to inpatients. The hospitalist program will be provided by Michael Bloustine, MD, and Jennifer Alexander, APRN-C, with plans to expand the number of hospitalist providers as the demand for 24-hour inpatient care grows.

Questcare Partners, a private hospitalist-solutions group based in Dallas, has partnered with the University of Oklahoma Medical Center (OUMC) in Oklahoma City to provide hospitalist services at the state’s largest hospital. OUMC serves the University of Oklahoma School of Medicine and is Oklahoma’s only Level 1 trauma center. Questcare Partners has been providing private physician staffing for emergency and hospital medicine since 1996.

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Movers and Shakers in Hospital Medicine

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Robert McNab, DO

Hospitalist Robert McNab, DO, has been named the new medical education director of Freeman Health System in Joplin, Mo. He will continue as a hospitalist and director of the internal-medicine residency program. Dr. McNab brings more than 10 years of teaching experience to the Freeman Graduate Medical Education Program.

Brian Harte, MD, SFHM, Cleveland Clinic hospitalist and president of South Pointe Hospital in Warrensville Heights, Ohio, is now president of Hillcrest Hospital in Mayfield Heights, Ohio. Dr. Harte is an SHM board member and serves as the board treasurer. In addition to his new role, Dr. Harte will continue to practice as a hospitalist at Hillcrest Hospital.

Anita Dhople, MD, is the new hospitalist medical director for the Rockledge, Fla.-based Health First health system. Dr. Dhople will oversee all hospitalist services at four affiliated hospitals. Dr. Dhople comes to Health First from the Piedmont Physicians Group in Atlanta.

Matthew Heinz, MD, has been appointed director of provider outreach in the U.S. Department of Health and Human Services’ Office of Intergovernmental and External Affairs (IEA). Dr. Heinz is a practicing hospitalist at Tucson (Ariz.) Medical Center and a former representative in the Arizona state legislature.

Business Moves

IPC: The Hospitalist Company, based in North Hollywood, Calif., has announced the acquisition of two private hospitalist practices: Sound Senior Geriatrics LLC (SSG) in Mystic, Conn., and Cape Coral Hospitalists Inc. (CCH) based in Fort Meyers, Fla. IPC contracts hospitalist services in 28 states.

Bayhealth hospital network in Dover, Del., has partnered with Apogee Physicians to provide 24-hour hospitalist services at Kent General Hospital in Dover and Milford Memorial Hospital in Milford. Bayhealth has been serving communities in central and southern Delaware for more than 75 years. Phoenix-based Apogee Physicians has been providing contracted hospitalist services since 2002.

Cogent Healthcare is partnering with South Georgia Medical Center (SGMC) to provide hospitalist services at the 285-bed acute-care nonprofit main campus and the 55-bed Smith Northview Campus in Valdosta, Ga. SGMC currently serves 15 counties in south-central Georgia and north Florida. Cogent provides contracted hospitalist services at more than 100 hospitals throughout the United States.

Cogent Healthcare Inc., based in Brentwood, Tenn., recently announced Dean Weiland as the private hospitalist staffing company’s new president and CEO. Weiland served as an executive during a merger between Renal Advantage and Liberty Dialysis in 2010. Before that, he served as CEO of The Work Institute.

Hill Country Memorial Hospital (HCM) in Fredericksburg, Texas, has announced plans to expand its 24-hour hospitalist service from only weekends to seven days a week. The decision comes as a reaction to the positive benefits HCM has experienced since it began its weekend hospitalist service in 2011.

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Robert McNab, DO

Hospitalist Robert McNab, DO, has been named the new medical education director of Freeman Health System in Joplin, Mo. He will continue as a hospitalist and director of the internal-medicine residency program. Dr. McNab brings more than 10 years of teaching experience to the Freeman Graduate Medical Education Program.

Brian Harte, MD, SFHM, Cleveland Clinic hospitalist and president of South Pointe Hospital in Warrensville Heights, Ohio, is now president of Hillcrest Hospital in Mayfield Heights, Ohio. Dr. Harte is an SHM board member and serves as the board treasurer. In addition to his new role, Dr. Harte will continue to practice as a hospitalist at Hillcrest Hospital.

Anita Dhople, MD, is the new hospitalist medical director for the Rockledge, Fla.-based Health First health system. Dr. Dhople will oversee all hospitalist services at four affiliated hospitals. Dr. Dhople comes to Health First from the Piedmont Physicians Group in Atlanta.

Matthew Heinz, MD, has been appointed director of provider outreach in the U.S. Department of Health and Human Services’ Office of Intergovernmental and External Affairs (IEA). Dr. Heinz is a practicing hospitalist at Tucson (Ariz.) Medical Center and a former representative in the Arizona state legislature.

Business Moves

IPC: The Hospitalist Company, based in North Hollywood, Calif., has announced the acquisition of two private hospitalist practices: Sound Senior Geriatrics LLC (SSG) in Mystic, Conn., and Cape Coral Hospitalists Inc. (CCH) based in Fort Meyers, Fla. IPC contracts hospitalist services in 28 states.

Bayhealth hospital network in Dover, Del., has partnered with Apogee Physicians to provide 24-hour hospitalist services at Kent General Hospital in Dover and Milford Memorial Hospital in Milford. Bayhealth has been serving communities in central and southern Delaware for more than 75 years. Phoenix-based Apogee Physicians has been providing contracted hospitalist services since 2002.

Cogent Healthcare is partnering with South Georgia Medical Center (SGMC) to provide hospitalist services at the 285-bed acute-care nonprofit main campus and the 55-bed Smith Northview Campus in Valdosta, Ga. SGMC currently serves 15 counties in south-central Georgia and north Florida. Cogent provides contracted hospitalist services at more than 100 hospitals throughout the United States.

Cogent Healthcare Inc., based in Brentwood, Tenn., recently announced Dean Weiland as the private hospitalist staffing company’s new president and CEO. Weiland served as an executive during a merger between Renal Advantage and Liberty Dialysis in 2010. Before that, he served as CEO of The Work Institute.

Hill Country Memorial Hospital (HCM) in Fredericksburg, Texas, has announced plans to expand its 24-hour hospitalist service from only weekends to seven days a week. The decision comes as a reaction to the positive benefits HCM has experienced since it began its weekend hospitalist service in 2011.

Robert McNab, DO

Hospitalist Robert McNab, DO, has been named the new medical education director of Freeman Health System in Joplin, Mo. He will continue as a hospitalist and director of the internal-medicine residency program. Dr. McNab brings more than 10 years of teaching experience to the Freeman Graduate Medical Education Program.

Brian Harte, MD, SFHM, Cleveland Clinic hospitalist and president of South Pointe Hospital in Warrensville Heights, Ohio, is now president of Hillcrest Hospital in Mayfield Heights, Ohio. Dr. Harte is an SHM board member and serves as the board treasurer. In addition to his new role, Dr. Harte will continue to practice as a hospitalist at Hillcrest Hospital.

Anita Dhople, MD, is the new hospitalist medical director for the Rockledge, Fla.-based Health First health system. Dr. Dhople will oversee all hospitalist services at four affiliated hospitals. Dr. Dhople comes to Health First from the Piedmont Physicians Group in Atlanta.

Matthew Heinz, MD, has been appointed director of provider outreach in the U.S. Department of Health and Human Services’ Office of Intergovernmental and External Affairs (IEA). Dr. Heinz is a practicing hospitalist at Tucson (Ariz.) Medical Center and a former representative in the Arizona state legislature.

Business Moves

IPC: The Hospitalist Company, based in North Hollywood, Calif., has announced the acquisition of two private hospitalist practices: Sound Senior Geriatrics LLC (SSG) in Mystic, Conn., and Cape Coral Hospitalists Inc. (CCH) based in Fort Meyers, Fla. IPC contracts hospitalist services in 28 states.

Bayhealth hospital network in Dover, Del., has partnered with Apogee Physicians to provide 24-hour hospitalist services at Kent General Hospital in Dover and Milford Memorial Hospital in Milford. Bayhealth has been serving communities in central and southern Delaware for more than 75 years. Phoenix-based Apogee Physicians has been providing contracted hospitalist services since 2002.

Cogent Healthcare is partnering with South Georgia Medical Center (SGMC) to provide hospitalist services at the 285-bed acute-care nonprofit main campus and the 55-bed Smith Northview Campus in Valdosta, Ga. SGMC currently serves 15 counties in south-central Georgia and north Florida. Cogent provides contracted hospitalist services at more than 100 hospitals throughout the United States.

Cogent Healthcare Inc., based in Brentwood, Tenn., recently announced Dean Weiland as the private hospitalist staffing company’s new president and CEO. Weiland served as an executive during a merger between Renal Advantage and Liberty Dialysis in 2010. Before that, he served as CEO of The Work Institute.

Hill Country Memorial Hospital (HCM) in Fredericksburg, Texas, has announced plans to expand its 24-hour hospitalist service from only weekends to seven days a week. The decision comes as a reaction to the positive benefits HCM has experienced since it began its weekend hospitalist service in 2011.

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Obituary: Laura Mirkinson, MD, MSc, FAAP

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Laura Mirkinson, MD, MSc, FAAP, pediatric hospitalist and a founder of the American Academy of Pediatrics’ (AAP) Section on Hospital Medicine Executive Committee, died April 29 of ovarian cancer. She was 60.

Dr. Mirkinson received her medical degree from Uniformed Services University of the Health Sciences (USUHS) in Bethesda, Md., before serving her pediatrics residency at Bethesda Naval Hospital and Walter Reed Army Medical Center. She served as an active-duty medical officer in the U.S. Naval Medical Corps Reserves before retiring as a captain in 2000. She then worked at Children’s Hospital of Washington and the pediatric hospitalist group at Holy Cross Hospital in Silver Spring, Md.

Dr. Mirkinson played a role in the development of pediatric hospital medicine during and after her military service. In 2007, she was elected chief of pediatrics at Blythedale Children’s Hospital in Valhalla, N.Y. She also served as director of education for the AAP’s Section on Hospital Medicine and was its second chairperson, following the section’s co-founder Jack Percelay, MD, FAAP. Through this work, she helped promote the AAP Section on Hospital Medicine newsletter, as well as the Hospital Pediatrics journal.

Dr. Mirkinson’s colleagues and students remember her as a caring, insightful teacher and mentor who offered wise advice on all matters professional and personal. Her devotion to patient care was evident throughout her career. Even in her administrative roles, she would often practice clinical medicine to help fill scheduling gaps or cover other physicians’ vacations.

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Laura Mirkinson, MD, MSc, FAAP, pediatric hospitalist and a founder of the American Academy of Pediatrics’ (AAP) Section on Hospital Medicine Executive Committee, died April 29 of ovarian cancer. She was 60.

Dr. Mirkinson received her medical degree from Uniformed Services University of the Health Sciences (USUHS) in Bethesda, Md., before serving her pediatrics residency at Bethesda Naval Hospital and Walter Reed Army Medical Center. She served as an active-duty medical officer in the U.S. Naval Medical Corps Reserves before retiring as a captain in 2000. She then worked at Children’s Hospital of Washington and the pediatric hospitalist group at Holy Cross Hospital in Silver Spring, Md.

Dr. Mirkinson played a role in the development of pediatric hospital medicine during and after her military service. In 2007, she was elected chief of pediatrics at Blythedale Children’s Hospital in Valhalla, N.Y. She also served as director of education for the AAP’s Section on Hospital Medicine and was its second chairperson, following the section’s co-founder Jack Percelay, MD, FAAP. Through this work, she helped promote the AAP Section on Hospital Medicine newsletter, as well as the Hospital Pediatrics journal.

Dr. Mirkinson’s colleagues and students remember her as a caring, insightful teacher and mentor who offered wise advice on all matters professional and personal. Her devotion to patient care was evident throughout her career. Even in her administrative roles, she would often practice clinical medicine to help fill scheduling gaps or cover other physicians’ vacations.

Laura Mirkinson, MD, MSc, FAAP, pediatric hospitalist and a founder of the American Academy of Pediatrics’ (AAP) Section on Hospital Medicine Executive Committee, died April 29 of ovarian cancer. She was 60.

Dr. Mirkinson received her medical degree from Uniformed Services University of the Health Sciences (USUHS) in Bethesda, Md., before serving her pediatrics residency at Bethesda Naval Hospital and Walter Reed Army Medical Center. She served as an active-duty medical officer in the U.S. Naval Medical Corps Reserves before retiring as a captain in 2000. She then worked at Children’s Hospital of Washington and the pediatric hospitalist group at Holy Cross Hospital in Silver Spring, Md.

Dr. Mirkinson played a role in the development of pediatric hospital medicine during and after her military service. In 2007, she was elected chief of pediatrics at Blythedale Children’s Hospital in Valhalla, N.Y. She also served as director of education for the AAP’s Section on Hospital Medicine and was its second chairperson, following the section’s co-founder Jack Percelay, MD, FAAP. Through this work, she helped promote the AAP Section on Hospital Medicine newsletter, as well as the Hospital Pediatrics journal.

Dr. Mirkinson’s colleagues and students remember her as a caring, insightful teacher and mentor who offered wise advice on all matters professional and personal. Her devotion to patient care was evident throughout her career. Even in her administrative roles, she would often practice clinical medicine to help fill scheduling gaps or cover other physicians’ vacations.

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Movers and Shakers in Hospital Medicine

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Chris Brown, MD, MPH

Chris Brown, MD, MPH, was elected one of Columbus Business First’s members of the Forty Under 40 class of 2013. Dr. Brown is the medical director of hospital medicine at Memorial Hospital of Union County in Marysville, Ohio. The designation recognizes members of the Columbus, Ohio, community who demonstrate superior professional development, community involvement, and other awards and recognitions. Dr. Brown’s colleagues describe him as “a collaborative, attentive, and detailed physician as well as a capable leader.”

Thomas Gallagher, MD, is the University of Washington’s (UW) new director of the program in hospital medicine. This new position in UW’s division of general internal medicine will oversee all of the hospitalist programs at UW Medicine and Harborview Medical Center in Seattle. Dr. Gallagher also is a UW professor of medicine and bioethics and humanities.

Pawan Dhawan, MD, has been appointed medical director of the hospitalist programs at Trident Medical Center in Charleston, S.C., and Summerville Medical Center in Summerville, S.C. Dr. Dhawan comes to Trident Health System from Bay Hospitalists in Newark, Del. Dr. Dhawan served on SHM’s Leadership Committee in 2011.

OB Hospitalist Group (OBHG) in Mauldin, S.C., has announced new medical directors of operations (MDOs) for five of its regions. Nicholas Kulbida, MD, MDO for OBHG’s northeast region, works at Bellevue Women’s Center in Niskayuna, N.Y. Susie Wilson, MD, one of two MDOs for the southeast region, is team leader at Summerville Medical Center in Summerville, S.C. Sue Smith, MD, the other MDO for OBHG’s southeast region, works for Winter Haven Hospital-Regency Medical Center in Winter Haven, Fla. Matthew Conrad, MD, MDO for the Great Lakes region, serves as an OB hospitalist at both Holmes Regional Medical Center in Melbourne, Fla., and Osceola Regional Medical Center in Kissimmee, Fla. Charlie Jaynes, MD, OBHG’s MDO for the south-central region, is an OB hospitalist at North Austin Medical Center in Austin, Texas, and Baylor All Saints Andrews Women’s Hospital in Fort Worth, Texas. Michael White, MD, the West Coast MDO, works as a hospitalist at Hoag Memorial Hospital in Newport Beach, Calif.

Jetinder Singh-Marjara, MD, is the new hospital medicine program director at Golden Valley Memorial Hospital in Clinton, Mo. Dr. Singh-Marjara has worked in Kansas City, Mo., and throughout the Midwest as a hospitalist for more than 10 years since completing his residency in internal medicine at the University of Illinois in Chicago.

Chris Brown, MD, MPH
Shelley Lenamond, DO, FHM Haresh
Boghara, MD Tien Vo, MD

Fred Guyer, MD, recently was awarded the Northeast Florida Pediatric Society’s Pediatric Hospitalist of the Year award. Dr. Guyer is a hospitalist at Nemours Children’s Clinic in Jacksonville. Dr. Guyer is faculty at the University of Florida College of Medicine.

TeamHealth of Knoxville, Tenn., has announced three new medical directors.

Shelley Lenamond, DO, FHM, is the new facility medical director for TeamHealth’s hospitalist program at Methodist Mansfield Medical Center in Mansfield, Texas.

Haresh Boghara, MD, is the new facility medical director of hospitalist services at Methodist Charlton Medical Center in Dallas.

Tien Vo, MD, is TeamHealth’s new facility medical director of its hospitalist program at El Centro Regional Medical Center in El Centro, Calif.


Michael O'Neal is a freelance writer in New York.

Business Moves

North Hollywood, Calif.-based IPC: The Hospitalist Company has acquired Harbor Hospitalists LLC, an acute-care hospitalist practice based in Port Charlotte, Fla. Harbor Hospitalists serves five community medical centers in and around the Port Charlotte and Punta Gorda, Fla., areas. IPC provides hospitalist services in 28 states.

OB Hospitalist Group (OBHG), based in Mauldin, S.C., is providing 24-hour services to Cypress Fairbanks Medical Center in Houston, a 180-bed acute-care facility, and at St. Bernardine Medical Center in San Bernardino, Calif., a 463-bed nonprofit community hospital. OBHG now provides services at more than 50 hospitals nationwide.

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Chris Brown, MD, MPH

Chris Brown, MD, MPH, was elected one of Columbus Business First’s members of the Forty Under 40 class of 2013. Dr. Brown is the medical director of hospital medicine at Memorial Hospital of Union County in Marysville, Ohio. The designation recognizes members of the Columbus, Ohio, community who demonstrate superior professional development, community involvement, and other awards and recognitions. Dr. Brown’s colleagues describe him as “a collaborative, attentive, and detailed physician as well as a capable leader.”

Thomas Gallagher, MD, is the University of Washington’s (UW) new director of the program in hospital medicine. This new position in UW’s division of general internal medicine will oversee all of the hospitalist programs at UW Medicine and Harborview Medical Center in Seattle. Dr. Gallagher also is a UW professor of medicine and bioethics and humanities.

Pawan Dhawan, MD, has been appointed medical director of the hospitalist programs at Trident Medical Center in Charleston, S.C., and Summerville Medical Center in Summerville, S.C. Dr. Dhawan comes to Trident Health System from Bay Hospitalists in Newark, Del. Dr. Dhawan served on SHM’s Leadership Committee in 2011.

OB Hospitalist Group (OBHG) in Mauldin, S.C., has announced new medical directors of operations (MDOs) for five of its regions. Nicholas Kulbida, MD, MDO for OBHG’s northeast region, works at Bellevue Women’s Center in Niskayuna, N.Y. Susie Wilson, MD, one of two MDOs for the southeast region, is team leader at Summerville Medical Center in Summerville, S.C. Sue Smith, MD, the other MDO for OBHG’s southeast region, works for Winter Haven Hospital-Regency Medical Center in Winter Haven, Fla. Matthew Conrad, MD, MDO for the Great Lakes region, serves as an OB hospitalist at both Holmes Regional Medical Center in Melbourne, Fla., and Osceola Regional Medical Center in Kissimmee, Fla. Charlie Jaynes, MD, OBHG’s MDO for the south-central region, is an OB hospitalist at North Austin Medical Center in Austin, Texas, and Baylor All Saints Andrews Women’s Hospital in Fort Worth, Texas. Michael White, MD, the West Coast MDO, works as a hospitalist at Hoag Memorial Hospital in Newport Beach, Calif.

Jetinder Singh-Marjara, MD, is the new hospital medicine program director at Golden Valley Memorial Hospital in Clinton, Mo. Dr. Singh-Marjara has worked in Kansas City, Mo., and throughout the Midwest as a hospitalist for more than 10 years since completing his residency in internal medicine at the University of Illinois in Chicago.

Chris Brown, MD, MPH
Shelley Lenamond, DO, FHM Haresh
Boghara, MD Tien Vo, MD

Fred Guyer, MD, recently was awarded the Northeast Florida Pediatric Society’s Pediatric Hospitalist of the Year award. Dr. Guyer is a hospitalist at Nemours Children’s Clinic in Jacksonville. Dr. Guyer is faculty at the University of Florida College of Medicine.

TeamHealth of Knoxville, Tenn., has announced three new medical directors.

Shelley Lenamond, DO, FHM, is the new facility medical director for TeamHealth’s hospitalist program at Methodist Mansfield Medical Center in Mansfield, Texas.

Haresh Boghara, MD, is the new facility medical director of hospitalist services at Methodist Charlton Medical Center in Dallas.

Tien Vo, MD, is TeamHealth’s new facility medical director of its hospitalist program at El Centro Regional Medical Center in El Centro, Calif.


Michael O'Neal is a freelance writer in New York.

Business Moves

North Hollywood, Calif.-based IPC: The Hospitalist Company has acquired Harbor Hospitalists LLC, an acute-care hospitalist practice based in Port Charlotte, Fla. Harbor Hospitalists serves five community medical centers in and around the Port Charlotte and Punta Gorda, Fla., areas. IPC provides hospitalist services in 28 states.

OB Hospitalist Group (OBHG), based in Mauldin, S.C., is providing 24-hour services to Cypress Fairbanks Medical Center in Houston, a 180-bed acute-care facility, and at St. Bernardine Medical Center in San Bernardino, Calif., a 463-bed nonprofit community hospital. OBHG now provides services at more than 50 hospitals nationwide.

Chris Brown, MD, MPH

Chris Brown, MD, MPH, was elected one of Columbus Business First’s members of the Forty Under 40 class of 2013. Dr. Brown is the medical director of hospital medicine at Memorial Hospital of Union County in Marysville, Ohio. The designation recognizes members of the Columbus, Ohio, community who demonstrate superior professional development, community involvement, and other awards and recognitions. Dr. Brown’s colleagues describe him as “a collaborative, attentive, and detailed physician as well as a capable leader.”

Thomas Gallagher, MD, is the University of Washington’s (UW) new director of the program in hospital medicine. This new position in UW’s division of general internal medicine will oversee all of the hospitalist programs at UW Medicine and Harborview Medical Center in Seattle. Dr. Gallagher also is a UW professor of medicine and bioethics and humanities.

Pawan Dhawan, MD, has been appointed medical director of the hospitalist programs at Trident Medical Center in Charleston, S.C., and Summerville Medical Center in Summerville, S.C. Dr. Dhawan comes to Trident Health System from Bay Hospitalists in Newark, Del. Dr. Dhawan served on SHM’s Leadership Committee in 2011.

OB Hospitalist Group (OBHG) in Mauldin, S.C., has announced new medical directors of operations (MDOs) for five of its regions. Nicholas Kulbida, MD, MDO for OBHG’s northeast region, works at Bellevue Women’s Center in Niskayuna, N.Y. Susie Wilson, MD, one of two MDOs for the southeast region, is team leader at Summerville Medical Center in Summerville, S.C. Sue Smith, MD, the other MDO for OBHG’s southeast region, works for Winter Haven Hospital-Regency Medical Center in Winter Haven, Fla. Matthew Conrad, MD, MDO for the Great Lakes region, serves as an OB hospitalist at both Holmes Regional Medical Center in Melbourne, Fla., and Osceola Regional Medical Center in Kissimmee, Fla. Charlie Jaynes, MD, OBHG’s MDO for the south-central region, is an OB hospitalist at North Austin Medical Center in Austin, Texas, and Baylor All Saints Andrews Women’s Hospital in Fort Worth, Texas. Michael White, MD, the West Coast MDO, works as a hospitalist at Hoag Memorial Hospital in Newport Beach, Calif.

Jetinder Singh-Marjara, MD, is the new hospital medicine program director at Golden Valley Memorial Hospital in Clinton, Mo. Dr. Singh-Marjara has worked in Kansas City, Mo., and throughout the Midwest as a hospitalist for more than 10 years since completing his residency in internal medicine at the University of Illinois in Chicago.

Chris Brown, MD, MPH
Shelley Lenamond, DO, FHM Haresh
Boghara, MD Tien Vo, MD

Fred Guyer, MD, recently was awarded the Northeast Florida Pediatric Society’s Pediatric Hospitalist of the Year award. Dr. Guyer is a hospitalist at Nemours Children’s Clinic in Jacksonville. Dr. Guyer is faculty at the University of Florida College of Medicine.

TeamHealth of Knoxville, Tenn., has announced three new medical directors.

Shelley Lenamond, DO, FHM, is the new facility medical director for TeamHealth’s hospitalist program at Methodist Mansfield Medical Center in Mansfield, Texas.

Haresh Boghara, MD, is the new facility medical director of hospitalist services at Methodist Charlton Medical Center in Dallas.

Tien Vo, MD, is TeamHealth’s new facility medical director of its hospitalist program at El Centro Regional Medical Center in El Centro, Calif.


Michael O'Neal is a freelance writer in New York.

Business Moves

North Hollywood, Calif.-based IPC: The Hospitalist Company has acquired Harbor Hospitalists LLC, an acute-care hospitalist practice based in Port Charlotte, Fla. Harbor Hospitalists serves five community medical centers in and around the Port Charlotte and Punta Gorda, Fla., areas. IPC provides hospitalist services in 28 states.

OB Hospitalist Group (OBHG), based in Mauldin, S.C., is providing 24-hour services to Cypress Fairbanks Medical Center in Houston, a 180-bed acute-care facility, and at St. Bernardine Medical Center in San Bernardino, Calif., a 463-bed nonprofit community hospital. OBHG now provides services at more than 50 hospitals nationwide.

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The Appropriate Patient Census

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What's the appropriate number of patients that an FTE hospitalist should see in one day? More than half of those surveyed on the-hospitalist.org believe they should see between 11 and 15 patients. According to two members of Team Hospitalist, 10 to 20 patients per day is a reasonable guideline.

"On average, 15 to 18 patients per day is a pretty easy-to-manage number," says Rachel George, MD, MBA, FHM, CPE, chief operating officer for Cogent HMG's west and north-central regions. But daily patient census depends on several factors, such as the types of patients admitted, the length of the doctor's shift, and the level of support from other staff on duty, she explains.

Readers were given one of five choices to respond with: "10 or fewer patients," "11-15," "16-20," "21-25," and "more than 25." Of the 421 responses, 51% felt that the average full-time hospitalist should see from 11 to 15 patients per day, followed by 35% who say they'd prefer to see 16 to 20 patients. Six percent voted for "10 or fewer." Only 4% of respondents said 20 or more patients a day was optimum.

"Honestly, I try not to get fixated on numbers," says Ken Simone, DO, SFHM, founder and president of Hospitalist and Practice Solutions in Veazie, Maine. As a consultant, he says that rather than trying to expect physicians to attend to a standard census, HM groups should focus on acuity of illness and quality of care, and let patient needs dictate the staff required. Dr. Simone also recalled working with some groups who have delegated one or more staff members to handle admitting and screening, so that hospitalists can concentrate on the patients already in beds.

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What's the appropriate number of patients that an FTE hospitalist should see in one day? More than half of those surveyed on the-hospitalist.org believe they should see between 11 and 15 patients. According to two members of Team Hospitalist, 10 to 20 patients per day is a reasonable guideline.

"On average, 15 to 18 patients per day is a pretty easy-to-manage number," says Rachel George, MD, MBA, FHM, CPE, chief operating officer for Cogent HMG's west and north-central regions. But daily patient census depends on several factors, such as the types of patients admitted, the length of the doctor's shift, and the level of support from other staff on duty, she explains.

Readers were given one of five choices to respond with: "10 or fewer patients," "11-15," "16-20," "21-25," and "more than 25." Of the 421 responses, 51% felt that the average full-time hospitalist should see from 11 to 15 patients per day, followed by 35% who say they'd prefer to see 16 to 20 patients. Six percent voted for "10 or fewer." Only 4% of respondents said 20 or more patients a day was optimum.

"Honestly, I try not to get fixated on numbers," says Ken Simone, DO, SFHM, founder and president of Hospitalist and Practice Solutions in Veazie, Maine. As a consultant, he says that rather than trying to expect physicians to attend to a standard census, HM groups should focus on acuity of illness and quality of care, and let patient needs dictate the staff required. Dr. Simone also recalled working with some groups who have delegated one or more staff members to handle admitting and screening, so that hospitalists can concentrate on the patients already in beds.

What's the appropriate number of patients that an FTE hospitalist should see in one day? More than half of those surveyed on the-hospitalist.org believe they should see between 11 and 15 patients. According to two members of Team Hospitalist, 10 to 20 patients per day is a reasonable guideline.

"On average, 15 to 18 patients per day is a pretty easy-to-manage number," says Rachel George, MD, MBA, FHM, CPE, chief operating officer for Cogent HMG's west and north-central regions. But daily patient census depends on several factors, such as the types of patients admitted, the length of the doctor's shift, and the level of support from other staff on duty, she explains.

Readers were given one of five choices to respond with: "10 or fewer patients," "11-15," "16-20," "21-25," and "more than 25." Of the 421 responses, 51% felt that the average full-time hospitalist should see from 11 to 15 patients per day, followed by 35% who say they'd prefer to see 16 to 20 patients. Six percent voted for "10 or fewer." Only 4% of respondents said 20 or more patients a day was optimum.

"Honestly, I try not to get fixated on numbers," says Ken Simone, DO, SFHM, founder and president of Hospitalist and Practice Solutions in Veazie, Maine. As a consultant, he says that rather than trying to expect physicians to attend to a standard census, HM groups should focus on acuity of illness and quality of care, and let patient needs dictate the staff required. Dr. Simone also recalled working with some groups who have delegated one or more staff members to handle admitting and screening, so that hospitalists can concentrate on the patients already in beds.

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Smooth Moves

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A recent study in the Journal of Hospital Medicine concluded that by rescheduling fewer than 10 elective admissions per week from a weekday to a weekend, hospitals can reduce overcrowding. The report should encourage hospitalists to reconsider their own scheduling strategies, the lead author says.

"If they notice that on certain days their unit or their hospital is very crowded and on other days it's less so, it may be worth working with their organization's quality and safety or operational leadership to learn more about those patterns and see if they can improve on them," says Evan S. Fieldston, MD, MBA, MSHP, pediatric hospitalist at the Children's Hospital of Philadelphia.

The study examined 2007 daily inpatient census data from 39 tertiary-care children's hospitals. The average weekday occupancy ranged from 70.9% to 108.1%, while the average weekend occupancy ranged from 65.7% to 94.9%. After rescheduling, or "smoothing," elective admissions from days with "thresholds of high occupancy," defined as >85% occupancy, to less busy days, 39,607 patients were removed from exposure to occupancy levels greater than 95%.

Eugene Litvak, MD, president and CEO of the nonprofit Institute for Healthcare Optimization and adjunct professor of operations management at the Harvard School of Public Health in Boston, says the issue goes beyond U.S. hospitals. Dr. Litvak says he's discussed overcrowding with more than 100 hospitals in Europe, Japan, Australia, and the U.S. "In talking with their leadership in healthcare, I saw the same problem," he says.

The solution, Dr. Litvak suggests, lies with queueing theory, a mathematical formula that addresses random demand for a fixed capacity. Based on average census data, hospitals can apply queueing theory to determine how many beds and staff they need for ED admissions throughout a typical week.

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A recent study in the Journal of Hospital Medicine concluded that by rescheduling fewer than 10 elective admissions per week from a weekday to a weekend, hospitals can reduce overcrowding. The report should encourage hospitalists to reconsider their own scheduling strategies, the lead author says.

"If they notice that on certain days their unit or their hospital is very crowded and on other days it's less so, it may be worth working with their organization's quality and safety or operational leadership to learn more about those patterns and see if they can improve on them," says Evan S. Fieldston, MD, MBA, MSHP, pediatric hospitalist at the Children's Hospital of Philadelphia.

The study examined 2007 daily inpatient census data from 39 tertiary-care children's hospitals. The average weekday occupancy ranged from 70.9% to 108.1%, while the average weekend occupancy ranged from 65.7% to 94.9%. After rescheduling, or "smoothing," elective admissions from days with "thresholds of high occupancy," defined as >85% occupancy, to less busy days, 39,607 patients were removed from exposure to occupancy levels greater than 95%.

Eugene Litvak, MD, president and CEO of the nonprofit Institute for Healthcare Optimization and adjunct professor of operations management at the Harvard School of Public Health in Boston, says the issue goes beyond U.S. hospitals. Dr. Litvak says he's discussed overcrowding with more than 100 hospitals in Europe, Japan, Australia, and the U.S. "In talking with their leadership in healthcare, I saw the same problem," he says.

The solution, Dr. Litvak suggests, lies with queueing theory, a mathematical formula that addresses random demand for a fixed capacity. Based on average census data, hospitals can apply queueing theory to determine how many beds and staff they need for ED admissions throughout a typical week.

A recent study in the Journal of Hospital Medicine concluded that by rescheduling fewer than 10 elective admissions per week from a weekday to a weekend, hospitals can reduce overcrowding. The report should encourage hospitalists to reconsider their own scheduling strategies, the lead author says.

"If they notice that on certain days their unit or their hospital is very crowded and on other days it's less so, it may be worth working with their organization's quality and safety or operational leadership to learn more about those patterns and see if they can improve on them," says Evan S. Fieldston, MD, MBA, MSHP, pediatric hospitalist at the Children's Hospital of Philadelphia.

The study examined 2007 daily inpatient census data from 39 tertiary-care children's hospitals. The average weekday occupancy ranged from 70.9% to 108.1%, while the average weekend occupancy ranged from 65.7% to 94.9%. After rescheduling, or "smoothing," elective admissions from days with "thresholds of high occupancy," defined as >85% occupancy, to less busy days, 39,607 patients were removed from exposure to occupancy levels greater than 95%.

Eugene Litvak, MD, president and CEO of the nonprofit Institute for Healthcare Optimization and adjunct professor of operations management at the Harvard School of Public Health in Boston, says the issue goes beyond U.S. hospitals. Dr. Litvak says he's discussed overcrowding with more than 100 hospitals in Europe, Japan, Australia, and the U.S. "In talking with their leadership in healthcare, I saw the same problem," he says.

The solution, Dr. Litvak suggests, lies with queueing theory, a mathematical formula that addresses random demand for a fixed capacity. Based on average census data, hospitals can apply queueing theory to determine how many beds and staff they need for ED admissions throughout a typical week.

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